Clinical Report: Exploring the Relationship Between Physical Activity and Scoliosis

Overview

This study investigates the relationship between physical activity levels and positive scoliosis screening in children and adolescents. Findings suggest a U-shaped association, with moderate physical activity linked to lower odds of screening positive for scoliosis.

Background

Adolescent idiopathic scoliosis (AIS) is a prevalent spinal deformity that can lead to significant physical and psychological issues. Understanding modifiable risk factors, such as physical activity, is crucial for early identification and intervention. This study aims to clarify the dose-response relationship between physical activity and scoliosis screening outcomes in a large cohort of schoolchildren.

Data Highlights

Key Findings

• Light and vigorous physical activity are associated with higher odds of positive scoliosis screening compared to moderate activity.
• A U-shaped dose-response relationship exists, with moderate physical activity (approximately 54 min/day, 3–4 days/week) linked to the lowest odds of screening positive.
• Exercise frequency of less than 3 sessions per week significantly increases the risk of positive screening.
• Participation in aquatic sports is inversely associated with positive scoliosis screening outcomes.
• Children aged 6-11 years show heightened vulnerability to light physical activity.
• Team sports and bilateral activities universally reduce the risk of positive screening.

Clinical Implications

Healthcare professionals should encourage moderate physical activity in children and adolescents to potentially lower the risk of scoliosis screening positivity. Additionally, promoting participation in aquatic and team sports may provide protective benefits against scoliosis.

Conclusion

The findings underscore the importance of physical activity levels in relation to scoliosis screening outcomes, highlighting the need for further longitudinal studies to establish causative relationships.

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