Effects of Scientific Exercise Approach to Scoliosis (SEAS) on Idiopathic scoliosis in pre pubertal girls - A Prospective clinical study

Idiopathic scoliosis is a habitual curvature of spine with unknown aetiology with an approximately of 5% of incidence rate. Prevalence ratio in females is well known. Literature reports have tried to explain the Prevalence in selected populations, possible ways of legacy, related to nutritional deficiency, environmental stress and risk for the progression of curve after puberty which may be a character for the evolution to the irregularity of the spine. SEAS “Scientific Exercise Approach to Scoliosisâ€, is a potent modern neurophysiologic approach designed to stimulate the reflex and to improve the functioning of spinal musculature. It is employed in idiopathic scoliosis with low-medium degree curves below 20 degree during growth attempting to minimize the progres­sion of Cobb angle. Risk of deterioration is highest during the puberty growth spurt and increases the risk of curvature till skeletal maturity. Various high risk factors predispose the pre pubertal girls for idiopathic scoliosis. Early clinical detection in the age group of 6 to 13 years by non invasive tests can detect early changes. Developing practice guidelines in the form of a simple group activity with due attention to high risk factors may improve the quality of life in children with idiopathic scoliosis which can be followed in school settings as a regular physical activity .No Tran’s cultural version of Scoliosis Research Society (SRS) scale has been used in India for pre and post Scientific Exercise Approach to Scoliosis (SEAS) to evaluate the health related quality of life (HQOL) in pre pubertal girls who are at the risk of idiopathic scoliosis. The aim of this study is to screen early onset of idiopathic scoliosis and evaluate the effect of self-correction approach before the onset of puberty without external aid in group settings with the assistance of trained family members and teachers.