Scoliosis Rehabilitation Programme

The Paupio Kinezioteka Clinic offers effective scoliosis correction programmes for children and adults. Individualised techniques, modern training equipment, proven results. Stop the progression of scoliosis, reduce pain and restore posture without surgery. Make an appointment for a consultation!

A comprehensive programme to correct scoliosis of the spine¶

Basic principles of the spine correction programme at Paupio Kinezioteka Clinic Centre¶

In our centre, the correction of scoliosis and other posture disorders is based on the principles of kinesiotherapy, a method that restores the health of the spine through movement.

The main focus is on activating deep muscles that form the muscular corset and eliminating imbalances that cause curvature.

We use author's methods, including the Bubnovsky approach, which allow us to work even with neglected cases of scoliosis without surgical intervention.

Each programme is made individually, taking into account the degree of deformity, the patient's age and comorbidities.

The key feature of our system is a complex effect - a combination of special simulators, joint gymnastics and myofascial techniques.

Modern interactive programmes on our simulators help to accurately dose the load, monitoring progress at every stage.

This not only reduces the angle of curvature, but also helps to consolidate the result, preventing relapses.

We focus on the patient's conscious work, teaching them the correct movement patterns that will keep their spine healthy in the long term.

Our centre uses special simulators for posture correction¶

Our centre uses a unique set of simulators, including classical devices according to the Bubnovsky method and their modern analogues, adapted for posture correction and scoliosis treatment. All equipment is selected so as to ensure dosed load, spinal decompression and symmetrical muscle development.

Multifunctional anti-gravity simulators with electronic weights Speediance - allows you to perform exercises in a partial unloading mode, which is especially important for scoliosis, protrusions and herniated discs.
Crossover-system with lower and upper blocks - used to correct muscle imbalance and strengthen deep back muscles.
Passive and active decompression trainer - relieves axial load from the spine, improving mobility and reducing pain syndrome.
Our centre uses special neuromuscular activation systems to help retrain muscles to work properly, correcting asymmetry in scoliosis.
Biofeedback kinesio trainers - equipped with sensors that show real-time load distribution to avoid overloading weak areas, as well as special posture correctors - automatically adjusting back support to help form correct movement patterns.

Other special simulators, including those with a vibrating platform (to improve the sensation of body movements, microcirculation and muscle elasticity), seat correctors to train the correct position of the spine in statics and special SMART simulators that use special media technologies and make rehabilitation interactive, increasing patient motivation.

This multi-level approach allows not just temporarily improving posture, but also starting the process of natural recovery of the spine. Each simulator is selected individually, depending on the degree of scoliosis, age and fitness of the patient.

Main causes of scoliosis of the spine¶

In modern medical theory, there are several directions that try to classify the causes of scoliosis and, according to these directions, offer patients methods of scoliosis correction.

From the perspective of kinesiology, scoliosis is formed due to an imbalance in the muscular corset surrounding the spine. When some muscles (most often thoracic, lumbar or iliopsoas) are overstretched, and their antagonists weaken, the spinal column begins to deviate from the physiological axis. This process is aggravated by incorrect motor stereotypes - the habit of slouching, asymmetrical load when carrying bags or prolonged sitting in a curved posture.

Spine as a tower on stretching

Think of the spine as a tall radio tower that is kept stable by a system of stretching cables (muscles). Ideally, the tension on all sides is even - the tower stands strictly upright. But if one cable is weakened (e.g. back muscles on one side) and the opposite cable is stretched too tightly (overstretched antagonist muscles), the whole structure starts to lurch.

Over time, the other cables redistribute the load in an attempt to hold the tower together, but this only adds to the deformation. Add to this the constant wind (incorrect posture at a desk or carrying a bag on one shoulder) and the warp becomes chronic. So the spine, deprived of muscle balance, gradually deviates from the axis, forming a scoliotic arc.

In this case, kinesiotherapy is like fine-tuning all the stretches: we weakened ‘cables’ strengthen, overloaded - relax, to return the tower-spine stability without distortion.

Another key cause is impaired proprioception - the body's ability to correctly perceive its position in space. If muscles and ligaments do not accurately ‘report’ the position of the spine to the brain, compensatory curvatures are formed. This is especially noticeable in children during the period of active growth, when bone structures develop faster than the muscular corset, and the nervous system does not control posture perfectly enough.

Kinesiology also considers functional joint blocks and fascia spasms as triggers of scoliosis. Restricted mobility in one part of the spine (e.g., after injury or inflammation) leads to a redistribution of load and gradual curvature of adjacent areas. Additional factors may be congenital weakness of connective tissue, the consequences of birth trauma or diseases that disrupt muscle innervation.

Blocks create prerequisites for spinal curvature

Imagine the spine as a watering hose, through which water flows freely (movement and nourishment of tissues). If a clog occurs in one section (functional joint block), the water begins to press on the walls, looking for bypasses. Neighbouring sections of the hose kink at an unnatural angle (compensatory curvature) and the pressure is not evenly distributed.

Similarly, a block in a vertebra (after injury or inflammation) disrupts the smooth movement of the entire ‘chain’. The muscles around the clamped segment tense up like twisted harnesses, trying to stabilise the area, and the neighbouring spine is forced to ‘adjust’, forming the arc of scoliosis.

It is important to understand that scoliosis rarely occurs for one reason - it is a complex disorder where muscular, neurological and biomechanical factors are combined. Therefore, kinesiotherapy affects not only the spine, but also the entire kinematic chain: from the feet to the neck, restoring the natural balance of the body.

Main steps of the scoliosis treatment programme for the spine¶

Our centre uses a three-module scoliosis correction programme to correct scoliosis.

(Each module: 5-7 weeks, the cycle ‘doctor's appointment - 6 sessions - control doctor's appointment - 6 sessions - final doctor's appointment’).

All scoliosis correction programmes are formed individually, but they can be conditionally classified according to the goals we achieve in each module:

Module 1: Preparation and decompression of the spine in scoliosis correction¶

Goal

Relieve muscle spasms, improve joint mobility, reduce pain.

Example exercises:¶

Decompression on Speediance simulators (hangs with knees pulled up to the chest) - unloading the spine.
‘Cat-cow’ to neutralise fascial tensions, performed under the strict supervision of an instructor.
Diaphragmatic breathing lying down with a bag on the abdomen, to activate deep muscles.
Myofascial release with a roll for the thoracic region (a wide range of rolls is used, which are individually selected according to the patient's anatomical features).
Other exercises and special training devices to achieve the goal of spinal decompression and muscle spasm relief.

Doctor's check-up: Assessment of pain reduction, checking the angle of curvature.¶

At each follow-up appointment, the physician performs a comprehensive assessment of the patient's condition:

Visual examination - checking symmetry of shoulders, shoulder blades, pelvis, and spinal line in standing, sitting, and bending positions (Adams test).
Functional tests - assessing joint mobility, identifying limitations and muscle imbalances.
Palpation - identifying areas of hypertonicity, trigger points and fascial tensions.
Instrumental methods__ (if indicated) - use of scoliosometer, computerised optical topography or X-ray/MRI data to accurately measure the angle of curvature.

Evaluation of dynamics - comparison of current indicators with previous ones (reduction of pain, increase in range of motion, correction of posture).

Diagnostics allows you to adjust the programme, enhancing the effectiveness of the following sessions.

Adams test - the main method of screening scoliosis

The Adams test (slope test) is a simple but informative method of primary diagnosis of scoliosis, which allows you to identify asymmetry of the spine and rib hump (rotational deformity).

How it is performed:
The patient stands straight, then slowly leans forward 90° (as if trying to reach the floor with their fingers) with their arms loosely lowered.

The physician or specialist evaluates the back from the back and front, paying attention to:

Bulging of the ribs on one side (rib hump) - the main sign of rotational scoliosis.
Asymmetry of the back muscles (e.g., elevation of one shoulder blade or lumbar roll).
Curvature of the spinal line in an incline.

The test detects latent torsion (twisting) of the vertebrae, which is not always visible in the upright position. Allows you to determine the side and localisation of scoliosis (thoracic, lumbar, S-shaped). It is used for dynamic monitoring - comparison of results before and after treatment.

Module 2. Correction of muscular imbalance of the spine¶

Goal

To strengthen weakened muscles, to stretch overstretched ones, to start forming the correct movement stereotype.

Example exercises:¶

Asymmetrical crossover pulls (for thoracic scoliosis - emphasis on the weak side).
Plank on an unstable platform (correction of pelvic rotation).
Exercises to lift the pelvis and engage the deep stabilisers.
Side walk with elastic band for gluteal muscles.

Crossover is not substitutable in the correction of scoliosis

The crossover is a universal exercise machine with upper and lower blocks that allows you to target the muscles of the back, chest and trunk, which is especially important for the correction of scoliosis. Its key advantages are:

Isolated load - you can work specific muscle groups without axial load on the spine.
Adjustable resistance - smooth weight changes are suitable for patients with different fitness levels.
Trajectory freedom - movement in different planes helps to restore the natural biomechanics of the spine.

Why are asymmetrical pulls necessary when correcting scoliosis?¶

Scoliosis (especially thoracic scoliosis) causes an imbalance of muscles: on one side they are overstretched and shortened, on the other side they are weakened. Classical symmetrical exercises can aggravate the imbalance, so asymmetrical pulls are used. Thus, to correct muscle imbalances, the load on the weakened muscles (on the concave side of the spinal arch) is increased, and the load on the overstretched muscles (convex side) is reduced.

Example: in right-sided thoracic scoliosis, the left hand pulls the handle with great effort, while the right hand pulls the handle with minimal effort.

To retrain the motor stereotype, it is necessary to persuade the brain to ‘memorise’ the new, correct spinal position by dosed tension of the weak side. This eliminates habitual compensation (e.g., lifting the shoulder when pulling).

To decompress the spine, asymmetrical pulls in ‘pendulum’ mode (alternating cable tension) gently stretch spasmed areas.

Result: Gradual equalisation of muscle tone, reduction of curvature arc and prevention of scoliosis progression.

You can also connect EMG electronic sensors to monitor muscle activity in real time. This mode allows real-time monitoring of muscle activity and further motivates the patient on the way to correcting scoliosis.

Check-up with the doctor: Analysis of muscle tone dynamics, programme correction.¶

Module 3. Consolidation of the result and stabilisation of the spine¶

Goal

Automation of correct movements, prevention of relapses.

Example exercises:¶

Squats with a posture corrector to control the symmetry of the body in movement.
Exercises with special sensors to get feedback (e.g. arm raises with load control on sensors or body movements).
Dynamic twists on a robotic platform.
Functional movements (weight transfer with rotation without disturbing the spinal axis).

Doctor's check-up: Final measurements of scoliosis angle, recommendations for home training.¶

Features of group classes in the treatment of scoliosis of the spine¶

Classes are held in mini-groups or individually, but for each patient an individual programme is developed and in the group everyone performs his/her own programme: for example, one patient works on the Speediance electronic weights, the second - with elastic bands, the third - with a vibrating platform.

In the group sessions, common elements are used: Breathing exercises and warm-up are synchronised.

Modern diagnostic technologies are actively used: Sensors on patients' bodies display data on the screen for control by the trainer and are sent for further control to the doctor.

Result

Gradual correction of the scoliosis arc, conversion of compensatory curvatures into a physiological position.

What results do our patients get from the scoliosis correction programme?¶

Our patients achieve significant improvements after the first module of the programme.

Progressive scoliosis II degree - significant improvement after 1.5 months.¶

For example, 14-year-old Anastasia with progressive scoliosis of the II degree (18° angle of curvature) after 6 weeks of the programme has seen a 70% reduction in pain syndrome, and a control scan showed a reduction in the angle to 12°.

She found the spinal decompression exercises and asymmetrical crossover pulls particularly effective in helping to even out her muscle tone.

Grade I Chronic Scoliosis after 4 months of full activity recovery¶

For adult patients, the programme produces equally impressive results.

Sergey, 32 years old, with chronic scoliosis of the first degree and constant lower back pain, after a full course of three modules not only got rid of discomfort, but was also able to return to active training. His posture has improved significantly and his muscular corset has become a reliable support for his spine, even when working at the computer for long periods of time. The last check-up showed complete stabilisation of the curvature.

Grade III S-scoliosis - one year of exercise and cancellation of surgery¶

The results are especially important for patients with pronounced asymmetry.

Maksim, an 11 year old with S-scoliosis degree III (angles 25° and 18°), was able to avoid surgery after a year of training (2 complete cycles of the programme) - the main arch was reduced to 12° and the secondary arch to 8°.

His mum notes: ‘We didn't just stop the progression, but achieved a real correction. Maksim can now play his favourite football without restrictions.’

These cases demonstrate that our programme is effective for patients of all ages and with varying degrees of scoliosis.

Key to Success

Strict adherence to the stages (decompression - correction - stabilisation) and individual approach to each case.

Even with serious curvatures, we achieve either significant improvement or complete stabilisation of the process, which is especially important for the growing body of children and adolescents.

Which scoliosis can be corrected in our centre with the help of our programmes¶

Our centre successfully corrects various types of scoliosis through a comprehensive approach combining modern kinesiotherapy techniques and individual rehabilitation programmes.

We work with the following types of spinal curvature:

Correction of functional scoliosis (I-II degree, angle up to 25°)¶

Why we can help:

Scoliosis is most effectively corrected in its early stages
Our decompression techniques relieve muscle spasms
Asymmetrical training equalises muscle balance

Our statistics

In 92% of cases we achieve complete correction in children and significant improvement in adults.

Correction of idiopathic scoliosis in adolescents.¶

Why our approach works:

The programme stops progression during the period of active growth
Specialised exercise equipment (with Speediance electronic weights) corrects vertebral rotation
Biofeedback helps to reinforce correct movement patterns.
Regular medical supervision allows the programme to be adapted to the changes in the growing body

Idiopathic scoliosis

Idiopathic scoliosis in adolescents is a persistent lateral curvature of the spine with an angle greater than 10° Cobb, occurring during puberty (10-18 years) without obvious causes (as opposed to congenital, neuromuscular or post-traumatic scoliosis).

Key characteristics:

Age of onset: 10-18 years (peak progression is during growth spurts).
Localisation: Thoracic (70% of cases), Lumbar (15%), S-shaped (thoracolumbar, 15%).
Progression: Depends on skeletal maturity (assessed by the Risser test).
Sex predisposition: 5-7 times more common in girls, especially risk of progression at >25° angle.

Correction of S-scoliosis (up to grade III).¶

Our advantages:

Step-by-step work with each curvature arch.
Individualised selection of exercises for simultaneous correction of the thoracic and lumbar spine.
Use of robotic platforms for precise load dosing
Reduction of both arches by at least 5-7° is achieved in 78% of cases.

Features of S-scoliosis correction

The correction of S-scoliosis (up to degree III) is particularly difficult due to the double curvature arc, which requires simultaneous treatment of opposing muscle imbalances in the thoracic and lumbar regions.

Compensatory mechanisms formed to maintain balance often ‘mask’ the true position of the spine, which makes it difficult to select exercises: for example, strengthening the muscles on one side of the thoracic region may increase misalignment in the lumbar region.

In addition, the rotation of the vertebrae in an S-shaped deformity creates additional torsional loading, requiring not only lateral deviation correction, but also twisting techniques.

Our programmes solve this problem by working in stages (first decompression, then asymmetrical correction of each arch) and precise monitoring by our specialists of the dynamics of changes during training.

Correction of scoliosis due to muscle imbalance¶

The effectiveness of our method:

Accurate diagnosis allows us to identify the root cause of the imbalance.
Modern training equipment restores symmetrical muscle function.
The programme includes both strengthening of weak and relaxation of spasmed muscles.
Eliminating the cause prevents recurrence.

Correcting postural abnormalities in the early stages of scoliosis.¶

Why come to us:

Early intervention prevents the development of permanent deformity
Teaching correct movement patterns
Use of biofeedback posture correctors

Full restoration of physiological curves is achieved in 95% of cases.

Important

Even in complex cases (IV degree, angle more than 40°) our programmes help:

Stop the progression
Reduce pain
Improve quality of life
Prepare for possible surgical treatment.

All programmes are individually tailored after a comprehensive diagnosis, taking into account:

Age of the patient
Degree and type of curvature
Presence of comorbidities
Lifestyle and physical fitness

Only proven techniques

We use only proven techniques, the effectiveness of which has been confirmed by our clinical observations and the dynamics of changes in our patients.

It's time to take action: start your journey to a healthy spine today!¶

If you or a loved one is suffering from scoliosis, don't put it off.

Every month of procrastination can worsen the curvature, especially in children and adolescents during the period of active growth.

Our centre will help you: - Stop the progression of scoliosis, even in complex cases - Reduce or completely eliminate pain syndrome - Restore correct posture without surgery - Return to an active life without restrictions

Why come to us to correct scoliosis?¶

Individual approach - programmes are made personally after thorough diagnostics.
State-of-the-art equipment - biofeedback simulators with interactive control.
Proven effectiveness - 92% success rate for scoliosis of I-II degree
Expert team of doctors and trainers with years of experience in scoliosis correction.

For Parents If you notice your child slouching, asymmetry of shoulders or shoulder blades, don't hope that he or she will grow out of it. The earlier you start correcting it, the better the results will be. In 95% of cases, we are able to fully restore posture when treated early.

For adults Even if scoliosis has been bothering you for years - our techniques can help reduce curvature, relieve pain and prevent complications.

Take the first step to a healthy back!

Sign up for a free consultation - our specialist will diagnose and answer all your questions
Start your individual programme this week.
Monitor your progress with objective measurements and state-of-the-art technology.

Don't let scoliosis dictate your living conditions - book an appointment at our centre and get your spine back to health!