Oefeningen bij adolescente idiopathische scoliose (AIS) — PSSE vermindert progressie, sport COMPATIBEL, botdichtheid kritiek

Scoliosis Research Society (SRS) + SOSORT 2016 management framework. Adolescent idiopathic scoliosis is defined by Cobb angle ≥10° + onset in the 10-18 age range. Screening is the Adam's forward bend test + scoliometer. Per SRS 2014 + SOSORT recommendations, Risser 0-1 (skeletally immature) + Cobb 20-40° is the bracing window (TLSO/Boston full-time + Charleston nighttime + Providence options). Cobb >50° at maturity is the surgical consideration threshold. The active exercise rehabilitation framework is PSSE (Physiotherapeutic Scoliosis-Specific Exercises) — Schroth, SEAS, BSPTS-Rigo, FITS — and Romano 2013 + Negrini 2014 RCTs established that PSSE reduces curve progression vs control. The 'no sports' restriction that historically limited AIS adolescents has been debunked: sports are compatible (no controlled study shows progression risk from regular sports, and many AIS athletes compete elite). Pulmonary function decline only emerges with severe (Cobb >70°) thoracic curves. Pelvic asymmetry + leg length difference are common in AIS — investigate before blaming an isolated SI joint diagnosis. The peak bone mass that is laid down in adolescence is the bone density a person carries for life — calcium + vitamin D + weight-bearing exercise + nutritional support during this window is consequential decades later.

Volya's catalogue carries the foundation moves: cat-cow for spinal mobility + breathing pattern (Schroth-adjacent), supported-glute-bridge for posterior chain + pelvic alignment, scapular-retraction for thoracic posture (rib-hump impact on shoulders), wall-push-up for scaled upper-body strength, supine-knee-to-chest for low-back release, diaphragmatic-breathing for thoracic mobility + asymmetric ventilation correction (PSSE breath component), supine-hip-abduction for hip-girdle balance (LLD compensation), chin-tuck for cervical posture (compensatory forward head common), standing-march for managed cardio. The AI coach also knows the nutrition side — growth + protein 1.0-1.5 g/kg/day pediatric-RDA + leucine, calcium 1300 mg + vit D 600-1000 IU/day for adolescent peak bone mass (AIS patients have LOWER BMD than peers — Cheng 1999), vit D often low in AIS independent of latitude (Balioglu 2013), Mediterranean anti-inflammatory backbone, iron + B12 + folate check (adolescent girls especially), AVOID excessive caffeine + energy drinks (sleep + bone Ca + brace adherence), AVOID restrictive weight-loss dieting (common in AIS — risks growth + amenorrhea + bone loss compounds), eating disorder vulnerability HEIGHTENED (body asymmetry + brace + adolescence triple compound), post-surgical fusion nutrition high-protein + vit C + zinc for wound + calcium + vit D for fusion. CRITICAL: Scoliosis Research Society (SRS) + SOSORT + pediatric orthopedics + PSSE-certified physiotherapist + orthotist + adolescent dietitian + adolescent psychology if body-image distress + Curvy Girls. This is NEVER a replacement for pediatric orthopedic care.