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Dis-coordination of the neuro-muscular system is probably the most important primary environmental factor contributing to the condition of scoliosis.  So it only makes sense that an scoliosis exercises / neuro-muscular rehab program would also be part of the primary treatment for the condition.  However, not all exercise will have the same effect on scoliosis.  For example, push-ups, sit ups, ect won't have any impact on the curvature.

     The rehab concepts behind how to go about doing this can be tricky. Mostly we are taking advantage in the advancements in anthropometry (yes it is an actual word meaning "the study of human body measurements") that can give us new and more accurate info in regards to the center mass points in the human body (Ex: the center mass of the head is located 4 mm anterior from the center of the sella tursica). Who cares right? Well, the center mass of an object acts as though it is the entire object (aka: the center mass of an object is it's balancing point), so the whole concept of early stage scoliosis may revolve around the body's inability to align the center mass of the upper torso (the head) and the lower torso (the pelvis) in relation to each other. Therefore, the spine connecting the two major center masses (head and pelvis) becomes crooked in order to connect the two. Bingo! Early stage scoliosis! The real trick is that center mass misalignment appears to be occurring in the side view (sagittal) and front view (coronal) plane at the same time (gotta think 3-D to understand this one).

It obviously takes more spine, spinal cord, muscle tissue (on one side of the curve), ect to travel a crooked line rather than a straight line and thus the adverse mechanical tension is created on the spine cord (kind of like an acquired spinal cord tethering) which results in an uncoupling of the spinal rotation patterns in the thoracic spine seen in curves 30 degrees or larger (that's what creates the rib humping). Keep in mind that while all this is happening, the center masses (head and pelvis) are getting further and further out of alignment, which is creating even more instability within the system and then the poor kid hits a growth spurt that adds another 10-20lbs of compression force on the spine. That system further collapses on itself and the curvature buckles even further to the side creating more adverse mechanical tension on the spinal cord, which in turn stimulates even more rotation into the concavity (rather than the biomechanically expected convexity) in order to allow the stressed out spinal cord to travel though the inside of the curvature instead of forcing it to travel the longer distance around the outside of the curve. Of course this increased rotation creates even more spinal torque and the curve coils down even further to continue reducing the total vertical distance it must travel (again, 3-D thinking required).

Now that we have outlined the mechanism, the problem can be solved through early intervention rehab that trains the involuntary reflex arches (righting reflexes) by manipulating (through the use of weighted hats and diving belts, not necessarliy adjustments) where the body perceives the center masses of the upper and lower torso (AKA: Head and pelvis). Then we have the patient perform neurologically challenging rehab at the same time we are creating the corrective stimulus with the head weighting and hip weighting.

     I know it sounds like a lot of complex stuff (and it is), but it works.....especially if we can implement this 3-D auto correction type treatment system during the early stages of the scoliosis condition (mild scoliosis).