Explanation of biomechanical aetiology of the so-called idiopathic scoliosis. Physiotherapy in treatment and in prophylaxis

The biomechanical aetiology of so-called idiopathic scoliosis is based on material and observations from 1984 (T. Karski – scholarship one month in Invalid Foundation Hospital in Helsinki / Finland – cooperation with operator of scoliosis – Dr Olai Snellman) and on material of Paediatric Orthopaedic and Rehabilitation Department of Medical University in Lublin in the years 1984–2009. Next (2009–2014) based on material of Out Patients Clinic of both authors. We found three group and four types of scoliosis. With the type of scoliosis is connected the method of treatment and causal prophylaxis. All strengthened exercises in therapy should be reject from the program of treatment. Only the stretching exercises are proper. The causal prophylaxis should be introduced to all patients in all countries. The aim for physiotherapy is to remove the contracture on right hip, on pelvis (to cure the anterior tilt of pelvis), to remove the contracture on concave side of curves. Very important is to remember all patents with scoliosis about standing – only standing ‘at ease’ on the left leg is proper and prevent scoliosis.