Acute muscle stretching and the ability to maintain posture in females with adolescent idiopathic scoliosis

Dror Levi, Shmuel Springer, Yisrael Parmet, Dror Ovadia, David Ben-Sira

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


BACKGROUND: Physiotherapy scoliosis specific exercises include exercises to attain and maintain proper posture, as well as flexibility movements such as stretching. OBJECTIVE: To examine the effect of prior muscle stretching on the performance of posture exercise in females with adolescent idiopathic scoliosis (AIS). METHODS: Eighteen females with AIS were randomly assigned to perform a posture maintenance task for three minutes preceded by either stretching protocol (group A) or no-stretching (group B). A second session was carried out after three days, where the same procedure was repeated in a reverse order between groups. During each session, three outcomes were tested: the ability to complete the task, the ability to maintain postural body alignment, and the perceived effort. RESULTS: All participants completed the task in both sessions. Subjects' ability to preserve the required lower trunk alignment decreased following stretching compared to no-stretching. Lower-trunk angle changed toward flexion by 10a and 4.3a respectively, p= 0.032. There was no difference in perceived effort. CONCLUSIONS: Prior muscle stretching has a negative effect on the ability to preserve body positional alignment during posture exercise. The present findings should be considered by practitioners when designing protocols for scoliosis-specific exercises. Stretching immediately prior to posture maintenance exercises should be avoided.

Original languageEnglish
Pages (from-to)655-662
Number of pages8
JournalJournal of Back and Musculoskeletal Rehabilitation
Issue number4
StatePublished - 1 Jan 2019


  • Scoliosis
  • exercise
  • posture
  • stretching

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation


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