The neuromuscular factor in idiopathic scoliosis; Retrospective longitudinal study of a group of 308 adolescents treated with neuromuscular rebalancing

Background One of the etiologic agents of Idiopathic Scoliosis (IS) is the sensorineural and/or neuromuscular factor. J.P. Roll demonstrated that: 1) the muscle spindle is the postural adjustment source, 2) the right balance between agonist and antagonist muscles define the posture, 3) the feet are the gravity reference to the central nervous structures and 4) the sub-occipital muscles connect the head muscles with myofascial body lines. Through the theory of the myofascial lines, T. Myers demonstrated the functional continuity of the muscular system in its entirety, thus justifying the huge sensitivity of the Postural System, and the opportunity to act on the myofascial lines by several receptor inputs. The neuromuscular imbalance is a factor favoring the onset, and conditioning the progress, of the IS. The neuromuscular error manages the irregularity of scoliosis below a 25° Cobb angle, accordingly, neuromuscular rebalancing involves a spine realignment to the gravity axis, making an improvement of the curves by braking the worsening push, and producing a clear improvement in aesthetic damages.