Table 15.

Recommendation on sports activities

Recommendation	Strength	Evidence	References
1. It is recommended that sports is not prescribed as a treatment for idiopathic scoliosis	C	III	[355, 359–362, 364–366, 453]
2. It is recommended that general sports activities are performed because of the specific benefits they offer to patients in terms of psychological, neuromotor and general organic well-being	B	V
3. It is recommended that, during all treatment phases, physical education at school is continued. Based on the severity of the curve and progression of the deformity and the opinion of a clinician specialized in conservative treatment of spinal deformities, restrictions may be placed on practicing certain types of sports activities	B	V
4. It is recommended that sports activities are continued also during brace treatment because of the physical (aerobic capacity) and psychological benefits these activities provide	B	V	[352]
5. It is recommended that, during brace treatment, contact or highly dynamic sport activities are performed with caution	C	VI
6. It is recommended that competitive activities that greatly mobilize the spine are avoided in patients with scoliosis at high risk of progression	C	III	[334–338, 355, 365, 367, 414, 453]