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Related Experiment Video

Updated: Jul 11, 2026

Clinical Efficacy of Ultrasound-Assisted Scoliosis-Specific Exercise in Mild-Grade Adolescent Idiopathic Scoliosis

Clinical Efficacy of Ultrasound-Assisted Scoliosis-Specific Exercise in Mild-Grade Adolescent Idiopathic Scoliosis

Published on: December 2, 2025

Exercise therapy for patients with diffuse idiopathic skeletal hyperostosis.

Adeeba Al-Herz¹, Jan Paul Snip, Bruce Clark

¹Division of Rheumatology, Kuwait University, Al-Amiri Hospital, Kuwait, Kuwait. adeebaalherz@yahoo.com

Clinical Rheumatology

|September 22, 2007

Summary

This study shows that a 24-week exercise therapy program can improve spinal mobility in patients with diffuse idiopathic skeletal hyperostosis (DISH). While some measures improved, significant gains were limited, with most patients reporting subjective benefits.

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Last Updated: Jul 11, 2026

Clinical Efficacy of Ultrasound-Assisted Scoliosis-Specific Exercise in Mild-Grade Adolescent Idiopathic Scoliosis

Clinical Efficacy of Ultrasound-Assisted Scoliosis-Specific Exercise in Mild-Grade Adolescent Idiopathic Scoliosis

Published on: December 2, 2025

Area of Science:

Rheumatology
Physical Therapy
Orthopedics

Background:

Diffuse idiopathic skeletal hyperostosis (DISH) is a condition characterized by widespread calcification and ossification of ligaments and entheses.
Patients with DISH often experience spinal stiffness, pain, and reduced range of motion (ROM), impacting their quality of life.
The efficacy of exercise therapy in managing symptoms and functional limitations in DISH remains to be fully elucidated.

Purpose of the Study:

To evaluate the impact of a structured 24-week exercise therapy program on pain, spinal ROM, and disability in individuals with symptomatic DISH.
To assess patient-reported outcomes and objective physical measures following a comprehensive exercise intervention.

Main Methods:

A 24-week daily exercise program including mobility, stretching, and strengthening for the spine was administered to individuals with DISH.
The program involved 14 supervised sessions over the initial 8 weeks.
Outcomes were measured using visual analogue scales (VAS) for pain and stiffness, various spinal ROM tests, and validated disability questionnaires at baseline, 8 weeks, and 24 weeks.

Main Results:

Significant improvement was observed in Schober's test (lumbosacral flexion) at 24 weeks (p = 0.02).
Trends towards improvement were noted for VAS stiffness and left finger-to-floor tests (p = 0.07 each).
While most physical measures moved in the expected direction, they did not reach statistical significance (p > 0.10); 53.3% of participants reported subjective improvement.

Conclusions:

A 24-week exercise program demonstrated modest improvements in physical measures for DISH patients, particularly in lumbosacral flexion.
The intervention showed potential for improving stiffness and functional mobility, though statistical significance was limited.
Further research with larger cohorts may be warranted to confirm the benefits of exercise therapy for DISH management.