SEAS Exercises for Scoliosis and Hyperkyphosis: Evidence-Based Care in Melbourne
- Dr. Nicholas Usui-Crook
- May 9
- 4 min read

Introduction
Scoliosis and hyperkyphosis are spinal conditions that can significantly impact an individual's quality of life. Traditional treatments have included observation, bracing, and surgery. However, conservative management through specific exercise programs has gained prominence. One such program is the Scientific Exercise Approach to Scoliosis (SEAS), developed by the Italian Scientific Spine Institute (ISICO). This blog explores the SEAS method, its efficacy, and how it integrates with programs like ScoliBalance to provide comprehensive care for individuals with spinal deformities.

Understanding SEAS
SEAS is a physiotherapeutic approach focusing on active self-correction and stabilization exercises tailored to each patient's needs. Unlike generic exercise programs, SEAS emphasizes:
Active Self-Correction: Patients learn to actively correct their spinal alignment in three dimensions, promoting better posture and spinal stability.
Individualization: Exercises are customized based on the patient's specific curve pattern, flexibility, and functional capacity.
Integration into Daily Life: Patients are trained to incorporate corrective postures and movements into everyday activities, enhancing the sustainability of treatment outcomes.
How SEAS Scoliosis Exercises Support Spinal Alignment and Postural Control
Recent studies have highlighted the effectiveness of SEAS in managing adolescent idiopathic scoliosis (AIS):
A 2024 systematic review and network meta-analysis compared six scoliosis-specific exercise methods, concluding that SEAS was most effective in reducing the Cobb angle, a measure of spinal curvature severity .
SEAS has also been associated with improved trunk rotation and quality of life, making it a comprehensive approach to scoliosis management .

SEAS for Hyperkyphosis
Hyperkyphosis, characterized by excessive forward curvature of the thoracic spine, can lead to pain and functional limitations. SEAS has been adapted to address hyperkyphosis by:
Focusing on spinal extension exercises to counteract forward curvature.
Enhancing postural awareness and muscle strength to support spinal alignment.
Incorporating balance and proprioceptive training to improve overall posture control.
A controlled prospective study demonstrated that adolescents with hyperkyphosis who underwent SEAS-based exercises showed significant improvement in spinal curvature and posture .

Integration with ScoliBalance
ScoliBalance is a physiotherapeutic scoliosis-specific exercise (PSSE) program that integrates principles from SEAS and other evidence-based methods. Key features include:
Customized Exercise Plans: Tailored to the individual's curve type, flexibility, and goals.
Multidisciplinary Approach: Incorporates input from physiotherapists, orthotists, and other healthcare professionals.
Technology Integration: Utilizes tools like SimpleSet to provide patients with accessible exercise programs and track progress.
By combining SEAS principles with the comprehensive framework of ScoliBalance, patients receive a holistic treatment plan that addresses their unique needs.

Implementing SEAS and ScoliBalance in Melbourne
As a certified provider of SEAS and ScoliBalance programs in Melbourne, we offer:
Comprehensive Assessments: Including clinical evaluations and posture analysis to determine the most appropriate intervention.
Individualized Treatment Plans: Developed based on the latest research and tailored to each patient's condition and goals.
Ongoing Support: Regular follow-ups to monitor progress, adjust exercises, and provide education to empower patients in their treatment journey.

Conclusion
The SEAS approach, particularly when integrated with programs like ScoliBalance, offers an effective, non-invasive option for managing scoliosis and hyperkyphosis. By focusing on active self-correction, individualized exercises, and integration into daily life, patients can achieve improved spinal alignment, posture, and quality of life.
If you or someone you know is dealing with scoliosis or hyperkyphosis, consider exploring the benefits of SEAS and ScoliBalance. Contact our Melbourne clinic to schedule an assessment and begin a personalized journey towards better spinal health.
References
Wang, Z., Zhu, W., Li, G., & Guo, X. (2024). Comparative efficacy of six types of scoliosis-specific exercises on adolescent idiopathic scoliosis: a systematic review and network meta-analysis. BMC Musculoskeletal Disorders, 25, Article 1070. https://doi.org/10.1186/s12891-024-08223-1
Romano, M., Negrini, A., Parzini, S., Negrini, S. (2008). Scientific Exercises Approach to Scoliosis (SEAS): efficacy, efficiency and innovation. Studies in Health Technology and Informatics, 135, 191–207.
Negrini, S., Donzelli, S., Aulisa, A. G., et al. (2014). Specific exercises reduce the need for bracing in adolescents with idiopathic scoliosis: a practical clinical trial. Scoliosis, 9, 8. https://doi.org/10.1186/1748-7161-9-8
Romano, M., Negrini, A., Parzini, S., et al. (2009). Scientific Exercises Approach to Scoliosis (SEAS): efficacy, efficiency and innovation. Europe PMC. https://europepmc.org/article/MED/18401091
Donzelli, S., Zaina, F., Negrini, S. (2010). In-brace correction is predictive of the end-of-growth results: a prospective study. Scoliosis, 5, 18. https://doi.org/10.1186/1748-7161-5-18
Note: This blog post is intended for informational purposes and should not replace professional medical advice. Always consult with a qualified healthcare provider for personalized care.
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