From Scoliosis Wiki

The SEAS (Scientific Exercise Approach to Scoliosis) program as presented by Negrini et al. (2006a and b) are derived from the Lyonaise school. In a personal communication, Negrini (2004) reported concerns against mobilisation, however the so called SEAS 02 exercises, allegedly developed in 2002, in the year 2006 contain mobilisation techniques (Negrini et al. 2006a and b).

Up to now there are no prospective outcome studies showing the SEAS program to reduce the progression risk or improve other signs and symptoms of scoliosis.

Many papers have been published by the authors. These do not necessarily contain useful information: Comparing two programs without evidence in a randomized controlled study does not seem to make sense (Negrini et al. 2006a). Furthermore when the ADL-exercises described by the Italian group need months to be acquired by the patient, as has been reported by Negrini et al. (2006b) it is the question as to whether it is worthwhile at all to teach them.

Furthermore Negrini et al. 2008 reported on the rate of surgery in a retrospective review and described the program as being successful. Considering the fact, that the average patient from this sample according to the SOSORT guidelines would not need any treatment at all, the study would not seem worthwhile performing (Figure 10). The Italian group around Negrini describes the SEAS program as a specific exercise program (Zaina et al. 2009), however it does not describe different approaches to individual curve patterns, nor are specific exercises documented in any of the papers from this group.

The SEAS program, therefore is not yet clearly defined, it therefore cannot be regarded as a specific program and it should not be regarded as evidence-based, when a prospective study with an untreated control group is yet to be published. The number of papers on this program does not correlate with a sufficient clinical documentation of the treatment approach or with real scientific results.

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