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Dr. Ridhi J. Vora
Dr. Palak J. Vora


Spinal mal-alignment, Adult Spinal Deformity, perceptions, physiotherapy students


Background:  Adult spinal deformity (ASD) can significantly impact an individual's quality of life, leading to pain, functional impairment, and in severe cases, neurological complications. The complex nature of adult spinal deformities requires a multidisciplinary approach to diagnosis and management, involving orthopedic surgeons, neurosurgeons, pain specialists, and physical therapists.

Methodology: In this study, Google form was sent to 54 physiotherapy institutes in Gujarat with 2418 final year students. We received 345 responses, surpassing the required sample size of 332.6 (95% C.I.). The form covered demographics and questions on ASD, ensuring participant confidentiality for ethical reasons.

Results: The results revealed that, 79% acknowledge poor ergonomics impact on spinal deformity. 92% recognize educating patients on proper posture for ASD is crucial. 47% support radiological investigations for back pain. 72% believe in the effectiveness of bracing, despite no literature proof. Regarding surgical correction, 28% deny reoccurrence, 35% are unsure, and 42% believe physiotherapy alone can manage spinal deformity, while 27% disagree.

Conclusion: Enhancing patient well-being in terms of preventing deformity or disability related to ASD requires measures focused on prevention and outcomes. The prevention of complications arising from spinal deformities is attainable by timely modification of causative factors. Achieving this goal relies on the proper alignment of physiotherapists' perceptions in the right direction.      


BPT: Bachelor of Physiotherapy

ASD: Adult spinal deformity

PT: Physiotherapy

Abstract 20 | pdf Downloads 11


1. Youssef JA, Orndorff DO, Patty CA, Scott MA, Price HL, Hamlin LF, et al. Current Status of Adult Spinal Deformity. Glob Spine J. 2013;3(1):051-062. doi:10.1055/s-0032-1326950
2. Black DAJ, Pilcher C, Drake S, Maude E, Glynn D. Current knowledge of scoliosis in physiotherapy students trained in the United Kingdom. Scoliosis Spinal Disord. 2017 Sep 27;12:34. doi: 10.1186/s13013-017-0141-z. PMID: 28975160; PMCID: PMC5615431.
3. Aweto HA, Oligbo CN, Fapojuwo OA, Olawale OA. Knowledge, attitude and practice of physiotherapists towards promotion of physically active lifestyles in patient management. BMC Health Serv Res. 2013 Jan 14;13:21. doi: 10.1186/1472-6963-13-21. PMID: 23316902; PMCID: PMC3556299.
4. Drake S, Glidewell M, Thomas J. Current knowledge of scoliosis in physical therapy students trained in the United States. Scoliosis. 2014;9(S1). doi:10.1186/1748-7161-9-s1-o64
5. Cruz EB, Moore AP, Cross V. A qualitative study of physiotherapy final year undergraduate students’ perceptions of clinical reasoning. Man Ther. 2012;17(6):549-553. doi:10.1016/j.math.2012.05.013
6. Dell RB, Holleran S, Ramakrishnan R. Sampel Size Determination. Ilar J. 2002;43(4):207-213.
7. Ames CP, Scheer JK, Lafage V, Smith JS, Bess S, Berven SH, et al. Adult Spinal Deformity: Epidemiology, Health Impact, Evaluation, and Management. Spine Deform. 2016;4(4):310-322. doi:10.1016/j.jspd.2015.12.009
8. Smith JS, Shaffrey CI, Fu KMG, Scheer JK, Bess S, Lafage V, et. al. Clinical and Radiographic Evaluation of the Adult Spinal Deformity Patient. Neurosurgery Clinics of North America. 2013;24(2):143–156. doi:10.1016/
9. Weber M, Hong C, Schairer W, Takemoto S, Hu S. The Concomitance of Cervical Spondylosis and Adult Thoracolumbar Spinal Deformity. Evid Based Spine Care J. 2014;05(01):006-011. doi:10.1055/s-0034-1368668
10. Diebo BG, Shah NV, Boachie-Adjei O, Zhu F, Rothenfluh DA, Paulino CB, et al. Adult spinal deformity. Lancet. 2019;394(10193):160-172. doi:10.1016/S0140-6736(19)31125-0