Tag Archives: Dr. Chris Gubbels

Can Sports Cause Scoliosis? Fort Collins Scoliosis Doctor | Square ONE

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Can sports cause scoliosis?

One sided sports such as tennis and golf are often blamed for contributing to the development of scoliosis, however there is no evidence to support such claims.

However there is a statistical prevalence with scoliosis and some sports, specifically dancing, rhymthmic gymnastics and competitive swimming have been found to correlate with increased incidence of scoliosis.

Competitive Swimming

Research has show that competitive swimmers have an increased prevalence of spinal deformities.  A study published in The Journal of Pediatrics:  Swimming and Spinal Deformities:  A Cross-Sectional Study  found competitive swimmers (particularly females) have more spinal asymmetries, positive scoliosis screenings and increased kyphosis compared to normal populations of the same age.  Female competitive swimmers are 2.5x more likely to have scoliosis than non-swimmers of the same age.  Additionally, swimmers were found to be a increased risk of low back pain.  This study suggest that adolescents that swim regularly (2 hours per day at least 4 times per week) are more likely to have scoliosis.

Clinical Journal of Sports Medicine: “The high-repetition nature of competitive swimming causes imbalances in musculature in the adolescent athlete.  Scoliosis as a musculoskeletal condition of the adolescent can be detected in high incidence among swimmers owning to the training phenomenon. 


A paper in Archives of Physical Medicine and Rehabilitation:  Prevalence and Predictors of Adolescent Idiopathic Scoliosis in Adolescent Ballet Dancers  found 30% of dancers tested positive for scoliosis compared to 3% of non-dancers.  This study suggest that dancers are 12.4 times more likely to have scoliosis than non-dancers of the same age.  Conclusion: Adolescent dancers are at significant higher risk of developing scoliosis than non-dancers of the same age.  Vigilant screening and improved education of dance teachers and parents of dance students may be beneficial in earlier detection and, consequently, reducing the risk of requiring surgical intervention.

Should kids with scoliosis stop participating in sports?

With the exception of competitive swimming, high level ballet and Rhythmic gymnastics, children should be encouraged to participate in sports.

SOSORT (Scientific Society on Scoliosis Orthopedic Treatment and Rehabilitation) recommends sport as a compliment of brace treatments.  Specific scoliosis exercises can be incorporated into sport specific training programs. Sports can also help strengthen the muscles that stabilize the spine.

Scoliosis Screenings

Research shows that early detection leads to early intervention and better outcomes (less surgeries).  Scoliosis progresses the fastest during growth spurts and The Scoliosis Research Society recommends girls should be screened at ages 10 & 12 and boys at 13-14yo.  Learn more about scoliosis screenings.

What is the best treatment for scoliosis?

Treatment for scoliosis is specific for each case and is dependent on ages  and many things need to be considered when determining the best treatment for each case including:  Severity of curve, Risk of progression, Distance to a scoliosis treatment facility, Willingness to wear a brace, etc.

Scoliosis Treatment in Adolescents

  • Curves <10° watch and wait
  • Curves 10°-25° night time bracing with scoliosis specific rehabilitation program
  • Curves 25°-30° part time bracing with scoliosis specific rehabilitation program
  • Thoracic curves 30°-60° full time bracing with scoliosis specific rehabilitation program
  • Lumbar curves 30°-50° full time bracing with scoliosis specific rehabilitation program
  • Thoracic curves >60° surgical management
  • Lumbar curves >50° surgical management

What are the best braces?

Traditional scoliosis braces such as the Boston Brace are a symmetrical brace which is designed to hold the scoliosis in its position and just tries to stop the progression.

Modern Advanced Scolibrace

Scolibrace is different than traditional braces in that it’s an asymmetrical brace and it actually puts the scoliosis in its 3D over


corrected position.  In other words it takes a right thoracic scoliosis and puts it in its exact opposition position (as seen in the picture on the right) and actually works to correct or improve the scoliosis instead of just trying to prevent progression.  Learn more about Scolibrace.

By Dr Chris Gubbels D.C.

If you think your child may be at risk of scoliosis and you would like to schedule a FREE scoliosis screening or for a FREE scoliosis consultation call 970-207-4463. 

To learn more about Square ONE click here.

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Fort Collins Scoliosis Doctor Shows 5 Ways To Check For Scoliosis

5 Ways To Screen For Scoliosis

5 ways tocheck forscoliosis

Do you know that scoliosis effects:

  • 2-3% of kids
  • 9% of adults over 40yo
  • 30% of adults over 60yo
  • 90% of adults over 90yo

The Scoliosis Research Society released a position statement in 2015 stating that all girls should be screening for scoliosis at ages 10 & 12yo and all boys at ages 13-14yo.

Research has shown that scoliosis screens lead to early detection and early detection leads to earlier interventions and better results…or less surgeries.

Watch this video where I explain 5 things to check for to see if you or people you know (your kids) may have scoliosis.

If you think you or your family may have scoliosis and/or you would like to schedule a FREE scoliosis check call 970-207-4463 or Click Here.

By Dr Chris Gubbels

Commonly Missed Car Accident Injuries | Fort Collins Auto Injury Doctor

Commonly Missed and Misunderstood Injuries Caused by Motor Vehicle Collisions

Diagnosing and treating injures related to traumas such as those from a motor vehicle injures requires an advanced understanding of the biomechanics of the spine.  Dr Chris Gubbels of Square ONE specializes in biomechanics and advanced spine correction.

Both the normal shape and function of the spine can be altered in a MVC.  A normal health cervical spine has reversed C-shaped curve


Normal Curve Reversed Curve
                   Normal Curve                                                                                               Reversed Curve

called a lordosis.  Additionally each vertebra has a normal amount of movement within each joint.  Just like an athlete injuring joint after an impact or sudden change in direction, similar types of injuries can happen in the spine after a whiplash injury.

Sudden impacts such as those from front or rear end impacts can causes the spinal joints to move beyond their normal limits causing damage to connective tissues, boney structures and other soft tissues.  These injuries frequently cause alteration in both form and function of the cervical spine.

Instabilities Caused By Whiplash
Instabilities Caused By Whiplash

A normal health cervical spine has a lordotic shaped curve of about 30º – 45º.  This curve is needed for spinal stability.  One study looking at 500 individuals found 82% of those that had been in a MVC had a loss of the normal curve.  Additionally, many times connective tissues can be stretched or torn called ligament subfailure injuries.  Just like when an athlete tears a ligament in his/her knee, this causes instability in the spinal joints allowing them to move beyond their normal limits.   These injuries are frequently undetected, undiagnosed and often not properly treated by providers.

A loss or reversal of the normal cervical curve can cause additional injuries and health problems if left uncorrected including: degenerative disc disease, bone spur formation, compression of the spinal cord, decreased muscle strength, poor surgical outcomes and even decreased blood flow to the brain.

Insurance provider frequently try to limit patient visits and group soft tissues into muscle spasms.  Ligamentous tissue may take 12-18 months to heal and sometimes may never fully return to normal (2). Croft guidelines estimate ligament injuries may take 56 weeks or more and up to 76 or more visits for full recovery, every case is different.

Anyone involved in a motor vehicle collision should be evaluated by a health care professional that specializes in diagnosing and treating injures related to traumatic events.  Many injures may not cause symptoms of for weeks to months after the initial event and healing for some injures is frequently beyond just symptom relief.

Dr Chris Gubbels D.C. of Square ONE specialized in spinal biomechanics and diagnosing and treating injuries caused by traumas such as those from motor vehicle collisions.  We train with world leading experts and stay up-to-date on current research and treatments.

              BEFORE TREATMENT                         AFTER TREATMENT

  • Ligament subfailure injuries lead to muscle dysfunction.   Panjabie Fysioterapeuten nr. 10 octorber 2007
  • Injury and Repair of the Musculoskeletal Soft Tissue. American Academy of Othropaedic Surgeons. Woo S, Buckwalter JA
  • Kellett J. Acute soft tissue injuries – a review of the literature. Med Sci Sports Exerc. 1986 Oct; 18(5):489-500

To schedule a FREE consultation call 970-207-4463.  To learn more about Square ONE click here.

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