{"id":7555,"date":"2026-11-05T15:20:54","date_gmt":"2026-11-05T15:20:54","guid":{"rendered":"https:\/\/integrativa.pt\/?p=7555"},"modified":"2026-11-05T15:21:22","modified_gmt":"2026-11-05T15:21:22","slug":"physiotherapy-in-scoliosis-causes-symptoms-and-rehabilitation-strategies","status":"publish","type":"post","link":"https:\/\/integrativa.pt\/en\/fisioterapia-na-escoliose-causas-sintomas-e-estrategias-de-reabilitacao\/","title":{"rendered":"Physiotherapy in scoliosis: causes, symptoms, and rehabilitation strategies"},"content":{"rendered":"<div class=\"wpb-content-wrapper\" id=\"wpb-content-root\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>A escoliose \u00e9 uma deformidade tridimensional da coluna vertebral, caracterizada por uma curvatura lateral associada \u00e0 rota\u00e7\u00e3o das v\u00e9rtebras e a altera\u00e7\u00f5es do alinhamento do tronco. Na avalia\u00e7\u00e3o radiol\u00f3gica, considera-se geralmente escoliose uma curvatura com um \u00e2ngulo de Cobb igual ou superior a 10 graus.<\/p>\n<p>A curvatura pode apresentar uma configura\u00e7\u00e3o em \u00abC\u00bb ou \u00abS\u00bb, sendo frequentemente acompanhada por assimetrias dos ombros, das omoplatas, da cintura e da bacia.<\/p>\n<p>Embora possa manifestar-se em diferentes fases da vida, a escoliose idiop\u00e1tica do adolescente \u00e9 uma das formas mais frequentes, surgindo habitualmente durante o per\u00edodo de crescimento acelerado. No entanto, tamb\u00e9m pode desenvolver-se na inf\u00e2ncia, na idade adulta ou em fases mais avan\u00e7adas da vida.<\/p>\n<p>A identifica\u00e7\u00e3o precoce, a caracteriza\u00e7\u00e3o do tipo de escoliose e o acompanhamento adequado s\u00e3o importantes para orientar a abordagem cl\u00ednica e preservar a fun\u00e7\u00e3o da coluna vertebral.<\/p>\n<h4>Causas e fatores de risco da escoliose<\/h4>\n<p>A escoliose pode apresentar diferentes origens, sendo classificada de acordo com os mecanismos que est\u00e3o na sua origem.<\/p>\n<p>Entre os principais tipos de escoliose, destacam-se:<\/p>\n<ul>\n<li><span style=\"text-decoration: underline;\">Escoliose idiop\u00e1tica:<\/span> \u00e9 a forma mais frequente, sobretudo durante a adolesc\u00eancia. A sua causa n\u00e3o \u00e9 completamente conhecida, embora exista uma componente gen\u00e9tica e familiar associada a uma maior predisposi\u00e7\u00e3o.<\/li>\n<li><span style=\"text-decoration: underline;\">Escoliose cong\u00e9nita:<\/span> resulta de altera\u00e7\u00f5es na forma\u00e7\u00e3o ou segmenta\u00e7\u00e3o das v\u00e9rtebras durante o desenvolvimento embrion\u00e1rio, estando presente desde o nascimento.<\/li>\n<li><span style=\"text-decoration: underline;\">Escoliose neuromuscular: <\/span>est\u00e1 associada a doen\u00e7as que afetam o sistema nervoso, o t\u00f3nus muscular ou o controlo motor, como a paralisia cerebral, as distrofias musculares e determinadas les\u00f5es medulares.<\/li>\n<li><span style=\"text-decoration: underline;\">Escoliose degenerativa:<\/span> desenvolve-se habitualmente na idade adulta, estando relacionada com altera\u00e7\u00f5es degenerativas dos discos intervertebrais e das articula\u00e7\u00f5es da coluna vertebral, que podem comprometer o seu alinhamento.<\/li>\n<li><span style=\"text-decoration: underline;\">Escoliose funcional: <\/span>corresponde a uma curvatura secund\u00e1ria a fatores extr\u00ednsecos ou altera\u00e7\u00f5es funcionais, como discrep\u00e2ncias no comprimento dos membros inferiores, espasmos musculares ou determinadas altera\u00e7\u00f5es posturais. Ao contr\u00e1rio da escoliose estrutural, pode apresentar-se sem rota\u00e7\u00e3o vertebral fixa e ser parcialmente revers\u00edvel quando o fator respons\u00e1vel \u00e9 corrigido.<\/li>\n<\/ul>\n<h4>Principais fatores de risco<\/h4>\n<p>Os fatores associados ao desenvolvimento ou \u00e0 progress\u00e3o da escoliose variam consoante o seu tipo.<\/p>\n<p>Entre os mais relevantes encontram-se:<\/p>\n<ul>\n<li>Antecedentes familiares de escoliose.<\/li>\n<li>Per\u00edodos de crescimento acelerado, particularmente durante a adolesc\u00eancia.<\/li>\n<li>Imaturidade esquel\u00e9tica, que pode aumentar o risco de progress\u00e3o de determinadas curvas.<\/li>\n<li>Doen\u00e7as neuromusculares que comprometem o controlo postural e a estabilidade da coluna vertebral.<\/li>\n<li>Altera\u00e7\u00f5es degenerativas associadas ao envelhecimento.<\/li>\n<\/ul>\n<p>Importa salientar que a ado\u00e7\u00e3o de posturas incorretas, por si s\u00f3, n\u00e3o \u00e9 considerada uma causa estabelecida de escoliose estrutural idiop\u00e1tica.<\/p>\n<h4>Quais s\u00e3o os sintomas da escoliose?<\/h4>\n<p>As manifesta\u00e7\u00f5es cl\u00ednicas da escoliose variam de acordo com a idade, a localiza\u00e7\u00e3o e a magnitude da curvatura, bem como com a sua etiologia.<\/p>\n<p>Em muitos adolescentes, a escoliose pode n\u00e3o provocar dor ou limita\u00e7\u00f5es funcionais significativas, sendo frequentemente identificada atrav\u00e9s de altera\u00e7\u00f5es vis\u00edveis na simetria do tronco.<\/p>\n<p>Na idade adulta, sobretudo nos casos associados a altera\u00e7\u00f5es degenerativas, podem surgir sintomas como dor, rigidez e diminui\u00e7\u00e3o da toler\u00e2ncia ao esfor\u00e7o.<\/p>\n<h4>Sintomas da escoliose em crian\u00e7as e adolescentes<\/h4>\n<p>Durante a inf\u00e2ncia e a adolesc\u00eancia, os sinais mais frequentes incluem:<\/p>\n<ul>\n<li>Um ombro mais elevado do que o outro.<\/li>\n<li>Uma omoplata mais saliente.<\/li>\n<li>Assimetria da cintura ou das ancas.<\/li>\n<li>Inclina\u00e7\u00e3o lateral do tronco.<\/li>\n<li>Assimetria na posi\u00e7\u00e3o da bacia.<\/li>\n<li>Desalinhamento aparente do tronco em rela\u00e7\u00e3o \u00e0 bacia.<\/li>\n<li>Proemin\u00eancia de um dos lados das costas, mais evidente durante a flex\u00e3o anterior do tronco.<\/li>\n<\/ul>\n<p>Estas altera\u00e7\u00f5es podem ser observadas durante o crescimento, sendo importante a avalia\u00e7\u00e3o cl\u00ednica quando existe suspeita de escoliose.<\/p>\n<h4>Sintomas da escoliose em adultos<\/h4>\n<p>Nos adultos, particularmente na escoliose degenerativa, podem surgir manifesta\u00e7\u00f5es adicionais, tais como:<\/p>\n<ul>\n<li>Dor lombar ou dorsal persistente.<\/li>\n<li>Rigidez e diminui\u00e7\u00e3o da mobilidade da coluna vertebral.<\/li>\n<li>Fadiga e desconforto muscular, sobretudo ap\u00f3s per\u00edodos prolongados em p\u00e9 ou sentado.<\/li>\n<li>Altera\u00e7\u00f5es do equil\u00edbrio e da distribui\u00e7\u00e3o das cargas no tronco.<\/li>\n<li>Sensa\u00e7\u00e3o de inclina\u00e7\u00e3o ou desequil\u00edbrio postural.<\/li>\n<li>Diminui\u00e7\u00e3o da estatura, em alguns casos, associada a altera\u00e7\u00f5es degenerativas e vertebrais.<\/li>\n<\/ul>\n<p>Em situa\u00e7\u00f5es mais avan\u00e7adas, podem tamb\u00e9m surgir sintomas neurol\u00f3gicos, como dor irradiada para os membros inferiores, formigueiro ou altera\u00e7\u00f5es da sensibilidade, sobretudo quando existe compress\u00e3o das estruturas nervosas.<\/p>\n<h4>Qual \u00e9 o papel da fisioterapia na escoliose?<\/h4>\n<p>A fisioterapia desempenha um papel relevante na abordagem da escoliose, atrav\u00e9s da avalia\u00e7\u00e3o funcional, do exerc\u00edcio terap\u00eautico e da educa\u00e7\u00e3o postural.<\/p>\n<p>A interven\u00e7\u00e3o deve ser individualizada, considerando a idade, a fase de crescimento, o tipo de escoliose, a magnitude e localiza\u00e7\u00e3o da curvatura, a presen\u00e7a de dor e as limita\u00e7\u00f5es funcionais.<\/p>\n<p>Among the main objectives of physiotherapy are:<\/p>\n<ul>\n<li>Melhorar o controlo postural e a consci\u00eancia corporal.<\/li>\n<li>Desenvolver a for\u00e7a e a resist\u00eancia da musculatura do tronco.<\/li>\n<li>Melhorar a mobilidade e a flexibilidade, de acordo com as necessidades individuais.<\/li>\n<li>Promover o equil\u00edbrio e a coordena\u00e7\u00e3o motora.<\/li>\n<li>Reduzir a dor e a tens\u00e3o muscular, quando presentes.<\/li>\n<li>Melhorar os padr\u00f5es de movimento e a capacidade funcional.<\/li>\n<li>Otimizar a mec\u00e2nica respirat\u00f3ria, quando existem altera\u00e7\u00f5es da expans\u00e3o tor\u00e1cica.<\/li>\n<li>Contribuir para a gest\u00e3o da progress\u00e3o da curvatura, sobretudo atrav\u00e9s de exerc\u00edcios espec\u00edficos para a escoliose, quando clinicamente indicados.<\/li>\n<li>Acompanhar a evolu\u00e7\u00e3o funcional e articular a interven\u00e7\u00e3o com a equipa m\u00e9dica.<\/li>\n<\/ul>\n<p>\u00c9 importante distinguir os objetivos funcionais da fisioterapia da corre\u00e7\u00e3o estrutural da curvatura. Os exerc\u00edcios podem contribuir para melhorar o controlo postural, a capacidade funcional e determinados par\u00e2metros associados \u00e0 escoliose, mas os seus efeitos sobre a magnitude da curvatura dependem de v\u00e1rios fatores, incluindo a idade, a maturidade esquel\u00e9tica e o tipo de interven\u00e7\u00e3o.<\/p>\n<h4>Como \u00e9 realizada a fisioterapia na reabilita\u00e7\u00e3o na escoliose?<\/h4>\n<p>A interven\u00e7\u00e3o fisioterap\u00eautica come\u00e7a com uma avalia\u00e7\u00e3o cl\u00ednica e funcional detalhada, que permite identificar as caracter\u00edsticas da escoliose e definir os objetivos da interven\u00e7\u00e3o.<\/p>\n<p>Durante esta avalia\u00e7\u00e3o, o fisioterapeuta considera:<\/p>\n<ul>\n<li>A idade e a fase de crescimento ou maturidade esquel\u00e9tica.<\/li>\n<li>O tipo, a localiza\u00e7\u00e3o e a magnitude da curvatura.<\/li>\n<li>A presen\u00e7a de rota\u00e7\u00e3o vertebral e assimetrias do tronco.<\/li>\n<li>A mobilidade articular e a flexibilidade muscular.<\/li>\n<li>A for\u00e7a e a resist\u00eancia dos m\u00fasculos estabilizadores.<\/li>\n<li>O equil\u00edbrio, a coordena\u00e7\u00e3o e o controlo motor.<\/li>\n<li>A presen\u00e7a de dor e eventuais limita\u00e7\u00f5es nas atividades quotidianas.<\/li>\n<li>A fun\u00e7\u00e3o respirat\u00f3ria, quando existe indica\u00e7\u00e3o cl\u00ednica.<\/li>\n<\/ul>\n<p>A avalia\u00e7\u00e3o radiol\u00f3gica, nomeadamente atrav\u00e9s da medi\u00e7\u00e3o do \u00e2ngulo de Cobb, \u00e9 realizada e interpretada pelo m\u00e9dico, permitindo caracterizar a magnitude da curvatura e acompanhar a sua evolu\u00e7\u00e3o quando necess\u00e1rio.<\/p>\n<h4>Principais t\u00e9cnicas e abordagens utilizadas na fisioterapia<\/h4>\n<p>A escolha das estrat\u00e9gias de interven\u00e7\u00e3o depende das caracter\u00edsticas individuais e dos objetivos definidos para cada pessoa.<\/p>\n<p>Entre as abordagens que podem integrar a reabilita\u00e7\u00e3o encontram-se:<\/p>\n<ul>\n<li><strong>Muscle strengthening exercises:<\/strong> incidem sobretudo na musculatura estabilizadora do tronco, nos m\u00fasculos paravertebrais, abdominais e gl\u00fateos, procurando melhorar a estabilidade e o controlo do movimento.<\/li>\n<li><strong>Exerc\u00edcios de mobilidade e flexibilidade:<\/strong> s\u00e3o selecionados de acordo com as limita\u00e7\u00f5es identificadas, procurando melhorar a amplitude de movimento e reduzir as restri\u00e7\u00f5es musculares e articulares relevantes.<\/li>\n<li><strong>M\u00e9todo Schroth:<\/strong> consiste numa abordagem fisioterap\u00eautica espec\u00edfica para a escoliose, baseada em exerc\u00edcios tridimensionais, autocorre\u00e7\u00e3o postural, controlo muscular e t\u00e9cnicas respirat\u00f3rias direcionadas. Os exerc\u00edcios s\u00e3o adaptados ao padr\u00e3o individual da curvatura.<\/li>\n<li><strong>Reeduca\u00e7\u00e3o Postural Global (RPG):<\/strong> utiliza posturas e exerc\u00edcios de alongamento global com o objetivo de trabalhar a mobilidade, a flexibilidade e o controlo postural. A sua utiliza\u00e7\u00e3o deve ser enquadrada nos objetivos funcionais individuais, n\u00e3o sendo considerada um m\u00e9todo espec\u00edfico de corre\u00e7\u00e3o estrutural da escoliose.<\/li>\n<li><strong>Pilates cl\u00ednico:<\/strong> pode contribuir para desenvolver a for\u00e7a muscular, a estabilidade do tronco, a coordena\u00e7\u00e3o e o controlo motor, desde que os exerc\u00edcios sejam adaptados \u00e0s caracter\u00edsticas da escoliose.<\/li>\n<li><strong>Cinesioterapia funcional:<\/strong> integra exerc\u00edcios direcionados para o equil\u00edbrio, a coordena\u00e7\u00e3o, a estabilidade e a execu\u00e7\u00e3o de movimentos necess\u00e1rios \u00e0s atividades quotidianas.<\/li>\n<li><strong>Treino respirat\u00f3rio:<\/strong> pode incluir exerc\u00edcios de controlo ventilat\u00f3rio, respira\u00e7\u00e3o diafragm\u00e1tica e expans\u00e3o tor\u00e1cica direcionada, sobretudo quando existem altera\u00e7\u00f5es da mec\u00e2nica respirat\u00f3ria.<\/li>\n<li><strong>Manual therapy:<\/strong> pode ser utilizada como complemento da interven\u00e7\u00e3o, nomeadamente para gerir a dor e a tens\u00e3o muscular ou melhorar a mobilidade de determinadas estruturas. N\u00e3o deve ser considerada um m\u00e9todo de corre\u00e7\u00e3o da curvatura estrutural.<\/li>\n<li><strong>Eletroterapia:<\/strong> algumas modalidades podem ser utilizadas como recurso complementar no controlo sintom\u00e1tico da dor, quando existe indica\u00e7\u00e3o cl\u00ednica. N\u00e3o apresentam evid\u00eancia consistente de corre\u00e7\u00e3o da deformidade vertebral.<\/li>\n<li><strong>Educa\u00e7\u00e3o postural e ergonomia:<\/strong> inclui orienta\u00e7\u00f5es para adaptar as posturas e os movimentos durante o trabalho, o estudo, o descanso e a pr\u00e1tica de atividade f\u00edsica.<\/li>\n<\/ul>\n<p>Entre estas abordagens, os exerc\u00edcios fisioterap\u00eauticos espec\u00edficos para a escoliose, conhecidos internacionalmente como PSSE (Physiotherapeutic Scoliosis-Specific Exercises), assumem particular relev\u00e2ncia. O m\u00e9todo Schroth \u00e9 um dos exemplos mais conhecidos.<\/p>\n<p>Nas pessoas em crescimento, estes exerc\u00edcios podem integrar uma abordagem conservadora destinada a controlar a progress\u00e3o da curva, de acordo com a avalia\u00e7\u00e3o m\u00e9dica e as caracter\u00edsticas individuais. Em determinadas situa\u00e7\u00f5es, podem ser associados \u00e0 utiliza\u00e7\u00e3o de ort\u00f3teses, mediante indica\u00e7\u00e3o m\u00e9dica.<\/p>\n<p>A continuidade dos exerc\u00edcios em contexto domicili\u00e1rio, de acordo com as orienta\u00e7\u00f5es do fisioterapeuta, \u00e9 tamb\u00e9m importante para promover a consist\u00eancia da interven\u00e7\u00e3o e a integra\u00e7\u00e3o das estrat\u00e9gias posturais nas atividades quotidianas.<\/p>\n<h4>Recomenda\u00e7\u00f5es para a gest\u00e3o da escoliose no dia a dia<\/h4>\n<p>A manuten\u00e7\u00e3o de h\u00e1bitos de vida ativos e a continuidade das estrat\u00e9gias de exerc\u00edcio podem contribuir para preservar a capacidade funcional e o bem-estar musculoesquel\u00e9tico.<\/p>\n<p>Entre as recomenda\u00e7\u00f5es gerais encontram-se:<\/p>\n<ul>\n<li>Realizar regularmente os exerc\u00edcios prescritos pelo fisioterapeuta, respeitando a t\u00e9cnica e a progress\u00e3o recomendadas.<\/li>\n<li>Integrar as orienta\u00e7\u00f5es posturais nas atividades profissionais, escolares e quotidianas.<\/li>\n<li>Evitar permanecer durante per\u00edodos prolongados na mesma posi\u00e7\u00e3o, realizando pausas e mudan\u00e7as de postura.<\/li>\n<li>Transportar mochilas de forma confort\u00e1vel e adequada \u00e0 capacidade f\u00edsica, evitando cargas excessivas.<\/li>\n<li>Manter uma pr\u00e1tica regular de atividade f\u00edsica adaptada \u00e0s capacidades individuais.<\/li>\n<li>Cumprir a frequ\u00eancia das sess\u00f5es de fisioterapia definida no plano de interven\u00e7\u00e3o.<\/li>\n<li>Integrar atividades como Pilates Cl\u00ednico ou nata\u00e7\u00e3o, quando adequadas \u00e0s necessidades e prefer\u00eancias individuais.<\/li>\n<li>Manter o acompanhamento peri\u00f3dico com o fisioterapeuta e o m\u00e9dico, de acordo com o tipo de escoliose e o risco de progress\u00e3o.<\/li>\n<\/ul>\n<p>Importa esclarecer que atividades como a nata\u00e7\u00e3o e o Pilates podem ser complementares \u00e0 interven\u00e7\u00e3o, mas n\u00e3o substituem os exerc\u00edcios espec\u00edficos para a escoliose quando estes est\u00e3o indicados.<\/p>\n<h4>Understanding scoliosis from an integrative perspective<\/h4>\n<p>A escoliose \u00e9 uma condi\u00e7\u00e3o musculoesquel\u00e9tica que pode manifestar-se em diferentes fases da vida e apresentar caracter\u00edsticas cl\u00ednicas distintas. Dependendo da sua origem, magnitude e evolu\u00e7\u00e3o, pode influenciar o alinhamento do tronco, a mobilidade, o equil\u00edbrio e, em determinadas situa\u00e7\u00f5es, a fun\u00e7\u00e3o respirat\u00f3ria.<\/p>\n<p>A fisioterapia integra a abordagem multidisciplinar da escoliose atrav\u00e9s de uma avalia\u00e7\u00e3o individualizada e de programas de exerc\u00edcio adaptados \u00e0s necessidades de cada pessoa. O fortalecimento muscular, o treino do controlo postural, os exerc\u00edcios espec\u00edficos para a escoliose e a educa\u00e7\u00e3o funcional podem contribuir para melhorar a capacidade f\u00edsica e a qualidade de vida.<\/p>\n<p>O envolvimento ativo da pessoa, a continuidade dos exerc\u00edcios e o acompanhamento cl\u00ednico s\u00e3o elementos importantes na gest\u00e3o desta condi\u00e7\u00e3o. A articula\u00e7\u00e3o entre o fisioterapeuta e o m\u00e9dico permite acompanhar a evolu\u00e7\u00e3o da curvatura e ajustar a abordagem sempre que necess\u00e1rio.<\/p>\n<p>Uma perspetiva integrada da escoliose deve valorizar n\u00e3o apenas as caracter\u00edsticas estruturais da coluna vertebral, mas tamb\u00e9m a funcionalidade, a autonomia e o bem-estar global da pessoa.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid vc_custom_1680169461443\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p style=\"text-align: right;\"><a href=\"https:\/\/integrativa.pt\/en\/integrative-team\/\"><b>Rita Xarepe<\/b><\/a>\u00a0| Physiotherapist and Clinical Pilates Instructor by APPI<\/p>\n<h6 style=\"text-align: right;\">Physiotherapist Card: 4209 | Order of Physiotherapists<\/h6>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid vc_custom_1680169461443\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1680169468507\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><a title=\"Home\" href=\"https:\/\/integrativa.pt\/en\/\"><strong>Integrativa<\/strong><\/a> | Health and well-being as a lifestyle<\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1769969575981\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h6>This website and its content are for information purposes only and are not a substitute for medical or health professional advice. In all cases, treatments should be individualised and guided by health professionals. Do not make any changes to your treatment without contacting the doctor or health professional accompanying you.<\/h6>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner vc_custom_1678987635945\"><div class=\"wpb_wrapper\"><div class=\"vc_separator wpb_content_element vc_separator_align_center vc_sep_border_width_1 vc_sep_pos_align_center wpb_content_element vc_separator-has-text\"   style=\"width: 100%;\"><span class=\"vc_sep_holder vc_sep_holder_l\"><span style=\"border-top-color:#1b9193;\" class=\"vc_sep_line\"><\/span><\/span><h4>Related articles<\/h4><span class=\"vc_sep_holder vc_sep_holder_r\"><span style=\"border-top-color:#1b9193;\" class=\"vc_sep_line\"><\/span><\/span>\n<\/div><style type=\"text\/css\" 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0px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-dc2121cad820d5acf76d1dfcf9282c1f.owl-carousel .owl-nav div.owl-next {\n  top: 50%;\n  transform: translateY(calc(-50% + 0px));\n  right: -43px;\n}\n@media all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-dc2121cad820d5acf76d1dfcf9282c1f.owl-carousel .owl-nav div.owl-next {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-dc2121cad820d5acf76d1dfcf9282c1f.owl-carousel .owl-nav div.owl-next i {\n  padding: 0px 0px 0px 0px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-dc2121cad820d5acf76d1dfcf9282c1f.owl-carousel .owl-nav i {\n  font-size: 18px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-dc2121cad820d5acf76d1dfcf9282c1f.owl-carousel .owl-nav div:not(:hover) i,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-dc2121cad820d5acf76d1dfcf9282c1f.owl-carousel .owl-nav div:not(:hover) i:before {\n  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.blog-carousel-shortcode.blog-carousel-shortcode-id-dc2121cad820d5acf76d1dfcf9282c1f.hide-arrows .owl-nav a {\n    display: none;\n  }\n}\n@media screen and (max-width: 778px) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-dc2121cad820d5acf76d1dfcf9282c1f.reposition-arrows .owl-nav div.owl-prev {\n    top: 50%;\n    transform: translateY(calc(-50% + 0px));\n    left: 10px;\n  }\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-dc2121cad820d5acf76d1dfcf9282c1f.reposition-arrows .owl-nav div.owl-next {\n    top: 50%;\n    transform: translateY(calc(-50% + 0px));\n    right: 10px;\n  }\n}\n@media screen and (max-width: 778px) and all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-dc2121cad820d5acf76d1dfcf9282c1f.reposition-arrows .owl-nav div.owl-prev {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}\n@media screen and (max-width: 778px) and all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-dc2121cad820d5acf76d1dfcf9282c1f.reposition-arrows .owl-nav div.owl-next {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}<\/style><div class=\"owl-carousel blog-carousel-shortcode dt-owl-carousel-call blog-carousel-shortcode-id-dc2121cad820d5acf76d1dfcf9282c1f classic-layout-list scale-img dt-icon-bg-off dt-arrow-border-on dt-arrow-hover-border-on meta-info-off bullets-small-dot-stroke reposition-arrows arrows-bg-on disable-arrows-hover-bg arrows-hover-bg-on\" data-scroll-mode=\"1\" data-col-num=\"3\" data-wide-col-num=\"4\" data-laptop-col=\"3\" data-h-tablet-columns-num=\"3\" data-v-tablet-columns-num=\"2\" data-phone-columns-num=\"1\" data-auto-height=\"true\" data-col-gap=\"30\" data-stage-padding=\"0\" data-speed=\"600\" data-autoplay=\"false\" data-autoplay_speed=\"6000\" data-arrows=\"true\" data-bullet=\"false\" data-next-icon=\"icon-ar-017-r\" data-prev-icon=\"icon-ar-017-l\"><article class=\"post post-3839 type-post status-publish format-standard has-post-thumbnail hentry category-osteopatia category-dor-lombar category-fisioterapia category-fisioterapia-musculo-esqueletica tag-fisioterapia tag-osteopatia tag-pilates-clinico category-17 category-50 category-6 category-54 description-off\" data-name=\"Dor nas costas no trabalho: como melhorar a postura ao computador\" data-date=\"2025-09-15T13:11:09+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/dor-nas-costas-no-trabalho-como-melhorar-a-postura-ao-computador\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img fetchpriority=\"high\" decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Integrativa-2-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Integrativa-2-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Integrativa-2-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Integrative (2)\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/dor-nas-costas-no-trabalho-como-melhorar-a-postura-ao-computador\/\" title=\"Back pain at work: how to improve your posture at the computer\" rel=\"bookmark\">Back pain at work: how to improve your posture at the computer<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/dor-nas-costas-no-trabalho-como-melhorar-a-postura-ao-computador\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Back pain at work: how to improve your posture at the computer\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-2483 type-post status-publish format-standard has-post-thumbnail hentry category-4-pilares-da-saude category-coaching category-fisioterapia category-nutricao category-osteopata-david-brandao category-osteopatia-integrativa category-osteopatia-integrativa-osteopatia category-psicologia tag-fisioterapia tag-osteopatia tag-pilates-clinico category-35 category-10 category-6 category-14 category-33 category-32 category-34 category-18 description-off\" data-name=\"9 Passos para uma Vida mais Saud\u00e1vel\" data-date=\"2023-09-02T13:23:20+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/9-passos-para-uma-vida-mais-saudavel\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" 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href=\"https:\/\/integrativa.pt\/en\/pilates-clinico-para-atletas-abordagem-funcional-no-desporto-de-alto-rendimento\/\" title=\"Clinical Pilates for athletes: a functional approach to high-performance sport\" rel=\"bookmark\">Clinical Pilates for athletes: a functional approach to high-performance sport<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/pilates-clinico-para-atletas-abordagem-funcional-no-desporto-de-alto-rendimento\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Clinical Pilates for athletes: a functional approach in high-performance sport\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-2966 type-post status-publish format-standard has-post-thumbnail hentry category-fisioterapia category-fisioterapia-em-paralisia-facial tag-fisioterapia tag-osteopatia tag-pilates-clinico category-6 category-39 description-off\" data-name=\"Paralisia de Bell: o 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data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Pilates-clinico-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Pilates-clinico-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Pilates-clinico-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Clinical Pilates\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-e-pilates-clinico-uma-abordagem-integrada-para-o-equilibrio\/\" title=\"Osteopathy and Clinical Pilates: an integrated approach to balance\" rel=\"bookmark\">Osteopathy and Clinical Pilates: an integrated approach to balance<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-e-pilates-clinico-uma-abordagem-integrada-para-o-equilibrio\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Osteopathy and Clinical Pilates: an integrated approach to balance\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-3267 type-post status-publish format-standard has-post-thumbnail hentry category-fisioterapia category-fisioterapia-em-paralisia-facial tag-fisioterapia tag-osteopatia tag-pilates-clinico category-6 category-39 description-off\" data-name=\"Sincinesias ap\u00f3s paralisia facial: o papel da fisioterapia especializada\" data-date=\"2024-06-07T14:01:28+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/sincinesias-apos-paralisia-facial-o-papel-da-fisioterapia-especializada\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Lisboa-Alexandra-Integrativa-Fisioterapia-Paralisia-Facial-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Lisboa-Alexandra-Integrativa-Fisioterapia-Paralisia-Facial-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Lisboa-Alexandra-Integrativa-Fisioterapia-Paralisia-Facial-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Lisbon Alexandra Integrative Physiotherapy Facial Palsy\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/sincinesias-apos-paralisia-facial-o-papel-da-fisioterapia-especializada\/\" title=\"Synkinesias after facial paralysis: the role of specialised physiotherapy\" rel=\"bookmark\">Synkinesias after facial paralysis: the role of specialised physiotherapy<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/sincinesias-apos-paralisia-facial-o-papel-da-fisioterapia-especializada\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Synkinesis after facial paralysis: the role of specialized physiotherapy\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><\/div><\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>A escoliose \u00e9 uma deformidade tridimensional da coluna vertebral, caracterizada por uma curvatura lateral associada \u00e0 rota\u00e7\u00e3o das v\u00e9rtebras e a altera\u00e7\u00f5es do alinhamento do tronco. Na avalia\u00e7\u00e3o radiol\u00f3gica, considera-se geralmente escoliose uma curvatura com um \u00e2ngulo de Cobb igual ou superior a 10 graus. A curvatura pode apresentar uma configura\u00e7\u00e3o em \u00abC\u00bb ou \u00abS\u00bb,&hellip;<\/p>","protected":false},"author":1,"featured_media":5745,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[6],"tags":[4,27,8],"class_list":["post-7555","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fisioterapia","tag-fisioterapia","tag-osteopatia","tag-pilates-clinico","category-6","description-off"],"_links":{"self":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/7555","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/comments?post=7555"}],"version-history":[{"count":3,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/7555\/revisions"}],"predecessor-version":[{"id":7558,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/7555\/revisions\/7558"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/media\/5745"}],"wp:attachment":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/media?parent=7555"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/categories?post=7555"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/tags?post=7555"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}