Assessing scoliosis correctly: the Adams test is not enough

A correct diagnosis and timely intervention are critical for the child’s future health.

Author: Dr. Elfana Suleymanova Medically reviewed

The Adams test (forward bend test) alone is not enough to diagnose scoliosis. For a more accurate result, several indicators are assessed together.

1

What does a full assessment include?

  • Visible signs — shoulder height, shoulder blade prominence, asymmetry of the waist triangles
  • Seated Adams test — distinguishes between functional and structural
  • Scoliometry — measuring trunk rotation in degrees
  • Checking leg length — a difference of more than 5 mm is always taken into account
  • Shoulder–pelvis asymmetry and muscle balance
  • Assessment of the fasciae and hypermobility (Beighton test)

After this, osteopathy and physical modalities (electrotherapy) are applied together to stabilize the condition and monitor progress.

Postural symmetry: comparison with the plumb lineSymmetricAsymmetric
The plumb line should pass through the center of the head, and the shoulder and pelvic lines should be perpendicular to it. On the right, shoulder and pelvic asymmetry is shown in red — this is one of the initial screening signs of scoliosis.

We look not at where the pain is, but at where it comes from.
— Dr. Elfana Suleymanova, Center Director · Internist and osteopathic physician

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