Exercise in Adolescent Idiopathic Scoliosis: A Narrative Review
DOI:
https://doi.org/10.47134/inhis.v5i2.179Keywords:
Adolescent Idiopathic Scoliosis, Physiotherapeutic Scoliosis-Specific Exercises (PSSE), LatihanAbstract
Background: Adolescent Idiopathic Scoliosis (AIS) is a three-dimensional spinal deformity that emerges during adolescence and has the potential to progress during the growth period, thereby affecting neuromusculoskeletal function, postural balance, and the patient’s quality of life. Objective: This study aims to review the role of exercise in the conservative management of AIS in controlling curve progression, improving postural control, and enhancing patient function and quality of life. Methods: This study used a narrative literature review design by examining various relevant scientific literatures regarding exercise interventions in AIS. Literature searches were conducted through the PubMed, Scopus, and Google Scholar databases using related keywords such as “adolescent idiopathic scoliosis,” “scoliosis exercise,” “physiotherapeutic scoliosis-specific exercises,” “Schroth method,” and “SEAS.” Included articles consisted of original research, systematic reviews, meta-analyses, and clinical guidelines discussing exercise as part of the conservative management of AIS. The selected literature was then analyzed descriptively to identify the exercise approaches used and their clinical implications. Results: The review results show that exercises based on Physiotherapeutic Scoliosis-Specific Exercises (PSSE), such as the Schroth method and the Scientific Exercise Approach to Scoliosis (SEAS), play a role in improving three-dimensional spinal correction, enhancing neuromuscular control, improving postural balance, and helping to inhibit curve progression. Exercises such as core muscle strengthening and aerobic exercise contribute to improving trunk stability and the functional capacity of patients. Conclusion: Exercise is a component of the conservative management of AIS and has the potential to improve clinical outcomes and patients’ quality of life. Therefore, evidence-based and individually tailored exercise programs are highly recommended in rehabilitation practice to maximize the effectiveness of conservative therapy in AIS.
References
Aljohani, M. M. A., Alshehri, Y. S., & Eweda, R. S. (2025). Prevalence and Classification of Scoliosis Among Female University Students in Saudi Arabia. Healthcare, 13(22), 2894. doi: 10.3390/healthcare13222894
Anwer, S., Alghadir, A., Abu Shaphe, M., & Anwar, D. (2015). Effects of Exercise on Spinal Deformities and Quality of Life in Patients with Adolescent Idiopathic Scoliosis. In BioMed Research International (Vol. 2015). Hindawi Publishing Corporation. doi: 10.1155/2015/123848
Baghdadi, S., & Baldwin, K. (2024). Selection of Fusion Levels in Adolescent Idiopathic Scoliosis. In Current Reviews in Musculoskeletal Medicine (Vol. 17, Issue 1, pp. 23-36). Springer. doi: 10.1007/s12178-023-09876-6
Bas, P., Romagnoli, M., Gomez-Cabrera, M. C., Bas, J. L., Aura, J. V., Franco, N., & Bas, T. (2011). Beneficial effects of aerobic training in adolescent patients with moderate idiopathic scoliosis. European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 20 Suppl 3, 415-419. doi: 10.1007/s00586-011-1902-7
Bazira, P. J. (n.d.). Clinically applied anatomy of the vertebral column.
Berdishevsky, H., Lebel, V. A., Bettany-Saltikov, J., Rigo, M., Lebel, A., Hennes, A., Romano, M., Białek, M., M’hango, A., Betts, T., de Mauroy, J. C., & Durmala, J. (2016). Physiotherapy scoliosis-specific exercises - a comprehensive review of seven major schools. In Scoliosis and Spinal Disorders (Vol. 11, Issue 1). BioMed Central Ltd. doi: 10.1186/s13013-016-0076-9
Chatelain, L. S., Simon, A. L., Khalifé, M., & Ferrero, E. (2024). Pediatric spinal alignment and spinal development. North American Spine Society Journal, 20. doi: 10.1016/j.xnsj.2024.100548
Du, C., Yu, J., Zhang, J., Jiang, J., Lai, H., Liu, W., Liu, Y., Li, H., & Wang, P. (2016). Relevant areas of functioning in people with adolescent idiopathic scoliosis on the international classification of functioning, disability and health: The patients’ perspective. Journal of Rehabilitation Medicine, 48(9), 806-814. doi: 10.2340/16501977-2147
Ekawana, P., & Poerwandari, D. (2022). Rehabilitation of adolescent idiopathic scoliosis after corrective surgery. International Journal of Health Sciences, 24-29. doi: 10.53730/ijhs.v6ns8.11499
Febyan, F., & Gusti Ngurah Paramartha Wijaya Putra, I. (2023). Scoliosis: A Literature Review. Hong Kong Journal of Orthopaedic Research, 6(1), 4-11. doi: 10.37515/ortho.8231.6102
Fortin, C., Grunstein, E., Labelle, H., Parent, S., & Ehrmann Feldman, D. (2016). Trunk imbalance in adolescent idiopathic scoliosis. Spine Journal, 16(6), 687-693. doi: 10.1016/j.spinee.2016.02.033
Frost, B. A., Camarero-Espinosa, S., & Johan Foster, E. (2019). Materials for the spine: Anatomy, problems, and solutions. In Materials (Vol. 12, Issue 2). MDPI AG. doi: 10.3390/ma12020253
Jinnah, A. H., Lynch, K. A., Wood, T. R., & Hughes, M. S. (2025). Adolescent Idiopathic Scoliosis: Advances in Diagnosis and Management. In Current Reviews in Musculoskeletal Medicine (Vol. 18, Issue 2, pp. 54-60). Springer. doi: 10.1007/s12178-024-09939-2
Karachalios, T., Roidis, N., Papagelopoulos, P. |, & Karachalios, G. G. (n.d.). The Efficacy of School Screening for Scoliosis.
Khaledi, A., Minoonejad, H., Daneshmandi, H., Akoochakian, M., & Gheitasi, M. (2022). The Effectiveness of Schroth vs SEAS Exercise Methods for Correcting Idiopathic Scoliosis in Adolescents: A Systematic Review. In Physical Treatments (Vol. 12, Issue 1, pp. 1-12). University of Social Welfare and Rehabilitation Sciences. doi: 10.32598/ptj.12.1.517.3
Kuang, H., Chen, L., Huang, M., & Chen, J. (2025). Management of adolescent scoliosis: a comprehensive review of etiology and rehabilitation. In Frontiers in Pediatrics (Vol. 13). Frontiers Media SA. doi: 10.3389/fped.2025.1596400
Kumar, S., Awadhiya, B., Ratnakumar, R., Thalengala, A., Areeckal, A. S., & Nanjappa, Y. (2024). A Review of 3D Modalities Used for the Diagnosis of Scoliosis. In Tomography (Vol. 10, Issue 8, pp. 1192-1204). Multidisciplinary Digital Publishing Institute (MDPI). doi: 10.3390/tomography10080090
Kuru Çolak, T., Durmuş, B. B., Saatçı, E. Z., Çağlar, E., Akçay, B., & Maeso, S. L. (2025). Systematic Review of Clinical Outcome Parameters of Conservative Treatment of Adolescent Idiopathic Scoliosis Patients. In Journal of Clinical Medicine (Vol. 14, Issue 4). Multidisciplinary Digital Publishing Institute (MDPI). doi: 10.3390/jcm14041063
Kuru, T., Yeldan, Ï., Dereli, E. E., Özdinçler, A. R., Dikici, F. A. T. I. H., & Çolak, Ï. (2016). The efficacy of three-dimensional Schroth exercises in adolescent idiopathic scoliosis: A randomised controlled clinical trial. Clinical Rehabilitation, 30(2), 181-190. doi: 10.1177/0269215515575745
Li, X., Shen, J., Liang, J., Zhou, X., Yang, Y., Wang, D., Wang, S., Wang, L., Wang, H., & Du, Q. (2021). Effect of core-based exercise in people with scoliosis: A systematic review and meta-analysis. Clinical Rehabilitation, 35(5), 669-680. doi: 10.1177/0269215520975105
Mohamed, M., Trivedi, J., Davidson, N., & Munigangaiah, S. (n.d.). Adolescent idiopathic scoliosis: a review of current concepts.
Negrini, S., Donzelli, S., Aulisa, A. G., Czaprowski, D., Schreiber, S., de Mauroy, J. C., Diers, H., Grivas, T. B., Knott, P., Kotwicki, T., Lebel, A., Marti, C., Maruyama, T., O’Brien, J., Price, N., Parent, E., Rigo, M., Romano, M., Stikeleather, L., … Zaina, F. (2018). 2016 SOSORT guidelines: Orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. In Scoliosis and Spinal Disorders (Vol. 13, Issue 1). BioMed Central Ltd. doi: 10.1186/s13013-017-0145-8
Negrini, S., Grivas, T. B., Kotwicki, T., Rigo, M., & Zaina, F. (2009). Guidelines on “standards of management of idiopathic scoliosis with corrective braces in everyday clinics and in clinical research”: SOSORT Consensus 2008. Scoliosis, 4. doi: 10.1186/1748-7161-4-2
Oakley, P. A., Ehsani, N. N., & Harrison, D. E. (2019). The Scoliosis Quandary: Are Radiation Exposures From Repeated X-Rays Harmful? In Dose-Response (Vol. 17, Issue 2). SAGE Publications Inc. doi: 10.1177/1559325819852810
Polis, B., Zawadzka-Fabijan, A., Fabijan, R., Kosińska, R., Nowosławska, E., & Fabijan, A. (2025). Exploring BiomedCLIP’s Capabilities in Medical Image Analysis: A Focus on Scoliosis Detection and Severity Assessment. Applied Sciences (Switzerland), 15(1). doi: 10.3390/app15010398
Roberts, S. B. (n.d.). Biomechanics of the spine and the implications for spinal injuries.
Romano, M., Negrini, A., Parzini, S., Tavernaro, M., Zaina, F., Donzelli, S., & Negrini, S. (2015). SEAS (Scientific Exercises Approach to Scoliosis): A modern and effective evidence based approach to physiotherapic specific scoliosis exercises. Scoliosis, 10(1). doi: 10.1186/s13013-014-0027-2
Seleviciene, V., Cesnaviciute, A., Strukcinskiene, B., Marcinowicz, L., Strazdiene, N., & Genowska, A. (2022). Physiotherapeutic Scoliosis-Specific Exercise Methodologies Used for Conservative Treatment of Adolescent Idiopathic Scoliosis, and Their Effectiveness: An Extended Literature Review of Current Research and Practice. In International Journal of Environmental Research and Public Health (Vol. 19, Issue 15). MDPI. doi: 10.3390/ijerph19159240
Smit, T. H. (2020). Adolescent idiopathic scoliosis: The mechanobiology of differential growth. JOR Spine, 3(4). doi: 10.1002/jsp2.1115
Wei, W., Cheng, L., Dong, Y., Zhang, T., Deng, Y., Gong, J., Xie, F., & Yang, J. (2025). 2D and 3D Classification Systems for Adolescent Idiopathic Scoliosis: Clinical Implications and Technological Advances. In Orthopaedic Surgery (Vol. 17, Issue 4, pp. 999-1020). Sociedade Brasileira de Matematica Aplicada e Computacional. doi: 10.1111/os.14362
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