Diagnostic and Therapeutic Approaches to Physical Therapy for Idiopathic Scoliosis in Children and Adolescents (Literature Review)
ARTICLE PDF (Українська)

Keywords

idiopathic scoliosis
children
adolescents
pediatric orthopedics
physical therapy
conservative scoliosis treatment
scoliosis-specific exercises
Schroth method
SEAS method
Cobb angle
angle of trunk rotation (ATR)
SRS-22r
screening
quality of life

How to Cite

Martsyniak, S., & Shmatko, A. (2026). Diagnostic and Therapeutic Approaches to Physical Therapy for Idiopathic Scoliosis in Children and Adolescents (Literature Review). TERRA ORTHOPAEDICA, (1(128), 45-51. https://doi.org/10.37647/2786-7595-2026-128-1-45-51

Abstract

Summary. In pediatric orthopedics, scoliotic spinal deformity is among the most extensively studied conditions, as it represents one of the most common problems encountered in pediatric orthopedic practice. Despite the high prevalence of the disease, there is no consensus regarding the optimal management of patients with idiopathic scoliosis. The choice of treatment modality and the timing of treatment initiation are of particular importance, as inadequate or delayed treatment is often associated with progression of spinal deformity. Among the available treatment options, physical therapy is a key component of conservative management and is applied depending on the clinical presentation and severity of the deformity. This approach is based on the concept of scoliosis as a three-dimensional deformity of the spine in the frontal, sagittal, and transverse planes. Given the wide range of physical therapy techniques, clinicians frequently are faced with the challenge of selecting the most appropriate approach. This review summarizes current physical therapy methods for idiopathic scoliosis in children and adolescents, with the aim of supporting informed selection, prescription, and monitoring of physical therapy in order to optimize treatment outcomes.

https://doi.org/10.37647/2786-7595-2026-128-1-45-51
ARTICLE PDF (Українська)

References

Dunn J, Henrikson NB, Morrison CC, Blasi PR, Nguyen M, Lin JS. Screening for Adolescent Idiopathic Scoliosis: Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2018;319(2):173-187. doi: 10.1001/jama.2017.11669.

Paramento M, Passarotto E, Maccarone MC, Agostini M, Contessa P, Rubega M, et al. Neurophysiological, balance and motion evidence in adolescent idiopathic scoliosis: A systematic review. PLoS One. 2024 May 22;19(5):e0303086. DOI: 10.1371/journal.pone.0303086.

Bertuccelli M, Cantele F, Masiero S. Body image and body schema in adolescents with idiopathic scoliosis: A scoping review. Adolescent Research Review. 2023;8(1):97–115. Doi: 10.1007/s40894-022-00187-4

Chen J, Xu T, Zhou J, Han B, Wu Q, Jin W, et al. The Superiority of Schroth Exercise Combined Brace Treatment for Mild-to-Moderate Adolescent Idiopathic Scoliosis: A Systematic Review and Network Meta-Analysis. World Neurosurg. 2024;186:184-196.e9. doi: 10.1016/j.wneu.2024.03.103.

Ma K, Wang C, Huang Y, Wang Y, Li D, He G. The effects of physiotherapeutic scoliosis-specific exercise on idiopathic scoliosis in children and adolescents: a systematic review and meta-analysis. Physiotherapy. 2023 Dec;121:46-57. Doi: 10.1016/j.physio.2023.07.005.

Kotwicki, T.; Negrini, S.; Grivas, T.B.; Rigo, M.; Maruyama, T.; Durmala, J.; et al. Methodology of evaluation of morphology of the spine and the trunk in idiopathic scoliosis and other spinal deformities—6th SOSORT consensus paper. Scoliosis 2009, 4, 2

https://www.srs.org/Research/Patient-Outcome-Questionnaires

https://www.cebm.ox.ac.uk/resources/levels-of-evidence/ocebm-levels-of-evidence

Weinstein SL, Dolan LA, Cheng JC, Danielsson A, Morcuende JA. Adolescent idiopathic scoliosis. Lancet. 2008;371(9623):1527-37. doi: 10.1016/S0140-6736(08)60658-3.

Kuru Çolak T, Durmuş BB, Saatçı EZ, Çağlar E, Akçay B, Maeso SL. Systematic Review of Clinical Outcome Parameters of Conservative Treatment of Adolescent Idiopathic Scoliosis Patients. J Clin Med. 2025;14(4):1063. doi: 10.3390/jcm14041063.

Wessberg P, Danielson BI, Willén J. Comparison of Cobb angles in idiopathic scoliosis on standing radiographs and supine axially loaded MRI. Spine (Phila Pa 1976). 2006;31(26):3039-44. doi: 10.1097/01.brs.0000249513.91050.80.

Berdishevsky H, Lebel VA, Bettany-Saltikov J, Rigo M, Lebel A, Hennes A, et al. Physiotherapy scoliosis-specific exercises - a comprehensive review of seven major schools. Scoliosis Spinal Disord. 2016 Aug 4;11:20. doi: 10.1186/s13013-016-0076-9. PMID: 27525315; PMCID: PMC4973373.

Durmała J, Dobosiewicz K, Kotwicki T, Jendrzejek H. Influence of asymmetric mobilisation of the trunk on the Cobb angle and rotation in idiopathic scoliosisin children and adolescents. Ortop Traumatol Rehabil. 2003;5(1):80-5.

Fabian KM, Rożek-Piechura K. Exercise tolerance and selected motor skills in young females with idiopathic scoliosis treated with different physiotherapeutic methods. Ortop Traumatol Rehabil. 2014;16(5):507-22. doi: 10.5604/15093492.1128841.

Seleviciene V, Cesnaviciute A, Strukcinskiene B, Marcinowicz L, Strazdiene N, Genowska A. 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. Int J Environ Res Public Health. 2022;19(15):9240. doi: 10.3390/ijerph19159240.

Thompson JY, Williamson EM, Williams MA, Heine PJ, Lamb SE, ACTIvATeS Study Group. Effectiveness of scoliosis-specific exercises for adolescent idiopathic scoliosis compared with other non-surgical interventions: a systematic review and meta-analysis. Physiotherapy. 2019;105(2):214-234. doi: 10.1016/j.physio .2018.10.004.

Jiang Y, Peng H, Song Y, Huang L, Chen H, Li P, et al. Evaluating exercise therapies in adolescent idiopathic scoliosis: a systematic review with Bayesian network meta-analysis. PeerJ. 2025;13:e19175. doi: 10.7717/peerj.19175.

Chen C, Xu J, Li H. Effects of Schroth 3D Exercise on Adolescent Idiopathic Scoliosis: A Systematic Review and Meta-Analysis. Children (Basel). 2024;11(7):806. doi: 10.3390/children11070806.

Peng C, Li D, Guo T, Li S, Chen Y, Zhao L, et al. Efficacy of Different Exercises on Mild to Moderate Adolescent Idiopathic Scoliosis: A Systematic Review and Meta-analysis. Am J Phys Med Rehabil. 2024;103(6):494-501. Doi: 10.1097/PHM.0000000000002389.

Wang Z, Zhu W, Li G, Guo X. Comparative efficacy of six types of scoliosis-specific exercises on adolescent idiopathic scoliosis: a systematic review and network meta-analysis. BMC Musculoskelet Disord. 2024;25(1):1070. doi: 10.1186/s12891-024-08223-1.

Zapata KA, Sucato DJ, Jo CH. Physical Therapy Scoliosis-Specific Exercises May Reduce Curve Progression in Mild Adolescent Idiopathic Scoliosis Curves. Pediatr Phys Ther. 2019;31(3):280-285. doi: 10.1097/PEP.0000000000000621. PMID: 31220013.

Dobosiewicz K, Durmala J, Czernicki K, Piotrowski J. Radiological results of Dobosiewicz method of three-dimensional treatment of progressive idiopathic scoliosis. Stud Health Technol Inform. 2006;123:267-72. PMID: 17108438.

Trzcińska S, Nowak Z. Analysis of scoliosis deformation in the Zebris computer study as an assessment of the effectiveness of the FED method in the treatment of idiopathic scolioses. Pol Merkur Lekarski. 2020;48(285):174-178.

Maruyama T, Kitagawa T, Takeshita K, Mochizuki K, Nakamura K. Conservative treatment for adolescent idiopathic scoliosis: can it reduce the incidence of surgical treatment? Pediatr Rehabil. 2003;6(3-4):215-9. doi: 10.1080/13638490310001642748.

Mantelatto Andrade R, Gomes Santana B, Verttú Schmidt A, Eduardo Barsotti C, Pegoraro Baroni M, Tirotti Saragiotto B, et al. Effect of traditional rehabilitation programme versus telerehabilitation in adolescents with idiopathic scoliosis during the COVID-19 pandemic: a cohort study. J Rehabil Med. 2024;56:jrm5343. doi: 10.2340/jrm.v56.5343.

Gámiz-Bermúdez F, Obrero-Gaitán E, Zagalaz-Anula N, Lomas-Vega R. Corrective exercise-based therapy for adolescent idiopathic scoliosis: Systematic review and meta-analysis. Clin Rehabil. 2022;36(5):597-608. doi: 10.1177/02692155211070452.

Ceballos Laita L, Tejedor Cubillo C, Mingo Gómez T, Jiménez Del Barrio S. Effects of corrective, therapeutic exercise techniques on adolescent idiopathic scoliosis. A systematic review. Arch Argent Pediatr. 2018;116(4):e582-e589. doi: 10.5546/aap.2018.eng.e582.

Chen Y, Zhang Z, Zhu Q. The effect of an exercise intervention on adolescent idiopathic scoliosis: a network meta-analysis. J Orthop Surg Res. 2023;18(1):655. doi: 10.1186/s13018-023-04137-1.

Dong H, You M, Li Y, Wang B, Huang H. Physiotherapeutic Scoliosis-Specific Exercise for the Treatment of Adolescent Idiopathic Scoliosis: A Systematic Review and Network Meta-analysis. Am J Phys Med Rehabil. 2024;104(1):14-25. doi: 10.1097/PHM.0000000000002524.

Büyükturan Ö, Kaya MH, Alkan H, Büyükturan B, Erbahçeci F. Comparison of the efficacy of Schroth and Lyon exercise treatment techniques in adolescent idiopathic scoliosis: A randomized controlled, assessor and statistician blinded study. Musculoskelet Sci Pract. 2024;72:102952. doi: 10.1016/j.msksp.2024.102952.

Park JH, Jeon HS, Park HW. Effects of the Schroth exercise on idiopathic scoliosis: a meta-analysis. Eur J Phys Rehabil Med. 2018;54(3):440-449. doi: 10.23736/S1973-9087.17.04461-6.

Fan Y, Ren Q, To MKT, Cheung JPY. Effectiveness of scoliosis-specific exercises for alleviating adolescent idiopathic scoliosis: a systematic review. BMC Musculoskelet Disord. 2020;21(1):495. doi: 10.1186/s12891-020-03517-6

Ceballos-Laita L, Carrasco-Uribarren A, Cabanillas-Barea S, Pérez-Guillén S, Pardos-Aguilella P, Jiménez Del Barrio S. The effectiveness of Schroth method in Cobb angle, quality of life and trunk rotation angle in adolescent idiopathic scoliosis: a systematic review and meta-analysis. Eur J Phys Rehabil Med. 2023;59(2):228-236. doi: 10.23736/S1973-9087.23.07654-2.

Romano M, Minozzi S, Bettany-Saltikov J, Zaina F, Chockalingam N, Kotwicki T, et al. Therapeutic exercises for idiopathic scoliosis in adolescents. Cochrane Database Syst Rev. 2024;2(2):CD007837. doi: 10.1002/14651858.CD007837.pub3

Thompson JY, Williamson EM, Williams MA, Heine PJ, Lamb SE, ACTIvATeS Study Group. Effectiveness of scoliosis-specific exercises for adolescent idiopathic scoliosis compared with other non-surgical interventions: a systematic review and meta-analysis. Physiotherapy. 2019;105(2):214-234. doi: 10.1016/j.physio.2018.10.004.

Khaledi A, Minoonejad H, Akoochakian M, Gheitasi M. Core Stabilization Exercises vs. Schroth's Three Dimensional Exercises to Treat Adolescent Idiopathic Scoliosis: A Systematic Review. Iran J Public Health. 2024;53(1):81-92. doi: 10.18502/ijph.v53i1.14685.

Negrini S, Donzelli S, Aulisa AG, Czaprowski D, Schreiber S, de Mauroy JC, et al. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disord. 2018 Jan 10;13:3. doi: 10.1186/s13013-017-0145-8. PMID: 29435499; PMCID: PMC5795289.

You MJ, Lu ZY, Xu QY, Chen PB, Li B, Jiang SD, et al. Effectiveness of Physiotherapeutic Scoliosis-Specific Exercises on 3-Dimensional Spinal Deformities in Patients With Adolescent Idiopathic Scoliosis: A Systematic Review and Meta-analysis. Arch Phys Med Rehabil. 2024;105(12):2375-2389. Doi: 10.1016/j.apmr.2024.04.011.

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