The Comparison of Core Stabilization Exercise With Scientific Exercise Approach to Scoliosis in Idiopathic Scoliosis
The Comparison of Core Stabilization Exercise With Scientific Exercise Approach to Scoliosis in Idiopathic Scoliosis
Scoliosis specific exercises have been shown to improve curve progression but there have been
 few studies that compare the different exercise approaches in adolescent idiopathic scoliosis
 (AIS). The objective of this study was to compare the effects of Core stabilization (CS)
 exercises with Scientific Exercises Approach to Scoliosis (SEAS exercises) in addition to
 brace wearing in patients with AIS. It is important to compare different exercise methods on
 different aspects of scoliotic deformity, such as curve progression, angle of trunk rotation,
 body symmetry, cosmetic trunk deformity, satisfaction with treatment and quality of life.
The aim of this study was to investigate whether adolescent with idiopathic scoliosis
 receiving scoliosis specific exercise approach, such as SEAS exercises, in accordance with
 the bracing approach for moderate curves would have greater improvement in curve progression,
 trunk deformity, body symmetry and quality of life than adolescent receiving exercise therapy
 based on the general core stabilization approach with similar intensity. Thirty female
 patients with AIS aged 12 to16 years, who have moderate curves (20 to 45 degree) randomly
 divided into two groups. One group received CS exercise, while other received SEAS exercise
 for forty-min once weekly for four months. Both groups underwent full-time bracing (23 hours
 per day) intervention. Outcome was based on Cobb angle, angle of trunk rotation, body
 symmetry (Posterior Trunk Symmetry Index), cosmetic trunk deformity (Walter Reed Visual
 Assessment Scale) and quality of life (Scoliosis Research Society - 22 Questionnaire)
 measured at baseline and after intervention period. Results were analyzed using the paired
 sample t-test to compare repeated measurements and independent sample t-test to compare the
 groups.
Inclusion Criteria:

 -  The patients included in the current study were consecutive adolescents with
 idiopathic scoliosis seen in our department who were referred to receive both brace
 and exercise treatment conservatively. Additional inclusion criteria included the
 following: female gender; at least age 12 years; primary curve magnitude between 20
 and 45 degrees of Cobb angle; double curve (right thoracic-left lumbar) or single
 thoracolumbar curve having an apex in the main thoracic region; Risser 2-3 and no
 previous treatment.

 Exclusion Criteria:

 -  Exclusion criteria for both groups were as follows: evidence of congenital curve;
 neuromuscular, rheumatologic, renal, cardiovascular, pulmonary or vestibular diseases
 or surgical correction history.