Clinical Research Directory

Schroth Exercises Alone Versus Schroth Exercises Integrated With Dynamic Stabilization

This assessor-blinded, parallel-group randomized controlled trial compared Schroth exercises alone with Schroth exercises integrated with dynamic (core, pelvic and scapular) stabilization exercises in adolescents aged 10-19 years with idiopathic scoliosis (Cobb angle 10°-40°). Fifty participants were randomized 1:1. Both groups received 16 individualized, one-to-one supervised sessions of approximately 60 minutes (2 sessions per week for 8 weeks) with total session time matched; in the integrated group, about 15 minutes of each 50-minute exercise block were allocated to stabilization exercises instead of Schroth exercises. A home exercise programme was prescribed on 2 additional days per week in both groups. The primary outcome was health-related quality of life measured with the Scoliosis Research Society-22 questionnaire (modified 20-item total). Secondary outcomes were self-perceived deformity (Spinal Appearance Questionnaire), postural awareness (Postural Awareness Scale), thoracic and lumbar angle of trunk rotation (scoliometer) and sleep quality (Pittsburgh Sleep Quality Index), assessed at baseline and at 8 weeks.