Adolescent idiopathic scoliosis (AIS) is a common three-dimensional spinal deformity and one of the most prevalent spinal disorders in children. In addition to the cosmetic deformity, its secondary effects may lead to cardiopulmonary dysfunction, a decrease in physical ability, and a reduction in quality of life, making it the third most common health threat to children and adolescents after obesity and myopia. Therefore, effective intervention for AIS is of great significance for the physical and mental health of adolescents. In recent years, Physiotherapeutic Scoliosis-Specific Exercises (PSSE), as one of the mainstream conservative treatments, have been widely applied in clinical practice with positive feedback. However, its effectiveness is influenced by various factors. To this end, this study systematically searched relevant literature published in the past decade in PubMed, CNKI, and Web of Science databases on topics such as AIS, scoliosis-specific exercises, exercise interventions, and randomized controlled trials. A review analysis of the factors influencing PSSE in the treatment of AIS was conducted, aiming to provide a theoretical basis for optimizing conservative treatment strategies and improving effectiveness.
| [1] |
Glavaš J, Rumboldt M, Karin Ž, et al. The role of school medicine in the early detection and management of adolescent idiopathic scoliosis. Wien Klin Wochenschr. 2023;135(11-12):273-281. http://10.1007/s00508-022-02092-1
|
| [2] |
Ragborg LC, Dragsted C, Ohrt-Nissen S, Andersen T, Gehrchen M, Dahl B. Health-related quality of life in patients 40 years after diagnosis of an idiopathic scoliosis. Bone Joint Lett J. 2023;105-b(2):166-171. http://10.1302/0301-620x.105b2.Bjj-2022-0897.R1
|
| [3] |
Weinstein SL. The natural history of adolescent idiopathic scoliosis. J Pediatr Orthop. 2019;39(6, suppl 1):S44-s46. http://10.1097/bpo.0000000000001350
|
| [4] |
Fahim T, Virsanikar S, Mangharamani D, Khan SN, Mhase S, Umate L. Physiotherapy interventions for preventing spinal curve progression in adolescent idiopathic scoliosis: a systematic review. Cureus. 2022;14(10):e30314. http://10.7759/cureus.30314
|
| [5] |
Romano M, Minozzi S, Bettany-Saltikov J, et al. Therapeutic exercises for idiopathic scoliosis in adolescents. Cochrane Database Syst Rev. 2024;2(2):Cd007837. http://10.1002/14651858.CD007837.pub3
|
| [6] |
Ko EJ, Sung IY, Yun GJ, Kang JA, Kim J, Kim GE. Effects of lateral electrical surface stimulation on scoliosis in children with severe cerebral palsy: a pilot study. Disabil Rehabil. 2018;40(2):192-198. http://10.1080/09638288.2016.1250120
|
| [7] |
Bradford DS, Tanguy A, Vanselow J. Surface electrical stimulation in the treatment of idiopathic scoliosis: preliminary results in 30 patients. Spine. 1983;8(7):757-764. http://10.1097/00007632-198310000-00012
|
| [8] |
el-Sayyad M, Conine TA. Effect of exercise, bracing and electrical surface stimulation on idiopathic scoliosis: a preliminary study. Int J Rehabil Res. 1994;17(1):70-74. http://10.1097/00004356-199403000-00008
|
| [9] |
Berdishevsky H, Lebel VA, Bettany-Saltikov J, et al. Physiotherapy scoliosis-specific exercises - a comprehensive review of seven major schools. Scoliosis Spinal Disord. 2016;11(1):20. http://10.1186/s13013-016-0076-9
|
| [10] |
Negrini S, Antonini G, Carabalona R, Minozzi S. Physical exercises as a treatment for adolescent idiopathic scoliosis. A systematic review. Pediatr Rehabil. 2003;6(3-4):227-235. http://10.1080/13638490310001636781
|
| [11] |
You MJ, Lu ZY, Xu QY, 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. http://10.1016/j.apmr.2024.04.011
|
| [12] |
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. http://10.1097/phm.0000000000002524
|
| [13] |
Negrini S, Donzelli S, Aulisa AG, et al. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disord. 2018;13(3):3. http://10.1186/s13013-017-0145-8
|
| [14] |
Anthony A, Zeller R, Evans C, Dermott JA. Adolescent idiopathic scoliosis detection and referral trends: impact treatment options. Spine Deform. 2021;9(1):75-84. http://10.1007/s43390-020-00182-6
|
| [15] |
Negrini S, Hresko TM, O'Brien JP, Price N. Recommendations for research studies on treatment of idiopathic scoliosis: consensus 2014 between SOSORT and SRS non-operative management committee. Scoliosis. 2015;10(8):8. http://10.1186/s13013-014-0025-4
|
| [16] |
Thompson RM, Hubbard EW, Jo CH, Virostek D, Karol LA. Brace success is related to curve type in patients with adolescent idiopathic scoliosis. J Bone Joint Surg Am. 2017;99(11):923-928. http://10.2106/jbjs.16.01050
|
| [17] |
Kocaman H, Bek N, Kaya MH, Büyükturan B, Yetiş M, Büyükturan Ö. The effectiveness of two different exercise approaches in adolescent idiopathic scoliosis: a single-blind, randomized-controlled trial. PLoS One. 2021;16(4):e0249492. http://10.1371/journal.pone.0249492
|
| [18] |
Kuru T, Yeldan İ, Dereli EE, Özdinçler AR, Dikici F, Çolak İ. The efficacy of three-dimensional schroth exercises in adolescent idiopathic scoliosis: a randomised controlled clinical trial. Clin Rehabil. 2016;30(2):181-190. http://10.1177/0269215515575745
|
| [19] |
Hawary RE, Zaaroor-Regev D, Floman Y, Lonner BS, Alkhalife YI, Betz RR. Brace treatment in adolescent idiopathic scoliosis: risk factors for failure-a literature review. Spine J. 2019;19(12):1917-1925. http://10.1016/j.spinee.2019.07.008
|
| [20] |
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. http://10.23736/s1973-9087.17.04461-6
|
| [21] |
Cheung JPY, Cheung PWH, Luk KD. When should we Wean bracing for adolescent idiopathic scoliosis? Clin Orthop Relat Res. 2019;477(9):2145-2157. http://10.1097/corr.0000000000000781
|
| [22] |
Farahpour N, Younesian H, Bahrpeyma F. Electromyographic activity of erector spinae and external oblique muscles during trunk lateral bending and axial rotation in patients with adolescent idiopathic scoliosis and healthy subjects. Clin Biomech. 2015;30(5):411-417. http://10.1016/j.clinbiomech.2015.03.018
|
| [23] |
Wong C, Shayestehpour H, Koutras C, et al. Using electric stimulation of the spinal muscles and electromyography during motor tasks for evaluation of the role in development and progression of adolescent idiopathic scoliosis. J Clin Med. 2024;13(6):1758. http://10.3390/jcm13061758
|
| [24] |
Schreiber S, Parent EC, Khodayari Moez E, et al. Schroth physiotherapeutic scoliosis-specific exercises added to the standard of care lead to better Cobb angle outcomes in adolescents with idiopathic scoliosis - an assessor and statistician blinded randomized controlled trial. PLoS One. 2016;11(12):e0168746. http://10.1371/journal.pone.0168746
|
| [25] |
Lenz M, Oikonomidis S, Harland A, et al. Scoliosis and Prognosis-a systematic review regarding patient-specific and radiological predictive factors for curve progression. Eur Spine J. 2021;30(7):1813-1822. http://10.1007/s00586-021-06817-0
|
| [26] |
Dimeglio A, Canavese F. Progression or not progression? How to deal with adolescent idiopathic scoliosis during puberty. J Child Orthop. 2013;7(1):43-49. http://10.1007/s11832-012-0463-6
|
| [27] |
Kim G, HwangBo PN. Effects of Schroth and pilates exercises on the cobb angle and weight distribution of patients with scoliosis. J Phys Ther Sci. 2016;28(3):1012-1015. http://10.1589/jpts.28.1012
|
| [28] |
Mohamed RA, Yousef AM. Impact of Schroth three-dimensional vs. proprioceptive neuromuscular facilitation techniques in adolescent idiopathic scoliosis: a randomized controlled study. Eur Rev Med Pharmacol Sci. 2021;25(24):7717-7725. http://10.26355/eurrev_202112_27618
|
| [29] |
DiMeglio A, Canavese F, Charles YP. Growth and adolescent idiopathic scoliosis: when and how much? J Pediatr Orthop. 2011;31(1 suppl l):S28-S36. http://10.1097/BPO.0b013e318202c25d
|
| [30] |
Nault ML, Parent S, Phan P, Roy-Beaudry M, Labelle H, Rivard M. A modified Risser grading system predicts the curve acceleration phase of female adolescent idiopathic scoliosis. J Bone Joint Surg Am. 2010;92(5):1073-1081. http://10.2106/jbjs.H.01759
|
| [31] |
Minkara A, Bainton N, Tanaka M, et al. High risk of mismatch between sanders and risser staging in adolescent idiopathic scoliosis: are we guiding treatment using the wrong classification? J Pediatr Orthop. 2020;40(2):60-64. http://10.1097/bpo.0000000000001135
|
| [32] |
Fan Y, To MK, Kuang GM, Cheung JPY. The relationship between compliance of physiotherapeutic scoliosis specific exercises and curve regression with mild to moderate adolescent idiopathic scoliosis. Glob Spine J. 2024;14(2):447-457. http://10.1177/21925682221109565
|
| [33] |
You MJ, Lu ZY, Xu QY, 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. http://10.1016/j.apmr.2024.04.011
|
| [34] |
Burger M, Coetzee W, du Plessis LZ, et al. The effectiveness of schroth exercises in adolescents with idiopathic scoliosis: a systematic review and meta-analysis. S Afr J Physiother. 2019;75(1):904. http://10.4102/sajp.v75i1.904
|
| [35] |
Gao A, Li JY, Shao R, et al. Schroth exercises improve health-related quality of life and radiographic parameters in adolescent idiopathic scoliosis patients. Chin Med J (Engl). 2021;134(21):2589-2596. http://10.1097/cm9.0000000000001799
|
| [36] |
Liu D, Yang Y, Yu X, et al. Effects of specific exercise therapy on adolescent patients with idiopathic scoliosis: a prospective controlled cohort study. Spine. 2020;45(15):1039-1046. http://10.1097/brs.0000000000003451
|
| [37] |
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. http://10.1186/s12891-020-03517-6
|
| [38] |
Lang C, Huang Z, Sui W, et al. Factors that influence In-Brace correction in patients with adolescent idiopathic scoliosis. World Neurosurg. 2019;123:e597-e603. http://10.1016/j.wneu.2018.11.228
|
| [39] |
Fields MW, Rymond CC, Malka MS, et al. Improvement in axial rotation with bracing reduces the risk of curve progression in patients with adolescent idiopathic scoliosis. Spine Deform. 2024;12(5):1345-1353. http://10.1007/s43390-024-00888-x
|
| [40] |
Andras LM. The role of axial plane correction in scoliosis bracing remains elusive: commentary on an article by Kenny Yat Hong Kwan, BMBCh, FRCSEd, FHKCOS, FHKAM, et al.: brace effectiveness is related to 3-dimensional plane parameters in patients with adolescent idiopathic scoliosis. J Bone Joint Surg Am. 2021;103(1):e4. http://10.2106/jbjs.20.01821
|
| [41] |
Rrecaj-Malaj S, Beqaj S, Krasniqi V, Qorolli M, Tufekcievski A. Outcome of 24 weeks of combined schroth and pilates exercises on cobb angle, angle of trunk rotation, chest expansion, flexibility and quality of life in adolescents with idiopathic scoliosis. Med Sci Monit Basic Res. 2020;26:e920449. http://10.12659/msmbr.920449
|
| [42] |
Karam M, Ghanem I, Vergari C, et al. Global malalignment in adolescent idiopathic scoliosis: the axial deformity is the main driver. Eur Spine J. 2022;31(9):2326-2338. http://10.1007/s00586-021-07101-x
|
| [43] |
He Y, Dong H, Lei M, et al. The role of the paraspinal muscles in the development of adolescent idiopathic scoliosis based on surface electromyography and radiographic analysis. BMC Musculoskelet Disord. 2024;25(1):263. http://10.1186/s12891-024-07329-w
|
| [44] |
Ng PTT, Claus A, Izatt MT, Pivonka P, Tucker K. Is spinal neuromuscular function asymmetrical in adolescents with idiopathic scoliosis compared to those without scoliosis? a narrative review of surface EMG studies. J Electromyogr Kinesiol. 2022;63:102640. http://10.1016/j.jelekin.2022.102640
|
| [45] |
Chwała W, Koziana A, Kasperczyk T, Walaszek R, Płaszewski M. Electromyographic assessment of functional symmetry of paraspinal muscles during static exercises in adolescents with idiopathic scoliosis. BioMed Res Int. 2014;2014:573276-573277. http://10.1155/2014/573276
|
| [46] |
Jiang J, Meng Y, Jin X, et al. Volumetric and fatty infiltration imbalance of deep paravertebral muscles in adolescent idiopathic scoliosis. Med Sci Monit. 2017;23:2089-2095. http://10.12659/msm.902455
|
| [47] |
Wajchenberg M, Martins DE, Luciano RP, et al. Histochemical analysis of paraspinal rotator muscles from patients with adolescent idiopathic scoliosis: a cross-sectional study. Medicine (Baltim). 2015;94(8):e598. http://10.1097/md.0000000000000598
|
| [48] |
Luo M, Yang H, Wu D, You X, Huang S, Song Y. Tent5a modulates muscle fiber formation in adolescent idiopathic scoliosis via maintenance of myogenin expression. Cell Prolif. 2022;55(3):e13183. http://10.1111/cpr.13183
|
| [49] |
Veldhuizen AG, Wever DJ, Webb PJ. The aetiology of idiopathic scoliosis: biomechanical and neuromuscular factors. Eur Spine J. 2000;9(3):178-184. http://10.1007/s005860000142
|
| [50] |
Charles YP, Canavese F, Diméglio A. Curve progression risk in a mixed series of braced and nonbraced patients with idiopathic scoliosis related to skeletal maturity assessment on the olecranon. J Pediatr Orthop B. 2017;26(3):240-244. http://10.1097/bpb.0000000000000410
|
| [51] |
Formaggio E, Bertuccelli M, Rubega M, et al. Brain oscillatory activity in adolescent idiopathic scoliosis. Sci Rep. 2022;12(1):17266. http://10.1038/s41598-022-19449-1
|
| [52] |
Wilczyński J, Habik Tatarowska N, Mierzwa Molenda M. Deficits of sensory integration and balance as well as scoliotic changes in young schoolgirls. Sensors (Basel). 2023;23(3):1172. http://10.3390/s23031172
|
| [53] |
Lonstein JE, Carlson JM. The prediction of curve progression in untreated idiopathic scoliosis during growth. J Bone Joint Surg Am. 1984;66(7):1061-1071. https://doi.org/10.2106/00004623-198466070-00013
|
| [54] |
Karol LA, Virostek D, Felton K, Jo C, Butler L. The effect of the risser stage on bracing outcome in adolescent idiopathic scoliosis. J Bone Joint Surg Am. 2016;98(15):1253-1259. http://10.2106/jbjs.15.01313
|
| [55] |
Shi B, Mao S, Xu L, et al. Integrated multidimensional maturity assessments predicting the high-risk occurrence of peak angle velocity during puberty in progressive female idiopathic scoliosis. Clin Spine Surg. 2017;30(4):E491-e496. http://10.1097/bsd.0000000000000203
|
| [56] |
Souder C, Newton PO, Shah SA, Lonner BS, Bastrom TP, Yaszay B. Factors in surgical decision making for thoracolumbar/lumbar AIS: it's about more than just the curve magnitude. J Pediatr Orthop. 2017;37(8):e530-e535. http://10.1097/bpo.0000000000000746
|
| [57] |
Pesenti S, Jouve JL, Morin C, et al. Evolution of adolescent idiopathic scoliosis: results of a multicenter study at 20 years' follow-up. Orthop Traumatol Surg Res. 2015;101(5):619-622. http://10.1016/j.otsr.2015.05.004
|
| [58] |
Weinstein SL, Zavala DC, Ponseti IV. Idiopathic scoliosis: long-term follow-up and prognosis in untreated patients. J Bone Joint Surg Am. 1981;63(5):702-712. https://doi.org/10.2106/00004623-198163050-00003
|
| [59] |
Badin D, Harris AB, Venuti K, Sponseller PD. The thumb ossification composite index is the optimal intersection between sanders and low-dose scoliosis sterioradiography. Spine Deform. 2022;10(5):1071-1076. http://10.1007/s43390-022-00520-w
|
| [60] |
Hori Y, Kaymaz B, da Silva LCA, et al. Differences in spine growth potential for Sanders maturation stages 7A and 7B have implications for treatment of idiopathic scoliosis. Spine Deform. 2024;12(3):621-628. http://10.1007/s43390-024-00829-8
|
| [61] |
Hori Y, Menapace B, Isogai N, et al. When is growth the greatest? Spine and total body growth in idiopathic scoliosis through sanders maturation stages 2, 3A, 3B, and 4. JB JS Open Access. 2025;10(2):e24.00189. http://10.2106/jbjs.Oa.24.00189
|
| [62] |
Basbug G, Gurses HN, Zeren M, Elmadag NM. Effects of inspiratory muscle training on respiratory muscle strength, respiratory function and functional capacity in adolescents with idiopathic scoliosis: a randomized, controlled trial. Wien Klin Wochenschr. 2023;135(11-12):282-290. http://10.1007/s00508-023-02197-1
|
| [63] |
Choi SK, Jo HR, Park SH, Sung WS, Keum DH, Kim EJ. The effectiveness and safety of acupuncture for scoliosis: a protocol for systematic review and/or meta-analysis. Medicine (Baltim). 2020;99(50):e23238. http://10.1097/md.0000000000023238
|
| [64] |
Yildirim S, Ozyilmaz S, Elmadag NM, Yabaci A. Effects of core stabilization exercises on pulmonary function, respiratory muscle strength, peripheral muscle strength, functional capacity, and perceived appearance in children with adolescent idiopathic scoliosis: a randomized controlled trial. Am J Phys Med Rehabil. 2022;101(8):719-725. http://10.1097/phm.0000000000001984
|
| [65] |
Blazevich AJ, Collins DF, Millet GY, Vaz MA, Maffiuletti NA. Enhancing adaptations to neuromuscular electrical stimulation training interventions. Exerc Sport Sci Rev. 2021;49(4):244-252. http://10.1249/jes.0000000000000264
|
| [66] |
Blecher R, Krief S, Galili T, et al. The proprioceptive system masterminds spinal alignment: insight into the mechanism of scoliosis. Dev Cell. 2017;42(4):388-399.e3. http://10.1016/j.devcel.2017.07.022
|
| [67] |
Payas A, Batin S, Kurtoğlu E, et al. Is the integration problem in the sensoriomotor system the cause of adolescent idiopathic scoliosis? J Pediatr Orthop. 2023;43(2):e111-e119. http://10.1097/bpo.0000000000002300
|
| [68] |
Zhang T, Sui W, Li B, et al. The morphological discrepancy of neuromuscular junctions between bilateral paraspinal muscles in patients with adolescent idiopathic scoliosis: a quantitative immunofluorescence assay. JOR Spine. 2024;7(3):e1358. http://10.1002/jsp2.1358
|
| [69] |
Severini G, Delahunt E. Effect of noise stimulation below and above sensory threshold on postural sway during a mildly challenging balance task. Gait Posture. 2018;63:27-32. http://10.1016/j.gaitpost.2018.04.031
|
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