Investigation of Conservative Treatment on Adolescent Idiopathic Scoliosis Patients.

Investigation of the Efficiency of Three Dimensional Scoliosis Exercises and Balance-Coordination Exercises in the Conservative Treatment of Adolescent Idiopathic Scoliosis Patients.

Aim: It was aimed to investigate the effectiveness of three-dimensional scoliosis exercises and balance-coordination exercises in patients with adolescent idiopathic scoliosis.

Method: Thirty patients who were diagnosed with adolescent idiopathic scoliosis were randomly divided into three groups. The first group was treated with 3-dimensional scoliosis exercise program according to Schroth method, second group was treated with Schroth exercises and balance-coordination exercises in addition to brace. Exercises were performed for a total of 6 weeks (18 sessions). The third group was treated only with brace and the control group consisted of healthy individuals. Patients were assessed for their curve angle (Cobb method), rotation angle (scoliometer), spinal flexibility (anterior and lateral bending tests), quality of life (Scoliosis Research Society-22), cosmetic effects (Walter Reed Visual Rating Scale), balance parameters (Balance Master System NeuroCom International Inc. Clackamas, OR, USA ver 8.1), vertical perception (Subjective Vertical Detection test) and brain responses (electroencephalography) were assessed before and after treatment. SPSS 20.0 statistical program was used for data analysis of the study.

Inclusion Criteria:

• Being diagnosed with adolescent idiopathic scoliosis between the ages of 10-16 and being deemed appropriate for brace use,
• Cobb angle between 20º -50º,
• To be able to continue the program to be applied,
• Not having a chronic disease that requires the use of any neurological or psychiatric medication, Hearing test results are within normal values,
• Parents allow the child to participate in the study

Exclusion Criteria:

• The patient has any contraindications to exercise,
• Previous spine surgery,
• Having a curvature of thoracic apex 6 or more,
• Having any mental problems,
• Scoliosis is not idiopathic but has occurred for different reasons (neurological, congenital, etc.),
• Presence of neurological, psychiatric, muscular, rheumatic or orthopedic diseases.