Effectiveness of Dynamic Neuromuscular Stabilization Breathing Exercises With Schroth in Adolescent Idiopathic Scoliosis

The Effectiveness of Dynamic Neuromuscular Stabilization Breathing Exercises in Addition to Schroth Exercises in Individuals With Adolescent Idiopathic Scoliosis

In our study, the degree of scoliosis curvature in volunteers will be determined using full-body standing X-rays. Additionally, the rotation degree of the spinal curvature in volunteers will be assessed with a scoliosis meter (a type of ruler) through the forward bending test while standing. To measure the impact of scoliosis on the quality of life, the SRS-22 questionnaire, consisting of 22 questions, will be used. The level of pain experienced by volunteers as a result of scoliosis will be evaluated using the visual analog scale (VAS), where pain intensity is marked on a 10 centimeter line. Lastly, the volunteers; breathing patterns will be assessed by measuring chest circumference with a tape measure.

In this randomized controlled trial, we aim to assess various physical and quality of life parameters in volunteers with scoliosis. The degree of spinal curvature will be measured using full body standing X-rays, providing a detailed assessment of the scoliosis angle. Additionally, the rotation degree of the spinal curvature will be evaluated with a scoliosis meter during the forward bending test, which is commonly used to gauge the rotational component of scoliosis.

Quality of life will be assessed using the Scoliosis Research Society-22 (SRS-22) questionnaire, a validated tool consisting of 22 questions designed to evaluate function, pain, self image, mental health, and satisfaction in individuals with scoliosis. To quantify pain levels experienced due to scoliosis, the Visual Analog Scale (VAS) will be used, in which participants mark their pain intensity on a 10 centimeter line, ranging from "no pain" to "worst pain imaginable." This provides an accurate, subjective measure of pain severity.

Breathing patterns will also be evaluated by measuring the volunteers' chest circumference at full inspiration and expiration using a standard tape measure, allowing us to assess any potential restrictions in lung expansion related to the spinal curvature. Through this comprehensive evaluation, we hope to gain a clearer understanding of how scoliosis affects both the physical and psychological well being of individuals and identify potential areas for therapeutic intervention.

Inclusion Criteria:

• Radiologically measured Cobb angle value between 10 degrees and 50 degrees
• Age between 10 and 18
• Being diagnosed with Adolescent Idiopathic Scoliosis by a physician
• Being between 0 and 5 in the radiologically determined Risser sign
• Being between 12-25 kg/m2 according to body mass index measurement

Exclusion Criteria:

• Having had any surgery related to scoliosis
• Having been diagnosed with any psychiatric disease
• Having been diagnosed with an oncological disease
• Having a neurological disease, vestibular or visual problem
• Having any pathology that will affect motor performance
• Using medication that affects the central nervous system
• Having been diagnosed with a rheumatological disease
• Having been diagnosed with any cardiovascular disease