The aim of this study is to evaluate whether pain perception under spinal pressure created on a physiotherapy roller differs according to gender in individuals diagnosed with scoliosis.

This study will be conducted using a single-group pre-test-post-test quasi-experimental design. Participants will undergo sports physiotherapy-based exercises designed to create controlled mechanical pressure on the spine using a physiotherapy roller. The aim of the exercises is to evaluate the changes in pain perception during the pressure created on the spinal infrastructure and the postural control mechanisms specific to scoliosis, and whether these changes differ according to gender. The exercise program will be applied three days a week for a total of six weeks, with each exercise session lasting approximately 45 minutes. All applications will be performed under the supervision of a physiotherapist, and the spinal pressure created on the physiotherapy roller during the exercises will be controlled and within the limits that individuals can tolerate. The physiotherapy roller will be used as the main equipment in this study, not as an auxiliary tool, and will ensure that spinal pressure is created in a standard manner. Pain assessment will be conducted in two stages: before the exercise program (pre-test) and after the exercise program is completed (post-test).

Inclusion Criteria:

• Having a clinical or radiological diagnosis of scoliosis
• Being between 18-45 years of age
• Not having undergone scoliosis surgery in the last 6 months
• Agreeing to participate in the study voluntarily

Exclusion Criteria:

• Having a history of neurological disease
• Acute inflammatory spinal disease
• Serious cardiovascular or systemic diseases that would prevent participation in exercise