The efficacy of Schroth s 3-dimensional exercise therapy in the treatment of adolescent idiopathic scoliosis in Turkey

Saudi Med J. 2005 Sep;26(9):1429-35.


Objective: To determine the effectiveness of 3-dimensional therapy in the treatment of adolescent idiopathic scoliosis.

Methods: We carried out this study with 50 patients whose average age was 14.15 +/- 1.69 years at the Physical Therapy and Rehabilitation School, Hacettepe University, Ankara, Turkey, from 1999 to 2004. We treated them as outpatients, 5 days a week, in a 4-hour program for the first 6 weeks. After that, they continued with the same program at home. We evaluated the Cobb angle, vital capacity and muscle strength of the patients before treatment, and after 6 weeks, 6 months and one year, and compared all the results.

Results: The average Cobb angle, which was 26.1 degrees on average before treatment, was 23.45 degrees after 6 weeks, 19.25 degrees after 6 months and 17.85 degrees after one year (p<0.01). The vital capacities, which were on average 2795 ml before treatment, reached 2956 ml after 6 weeks, 3125 ml after 6 months and 3215 ml after one year (p<0.01). Similarly, according to the results of evaluations after 6 weeks, 6 months and one year, we observed an increase in muscle strength and recovery of the postural defects in all patients (p<0.01).

Conclusion: Schroth s technique positively influenced the Cobb angle, vital capacity, strength and postural defects in outpatient adolescents.

MeSH terms

  • Adolescent
  • Cohort Studies
  • Exercise Therapy / methods*
  • Humans
  • Male
  • Muscle Strength / physiology
  • Pain Measurement
  • Patient Compliance
  • Probability
  • Prognosis
  • Range of Motion, Articular / physiology*
  • Retrospective Studies
  • Risk Assessment
  • Scoliosis / diagnosis*
  • Scoliosis / rehabilitation*
  • Severity of Illness Index
  • Treatment Outcome
  • Vital Capacity