Erisa Mane, Selda Veizaj, Igla Mukaj


Introduction: Scoliosis is a three-dimensional deformative abnormality of the spine, defined by the Cobb's angle of spine curvature in the coronal plane, and is often accompanied by vertebral rotation in the transverse plane and hypokyphosis in the sagittal plane. Based on the age of presentation, scoliosis is further categorized as infantile, juvenile or adolescent idiopathic. Adolescent idiopathic scoliosis (AIS) has the highest prevalence of the three categories. This type of scoliosis is present at age ten and lasts till the end of growth. Its prevalence is dependent on the curvature of the spine and gender of the patient.

Objective: The purpose of this review is to evaluate the role of physiotherapy in reducing curve progression and pain, postponing or avoiding invasive treatment and improve the quality of life in adolescents with AIS.

Methodology: The study is a Systematic Review, meta-analytic type, consisting of 5 studies (RCT) of the last ten years, which focus on the impact of physiotherapy in AIS. Studies include 210 patients evaluated and treated by physiotherapist, divided into 2 groups: experimental and control group. The measurement and rehabilitation includes Cobb angle, pain and quality of life. Data was extracted from medical websites and scientific journals. The evaluation was realized with the PEDro scale, which shows the validity of each study.

Results: The literature used in the study claimed that physiotherapist in AIS reduces pain and Cobb angle and improve QoL (p<0.05). The 5 studies had an average PEDro score of 5.6/10.

Conclusions: Evidence suggests that physiotherapy is good at reducing the Cobb angle, pain and improving the quality of life in patients with AIS. Scientific research on this topic is limited, so it is suggested to increase research, especially now that AIS incidence is higher.

Keywords: physiotherapy, scoliosis, Schroth, Adolescent Idiopathic Scoliosis.

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Burnei et al., J Med Life. 2015 Jul-Sep; 8(3): 388–397.Congenital scoliosis: an up-to-date, J Med Life. 2015 Jul-Sep; 8(3): 388–397. (Level of Evidence 4)

Joehaimey Johari et al., Relationship between pulmonary function and degree of spinal deformity, location of apical vertebrae and age among adolescent idiopathic scoliosis patients, Singapore Med J 2016; 57(1): 33-38 (Level of Evidence 3)

Anwer et al., Effects of Exercise on Spinal Deformities and Quality of Life in Patients with Adolescent Idiopathic Scoliosis, 2015 (Level of evidence: 1A)

Jacques H. et al., The Risser Classification: A Classic Tool for the Clinician Treating Adolescent Idiopathic Scoliosis, Clin Orthop Relat Res, 2012, 470:2335–2338 (Level of evidence 5)

Jonathan A. et al., A comprehensive review of thoracic deformity parameters in scoliosis, Eur Spine J (2014) 23:2594–2602 (Level of Evidence 1A)

Angelos Kaspiris, Theodoros B. Grivas, Hans-Rudolf Weiss and Deborah Turnbull. Surgical and conservative treatment of patients with congenital scoliosis: a search for long-term results. Scoliosis. 2011, Vol. 6, num. 12, pp. 1-17. Level of evidence = 2

C Fusco, F Zaina et al, Physical exercises in the treatment of adolescent idiopathic scoliosis: An updated systematic review, Informa Healthcare USA, 2011. Level of evidence: 1A



S. C.Mordecai and H.V.Dabke, “Efficacy of exercise therapy for the treatment of adolescent idiopathic scoliosis: a review of the literature,” European Spine Journal, vol. 21, no. 3, pp. 382–389, 2012.

S. Negrini, C. Fusco, S. Minozzi, S. Atanasio, F. Zaina, and M. Romano, “Exercises reduce the progression rate of adolescent idiopathic scoliosis: results of a comprehensive systematic review of the literature,” Disability and Rehabilitation, vol. 30, no. 10, pp. 772–785, 2008.

M. Romano, S.Minozzi, F. Zaina et al., “Exercises for adolescent idiopathic scoliosis,” Spine, vol. 38, no. 14, pp. E883–E893, 2013.

C. Fusco, F. Zaina, S. Atanasio, M. Romano, A. Negrini, and S. Negrini, “Physical exercises in the treatment of adolescent idiopathic scoliosis: an updated systematic review,” Physiotherapy Theory and Practice, vol. 27, no. 1, pp. 80–114, 2011.

Schreiber S, Parent EC, Khodayari Moez E, Hedden DM, Hill DL, Moreau M, et al. (2016) 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 11 (12): e0168746. doi:10.1371/journal. pone.0168746

Langensiepen S, Stark C, Sobottke R, et al. Home-based vibration assisted exercise as a new treatment option for scoliosis - A randomised controlled trial. J Musculoskelet Neuronal Interact. 2017; 17(4):259-267.

Atici Y, Aydin CG, Atici A, Buyukkuscu MO, Arikan Y, Balioglu MB. The effect of Kinesio taping on back pain in patients with Lenke Type 1 adolescent idiopathic scoliosis: A randomized controlled trial. Acta Orthop Traumatol Turc. 2017;51(3):191-196.

Dos Santos Alves Vl, Da Silva Rjala, Avanzi O, "Effect of a Preoperative Protocol of Aerobic Physical Therapy on the Quality of Life of Patients With Adolescent Idiopathic Scoliosis: A Randomized Clinical Study" Am J Orthop. 2014 May; 43(5):E112-E116

Abdulrahim Zakaria, Ashraf Ramadan Hafez, Syamala Buragadda, Ganeswara Rao Melam, "Stretching Versus Mechanical Traction of the Spine in Treatment of Idiopathic Scoliosis", 2012 Volume 24 Issue 11 Pages 1127-1131.


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