Schroth and Pilates for Adolescent Idiopathic Scoliosis

The primary aim of this study is to investigate the effectiveness of Schroth training and the multidimensional effects of adding Pilates-based exercises to Schroth training in individuals with adolescent idiopathic scoliosis. Specifically, the study aims to evaluate the effects of Pilates-based exercises combined with Schroth training on lung capacity, trunk muscle strength, proprioception, trunk rotation, and posture. In addition, it seeks to examine the impact of the intervention on important functional and psychosocial outcomes, including quality of life, perceived cosmetic deformity, and pain threshold. This study is expected to contribute to the existing evidence on the use of Pilates exercises in combination with Schroth exercises for individuals with adolescent idiopathic scoliosis by providing a comprehensive evaluation of the effects of this combined intervention. The findings are intended to provide guidance for clinicians and researchers regarding the combined use of different exercise approaches in the management of adolescent idiopathic scoliosis. Furthermore, the study aims to explore the potential benefits of integrating the Schroth method with Pilates as a holistic treatment approach for scoliosis management.

Inclusion Criteria: * Aged 10-18 years. * Diagnosed with adolescent idiopathic scoliosis by a physician. * Cobb angle between 10° and 45°. * Willingness of both the participant and their parent/legal guardian to participate in the study. * No additional rheumatologic, neurological, or orthopedic disorders. * No scoliosis-specific treatment received within the previous 6 months. Exclusion Criteria: * History of scoliosis or spinal surgery. * Scoliosis secondary to neurological, congenital, or other non-idiopathic causes. * Any contraindication to exercise. * A spinal curve with an apex at T12-L1. * Presence of cognitive impairment that would interfere with study participation or assessments. * Current brace treatment. Participants who are eligible for bracing but have not been prescribed a brace by their physician or who decline brace treatment despite being eligible will remain eligible for inclusion.