Earticle

초록

영어

Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity of the spine that commonly manifests during puberty and may result in cosmetic, functional, and cardiopulmonary complications. Although surgical intervention is generally reserved for severe cases, non-operative treatments especially therapeutic exercises are increasingly recognized as effective approaches for managing mild to moderate scoliosis. This review seeks to synthesize the current evidence regarding exercise-based interventions for AIS and to assess their efficacy in managing spinal curvature and enhancing functional outcomes. A systematic literature search was performed using Medline, CINAHL, and the Cochrane Library to identify studies published between 1990 and 2024. Studies were included if they focused on AIS populations, employed therapeutic exercise as the primary intervention, and reported outcomes related to the Cobb angle. Eight randomized controlled trials (RCTs) met these inclusion criteria. Scoliosis-specific exercise programs, such as the Schroth method and the Scientific Exercise Approach to Scoliosis (SEAS), demonstrated significant reductions in Cobb angles and improvements in posture, balance, and quality of life. Interventions combining exercise with bracing were more effective than bracing alone. Additionally, breathing exercises contributed to enhanced thoracic mobility and pulmonary function. Therapeutic exercise appears to be a safe and effective conservative treatment modality for AIS. When integrated with bracing, it may further promote curve stabilization and functional performance. Nonetheless, further standardized, long-term studies are warranted to optimize exercise protocols and validate these outcomes.

목차

Abstract
Ⅰ. Introduction
Ⅱ. Overview of adolescent idiopathic scoliosis
1. Classification
2. Curve patterns
3. Prevalence
4. Natural history/prognosis
5. Pulmonary function
6. Criteria for non-operative treatment
7. Exercise
8. Therapeutic exercise strategies for adolescent idiopathic scoliosis
9. Breathing exercise
Ⅲ. Methods
1. Inclusion Criteria
2. Assessment of Methodological Quality
Ⅳ. Results
Ⅴ. Discussion
Ⅵ. Conclusion
References

키워드

저자

• Jae-Hun Shim [ Department of Physical Therapy, College of Health Science, Baekseok University ] Corresponding Author

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  한국신경근육재활학회지 [Korean Journal of Neuromuscular Rehabilitation]

• 간기

  계간

• pISSN

  2508-6456

• 수록기간

  2011~2026

• 등재여부

  KCI 등재

• 십진분류

  KDC 514 DDC 617