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Scoliosis Exercise Rehabilitation

Specialised exercise programmes (Schroth method, SEAS) for scoliosis curve magnitude reduction or progression prevention.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Scoliosis Exercise Rehabilitation?

Scoliosis is a three-dimensional spinal deformity with lateral curvature greater than 10° (Cobb angle) and rotation. The most common form is adolescent idiopathic scoliosis (AIS).

Conservative treatment options include observation (Cobb <20°), bracing (20–40°) and exercise rehabilitation. Surgery is considered for >40° curves.

Physiotherapy Scoliosis-Specific Exercises (PSSE) — Schroth, SEAS, BSPTS, FED and Side-Shift methods — aim to correct three-dimensional curve, breathing, postural correction and stabilisation. According to SOSORT guideline, recommended at moderate certainty level.

Symptoms

Asymmetric shoulder height
One scapula more prominent
Hip height asymmetry
Rib cage hump (Adam's bend test)
Asymmetric waist (one side hollow)
Asymmetric leg length
Back pain (only in advanced age)

Risk Factors

Female sex (8:1 in adolescents)
Family history of scoliosis (genetic)
Onset in adolescence (10–15 years)
Connective tissue disease (Marfan, EDS)
Neuromuscular disease (cerebral palsy, SMA)
Vertebral developmental disorder (congenital)
Skeletally immature (Risser stage)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Apply to a paediatric orthopaedist for asymmetry detected during routine paediatric examination
  • Curve >10° on screening X-ray requires a Schroth-certified physiotherapist
  • Curve progression >5° in 6 months requires brace evaluation
  • Sudden onset, painful or rapidly progressing scoliosis requires advanced imaging (MRI)

Treatment Methods

01
Schroth method (3D self-correction, breathing, stabilisation)
02
SEAS (Scientific Exercise Approach to Scoliosis)
03
PSSE individualised exercise programme (45 minutes, 3–5 times a week)
04
Brace use (Boston, Cheneau brace; 18–23 hours/day)
05
Postural training and core strengthening
06
Surgical consultation for severe cases (Cobb >40°, growing patient)

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.