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Efficacy of core stabilization versus active self-correction exercises in the treatment of adolescents with idiopathic scoliosis.

Ezzat El Sayed Moubarak*, Sobhy Mahmoud Aly, Mohamed K Seyam, Ahmed Abd El-Moneim Abd El-Hakim, Radwa S Abdulrahman, Amina Awad

Background: Numerous therapeutic exercises are used in the rehabilitation of scoliosis. However, there is a lack of studies that compare the effectiveness of core stabilization and active self-correction exercises in treating adolescent idiopathic scoliosis. Objectives: To compare the effects of Core Stabilization (CS) and Active Self-Correction (ASC) exercises in treating adolescents with mild idiopathic scoliosis. Methods: A comparative study was conducted on thirty adolescents with mild idiopathic scoliosis; aged 10-14 years old, with Cobb’s angle between (10°–20°) and Risser grade below 2°, who were randomly assigned into two groups; CS (n=15) and ASC (n=15). Both groups were treated by three supervised sessions weekly for 12 successive weeks and a home program. Outcomes: The primary measures included; the Cobb angle, the Sørensen test for assessing back muscle endurance, and the trunk forward flexion test for assessing back flexibility. The secondary outcome measure was the Scoliosis Research Society-22 (SRS-22) questionnaire for evaluating the Quality of Life (QoL). All measures were assessed at baseline and after the intervention. Results: The CS group showed remarkable results in all measures; Cobb angle, the Sørensen test, trunk forward flexion test, and the total score of SRS-22, compared to ASC one except for the mental health domain of the SSR-22 showed a non-significant difference between the groups post-treatment. Post-treatment, the self-image and function domains showed a non-significant change in the ASC group. Conclusion: The core stabilization program is superior to active-self correction exercises in the shortterm treatment of mild adolescent idiopathic scoliosis.