title: The efficacy of three-dimensional Schroth exercises in adolescent idiopathic scoliosis: a randomised controlled clinical trial.
abstract: OBJECTIVE
  To compare the efficacy of three-dimensional (3D) Schroth exercises in patients with adolescent idiopathic scoliosis.
  
  
  METHODS
  A randomised-controlled study.
  
  
  METHODS
  An outpatient exercise-unit and in a home setting.
  
  
  METHODS
  Fifty-one patients with adolescent idiopathic scoliosis.
  
  
  METHODS
  Forty-five patients with adolescent idiopathic scoliosis meeting the inclusion criteria were divided into three groups. Schroth's 3D exercises were applied to the first group in the clinic and were given as a home program for the second group; the third group was the control.
  
  
  METHODS
  Scoliosis angle (Cobb method), angle of rotation (scoliometer), waist asymmetry (waist - elbow distance), maximum hump height of the patients and quality of life (QoL) (SRS-23) were assessed pre-treatment and, at the 6(th), 12(th) and 24(th) weeks.
  
  
  RESULTS
  The Cobb (-2.53°; P=0.003) and rotation angles (-4.23°; P=0.000) significantly decreased, which indicated an improvement in the clinic exercise group compared to the other groups. The gibbosity (-68.66mm; P=0.000) and waist asymmetry improved only in the clinic exercise group, whereas the results of the other groups worsened. QoL did not change significantly in either group.
  
  
  CONCLUSIONS
  According to the results of this study the Schroth exercise program applied in the clinic under physiotherapist supervision was superior to the home exercise and control groups; additionally, we observed that scoliosis progressed in the control group, which received no treatment.
authors.affiliation: Department of Physiotherapy and Rehabilitation, Marmara University, Faculty of Health Sciences, Istanbul, Turkey tugbakuru@gmail.com.
authors.forename: Tuğba
authors.initials: T
authors.lastname: Kuru
authors.affiliation: Department of Physiotherapy and Rehabilitation, Istanbul University, Faculty of Health Sciences, Istanbul, Turkey.
authors.forename: İpek
authors.initials: İ
authors.lastname: Yeldan
authors.affiliation: Department of Physiotherapy and Rehabilitation, Istanbul Bilgi University, School of Health Sciences, Istanbul, Turkey.
authors.forename: E Elçin
authors.initials: EE
authors.lastname: Dereli
authors.affiliation: Department of Physiotherapy and Rehabilitation, Istanbul University, Faculty of Health Sciences, Istanbul, Turkey.
authors.forename: Arzu R
authors.initials: AR
authors.lastname: Özdinçler
authors.affiliation: Department of Orthopaedics and Traumatology, Istanbul University, Faculty of Medicine, Istanbul, Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Dikici
authors.affiliation: Department of Orthopaedics and Traumatology, Kartal Education and Research Hospital, Istanbul, Turkey.
authors.forename: İlker
authors.initials: İ
authors.lastname: Çolak
mesh_terms: D000293:Adolescent; D000554:Ambulatory Care Facilities; D000704:Analysis of Variance; D002648:Child; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male; D010043:Outcome and Process Assessment, Health Care; D012600:Scoliosis / Q000534:rehabilitation*; D012720:Severity of Illness Index; D014421:Turkey
keywords: Adolescent idiopathic scoliosis; Schroth method; exercise