Posture Correction, Pain Reduction, and Improved Mobility Through Corrective Physiotherapy in Individual Patients with Scoliosis : Case Report

Anggita Nurul Ikshanty; Adnan Faris Naufal; Reza Arshad Yanuar

doi:10.61132/vitamin.v3i3.1472

Authors

Anggita Nurul Ikshanty Muhammadiyah University Surakarta
Adnan Faris Naufal Muhammadiyah University Surakarta
Reza Arshad Yanuar Muhammadiyah University Surakarta

DOI:

https://doi.org/10.61132/vitamin.v3i3.1472

Keywords:

Physiotherapy, Adolescent-Idiopathic-Scoliosis, Low-Back-Pain, Schorth-Methode-Exercise, Postural-Correction

Abstract

Adolescent Idiopathic Scoliosis (AIS) is the most common progressive musculoskeletal disorder among adolescents, characterized by a lateral curvature of the spine with an unknown cause. This condition often results in postural asymmetry, chronic low back pain, and reduced mobility. This case report involves a 17-year-old female high school student diagnosed with AIS, presenting with lower back pain and functional limitations. The physiotherapy intervention included three sessions over two weeks, utilizing Microwave Diathermy (MWD) as a physical modality, along with Schroth method and strengthening exercises. The outcomes demonstrated a reduction in pain intensity, improved muscle strength, increased spinal mobility, and enhanced thoracic expansion. Additionally, the patient showed an improvement in quality of life as measured by the Scoliosis Research Society-22 (SRS-22) questionnaire. These findings suggest that structured conservative physiotherapy, combining physical modalities and specific exercises, is effective in alleviating clinical symptoms, improving postural awareness, and supporting the functional well-being of AIS patients. This case highlights the importance of early and consistent physiotherapeutic intervention to manage symptoms and potentially slow curve progression.

Downloads

Download data is not yet available.

References

Addai, D., Zarkos, J., & Bowey, A. J. (2020). Current concepts in the diagnosis and management of adolescent idiopathic scoliosis. Child's Nervous System. https://doi.org/10.1007/s00381-020-04608-4

Alamrani, S., Gardner, A., Falla, D., Russell, E., Rushton, A. B., & Heneghan, N. R. (2023). Content validity of the Scoliosis Research Society Questionnaire (SRS-22r): A qualitative concept elicitation study. PLOS ONE, 18(5), e0285538. https://doi.org/10.1371/journal.pone.0285538

Amjad, F., Mohammad Ali Mohseni Bandpei, Syed Amir Gilani, & Arooj, A. (2022). Reliability of modified-modified Schober’s test for the assessment of lumbar range of motion. Journal of the Pakistan Medical Association. https://doi.org/10.47391/JPMA.4071

Basindwah, S., AlHazmi, B., Arwaa, H., Tasneem, E., & Fallatah, S. (2018). The role of melatonin receptor genes and estrogen receptor genes in the pathogenesis of adolescent idiopathic scoliosis: A systematic review. Journal of Musculoskeletal Surgery and Research, 2(1), 8–15.

Burwell, R. G., Aujla, R. K., Grevitt, M. P., Dangerfield, P. H., Moulton, A., Randell, T. L., & Anderson, S. I. (2009). Pathogenesis of adolescent idiopathic scoliosis in girls - A double neuro-osseous theory involving disharmony between two nervous systems, somatic and autonomic expressed in the spine and trunk: Possible dependency on sympathetic nervous system and hormones with implications for medical therapy. Scoliosis, 4(24). https://doi.org/10.1186/1748-7161-4-24

Canevera, J. B., Nonnenmacher, C. H., & Lima, K. M. N. (2025). Reliability of range of motion measurements obtained by goniometry, photogrammetry and smartphone applications in lower limb: A systematic review. Journal of Bodywork and Movement Therapies, 42, 102163. https://doi.org/10.1016/j.jbmt.2025.01.009

Çelik, F., Bulut, N., & Gürbüz, İ. (2025). Short-term effect of Schroth method on pain, body awareness, and quality of life in adolescent individuals with idiopathic scoliosis: A controlled trial. KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi, 6(1), 96–109. https://doi.org/10.59244/ktokusbd.1636181

Farahmand, B., Takamjani, E. E., Yazdi, R. H., Saeedi, H., Kamali, M., & Cham, B. M. (2019). A systematic review on the validity and reliability of tape measurement method in leg length discrepancy. Medical Journal of the Islamic Republic of Iran (MJIRI), 33(46). https://doi.org/10.14196/mjiri.33.46

Fitratilla, F., Yani, F., & Setiawan, D. (2024). The effectiveness of core stabilization and Schroth exercise on pain reduction in adolescents with scoliosis. JHeS (Journal of Health Studies), 8(1), 9–15. https://doi.org/10.31101/jhes.3628

Grauers, A., Einarsdottir, E., & Gerdhem, P. (2016). Genetics and pathogenesis of idiopathic scoliosis. Scoliosis and Spinal Disorders, 11(1), 1–9. https://doi.org/10.1186/s13013-016-0105-8

Jinnah, A. H., Lynch, K. A., Wood, T. R., & Hughes, M. S. (2025). Adolescent idiopathic scoliosis: Advances in diagnosis and management. Current Reviews in Musculoskeletal Medicine. https://doi.org/10.1007/s12178-024-09939-2

Kocaman, H., Bek, N., Kaya, M. H., Buyukturan, B., Yetis, M., & Buyukturan, O. Z. (2021). The effectiveness of two different exercise approaches in adolescent idiopathic scoliosis: A single-blind, randomized-controlled trial. PLOS ONE, 16(4), e0249492. https://doi.org/10.1371/journal.pone.0249492

Kyrkousis, A., Iakovidis, P., Chatziprodromidou, I. P., Lytras, D., Kasimis, K., Apostolou, T., & Koutras, G. (2024). Effects of a long-term supervised Schroth exercise program on the severity of scoliosis and quality of life in individuals with adolescent idiopathic scoliosis: A randomized clinical trial study. Medicina (Lithuania), 60(10), 1637. https://doi.org/10.3390/medicina60101637

Lee, S.-A., & Cha, H.-G. (2023). Letter to the editor: The effects of microwave diathermy on pain and function in chronic low back pain patients. Iranian Journal of Public Health, 52(1). https://creativecommons.org/licenses/by-nc/4.0/

Li, J., An, Z., Wu, J., Gao, Y., Lu, S., He, D., & Zhao, Y. (2023). Construction of the adjusted scoliosis 3D finite element model and biomechanical analysis under gravity. Orthopaedic Surgery, 15(2), 606–616. https://doi.org/10.1111/os.13572

Li, M., Nie, Q., Liu, J., & Jiang, Z. (2024). Prevalence of scoliosis in children and adolescents: A systematic review and meta-analysis. Frontiers in Pediatrics, 12, 1399049. https://doi.org/10.3389/fped.2024.1399049

Menger, R. P., & Hogg, S. A. (2023). Adolescent idiopathic scoliosis. StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK448171/

Merdekawati, D., Dasuki, D., & Melany, H. (2019). Perbandingan validitas skala ukur nyeri VAS dan NRS terhadap penilaian nyeri di IGD RSUD Raden Mattaher Jambi. Riset Informasi Kesehatan, 7(2), 114–121. https://doi.org/10.30644/rik.v7i2.168

Montaner-Cuello, A., Bueno-Gracia, E., Rodríguez-Mena, D., Estébanez-de-Miguel, E., Malo-Urriés, M., Ciuffreda, G., & Caudevilla-Polo, S. (2023). Is the straight leg raise suitable for the diagnosis of radiculopathy? Analysis of diagnostic accuracy in a phase III study. Healthcare (Switzerland), 11(24), 3195. https://doi.org/10.3390/healthcare11243138

Negrini, S., Donzelli, S., Zaina, F., et al. (2022). Structural scoliosis is characterized by a fixed spinal curve and vertebral rotation, and it may progress with growth. Scoliosis and Spinal Disorders. https://doi.org/10.1186/s13013-017-0145-8

Oliveira, D. G., Oliveira, G. M., & Kirkwood, R. N. (2022). Clinimetric properties of the applied kinesiology manual muscle test in adults with and without pain: A methodological study. Journal of Chiropractic Medicine, 21(4), 260–269. https://doi.org/10.1016/j.jcm.2022.03.003

Peng, Y., Wang, S. R., Qiu, G. X., Zhang, J. G., Zhuang, Q. Y., & Wang, N. N. (2020). Research progress on the etiology and pathogenesis of adolescent idiopathic scoliosis. Chinese Medical Journal, 133(4), 483–493. https://doi.org/10.1097/CM9.0000000000000652

Petrosyan, E., Fares, J., Ahuja, C. S., Lesniak, M. S., Koski, T. R., Dahdaleh, N. S., & El Tecle, N. E. (2024). Genetics and pathogenesis of scoliosis. North American Spine Society Journal (NASSJ), 100556. https://doi.org/10.1016/j.xnsj.2024.100556

Sun, P., Zhou, Y., Xie, Y., Chen, S., Bian, G., Wu, Y., Shao, L., Chen, L., Lin, Z., & Min, W. (2025). Risk factors and foot biomechanical characteristics of idiopathic scoliosis: A cross-sectional study. Scientific Reports, 15(1), 11704. https://doi.org/10.1038/s41598-025-01170-4

Tombak, K., Yüksel, İ., Ozsoy, U., Yıldırım, Y., & Karaşin, S. (2024). A comparison of the effects of supervised versus home Schroth exercise programs with adolescent idiopathic scoliosis. Children, 11(3), 3054. https://doi.org/10.3390/children11030354

Zhou, X., Wang, L., & Zhang, H. (2023). Functional scoliosis is non-progressive and generally corrects with treatment of the underlying cause. Frontiers in Pediatrics.