Conservative Treatment Approaches for Adolescent Idiopathic Scoliosis in Early Teenagers (13–15 Years): A Comprehensive Literature Review

Perli Rusi , Silvio Selfo, Olsa Meta and Rigerta Selenica

Abstract

Pediatric and adolescent scoliosis is a condition in which a child’s spine curves or rotates abnormally, ranging from mild to severe. Idiopathic scoliosis, a complex three-dimensional deformity, is most commonly diagnosed during adolescence and can affect posture, muscle symmetry, and quality of life. Our study explores the nature and scope of idiopathic scoliosis in children and adolescents, a complex three-dimensional spinal deformity characterized by lateral curvature and vertebral rotation. It impacts posture, muscle symmetry, and spinal function, with potential long-term consequences on quality of life. The main issue and focus are on conservative, non-surgical management, particularly the Schroth Method, a type of Physiotherapeutic Scoliosis-Specific Exercise (PSSE) designed to reduce spinal curvature, improve postural control, and enhance trunk stability. Muscle imbalances and postural asymmetries are addressed through customized exercises and rotational breathing techniques. The objective of our study was to implement a targeted intervention program for children diagnosed with scoliosis, using specific measurements to guide planning. The significance lies in improving postural alignment, motor function, and quality of life through early intervention, while contributing to the growing evidence supporting PSSE, especially the Schroth Method, as an effective non-invasive treatment.

Presentation