EFFECT OF SCHROTH EXERCISES RIGO CONCEPT VERSUS SIDE SHIFT APPROACH ON ADOLESCENT IDIOPATHIC SCOLIOSIS (A NARRATIVE REVIEW) | ||||
| Egyptian Journal of Applied Science | ||||
| Volume 40, Issue 7, July 2025, Page 59-78 PDF (492.87 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejas.2025.447846 | ||||
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| Abstract | ||||
| ABSTRACT Adolescent Idiopathic Scoliosis (AIS) is a complex, three-dimensional spinal deformity affecting a significant proportion of adolescents, particularly females. Conservative management, especially Physiotherapeutic Scoliosis Specific Exercises (PSSE), has gained prominence as a non-invasive intervention aimed at halting curve progression and improving quality of life. This narrative review critically examines two widely practiced PSSE approaches: the Schroth Method and the Side Shift Method. The Schroth Method emphasizes three-dimensional correction through auto-elongation, rotational angular breathing, and postural integration, while the Side Shift Method focuses on active lateral trunk translation and functional postural training. The review synthesizes current evidence from randomized controlled trials and systematic reviews, highlighting the effectiveness of both methods in reducing Cobb angle, improving trunk rotation, and enhancing patient-reported outcomes. Despite promising results, the literature is limited by methodological heterogeneity, small sample sizes, and a lack of long-term follow-up data. Direct comparative studies between the two methods remain scarce, making it difficult to establish superiority. The review also discusses the theoretical strengths and limitations of each method, considerations for patient selection, and the need for standardized protocols. Future research directions include large-scale head-to-head trials, long-term outcome studies, and integration of technology to enhance adherence and monitoring. This review aims to inform clinicians and researchers about the current state of evidence and guide individualized, evidence-based conservative management strategies for AIS. | ||||
| Keywords | ||||
| Key Words: Adolescent Idiopathic Scoliosis; Schroth Method( Rigo concept); Side Shift Method; Physiotherapeutic Scoliosis Specific Exercises; Conservative Treatment | ||||
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