Abstract
The study investigates the efficacy of the Schroth Best Practice Therapy (SBP) compared to traditional exercise programs on pulmonary functions in adolescent idiopathic scoliosis (AIS). Background: AIS is the most common type of structural spinal deformity, affecting 2%-4% of adolescents. It is a 3D deformity that can lead to respiratory complications, reduced quality of life, and long-term health risks. Non-surgical interventions, such as exercise programs, are often used to manage AIS, but evidence comparing their effectiveness is limited. Methodology: Study Design: Randomized Controlled Trial. Participants: 60 female AIS patients aged 12-18 years with spinal curves between 25°-45°. Intervention Groups: Group A (Schroth Best Practice Therapy): 30 participants received SBP exercises involving self-correction, rotational angular breathing, and postural awareness. Group B (Traditional Exercises): 30 participants received stretching, strengthening, wall bar exercises, and electrical stimulation. Duration: 18 weeks, 3 sessions per week. Outcome Measures: Pulmonary function tests (Forced Vital Capacity [FVC], Forced Expiratory Volume in the first second [FEV1], and Peak Expiratory Flow [PEF]) using a handheld digital spirometer. Results: Both groups showed significant improvement in pulmonary functions after 18 weeks. Group A (SBP exercises): FVC improved by 20.4% (vs. 13.52% in Group B). FEV1 improved by 20.92% (vs. 10.23% in Group B). PEF improved by 26.96% (vs. 12.43% in Group B). Significant improvement in Cobb’s angle was observed in Group A: 83.33% of participants showed improvement compared to only 6.67% in Group B. Statistical analysis (MANOVA) confirmed the superiority of SBP therapy in improving pulmonary functions and reducing spinal deformity.