Date of Award

Spring 2026

Degree Name

Doctor of Physical Therapy

Department

Physical Therapy; College of Health Sciences

First Advisor

Dr. Ellen Erdman

Abstract

Abstract

Background and Purpose: Scoliosis is a musculoskeletal condition that commonly affects adolescents characterized by an abnormal multiplanar curvature of the spine. This condition may result in postural imbalance, trunk asymmetry, and limitations in functional activities. Exercise-based interventions are designed to enhance spinal stability, promote postural awareness, improve respiratory function, and support participation in daily activities. This case report aims to evaluate the effectiveness of a structured therapeutic exercise program for a person diagnosed with idiopathic scoliosis. The intervention program includes core stabilization exercises, postural re-education, breathing exercises, and functional training.

Case Description: A 14 year-old female was referred to physical therapy after a school screening identified abnormal spinal curvature. The patient reported occasional back pain (4/10 on the Numeric Pain Rating Scale) and fatigue after prolonged sitting. Radiographic imaging confirmed a 25° left thoracolumbar curve (.Cobb angle). The systems review revealed no abnormalities in cardiovascular, respiratory, or integumentary function. Outcomes: After eight weeks of intervention, reassessment demonstrated reduced pain (from 4/10 to 1/10 on the NPRS), a decreased Cobb angle (from 25° to 20°), improved left paraspinal strength (from 3+/5 to 4+/5), increased postural endurance and enhanced self-image, and comfort during school activities, suggesting that exercise-based physical therapy can yield meaningful functional and structural improvements in adolescents with idiopathic scoliosis.

Discussion: The results of this case are consistent with existing literature demonstrating that scoliosis-specific exercises can positively influence spinal curvature and functional

outcomes.8,10The integration of task-oriented and breathing exercises promotes active spinal correction, muscular balance, and improved proprioception.

Share

COinS
 

Effectiveness of a Task-Oriented Exercise Program in Managing Idiopathic Scoliosis: A Case Report

Abstract

Background and Purpose: Scoliosis is a musculoskeletal condition that commonly affects adolescents characterized by an abnormal multiplanar curvature of the spine. This condition may result in postural imbalance, trunk asymmetry, and limitations in functional activities. Exercise-based interventions are designed to enhance spinal stability, promote postural awareness, improve respiratory function, and support participation in daily activities. This case report aims to evaluate the effectiveness of a structured therapeutic exercise program for a person diagnosed with idiopathic scoliosis. The intervention program includes core stabilization exercises, postural re-education, breathing exercises, and functional training.

Case Description: A 14 year-old female was referred to physical therapy after a school screening identified abnormal spinal curvature. The patient reported occasional back pain (4/10 on the Numeric Pain Rating Scale) and fatigue after prolonged sitting. Radiographic imaging confirmed a 25° left thoracolumbar curve (.Cobb angle). The systems review revealed no abnormalities in cardiovascular, respiratory, or integumentary function. Outcomes: After eight weeks of intervention, reassessment demonstrated reduced pain (from 4/10 to 1/10 on the NPRS), a decreased Cobb angle (from 25° to 20°), improved left paraspinal strength (from 3+/5 to 4+/5), increased postural endurance and enhanced self-image, and comfort during school activities, suggesting that exercise-based physical therapy can yield meaningful functional and structural improvements in adolescents with idiopathic scoliosis.

Discussion: The results of this case are consistent with existing literature demonstrating that scoliosis-specific exercises can positively influence spinal curvature and functional

outcomes.8,10The integration of task-oriented and breathing exercises promotes active spinal correction, muscular balance, and improved proprioception.