Three-Dimensional Postural Correction in Idiopathic Scoliosis With Clinical Outcomes of Psse-Schroth Exercises

Introduction: Adolescent idiopathic scoliosis is a three-dimensional deformity of the spine that impairs physical function, posture, and quality of life. Conservative treatment options, especially PSSE-Schroth exercises, are gaining increasing clinical relevance. However, evidence from Southeastern Europe remains limited. Objectives: To assess the clinical efficacy of a standardized PSSS-Schroth program on posture, pelvic symmetry, and functional status in adolescents with idiopathic scoliosis through a prospective, clinically applicable observational study. Methods and materials: This single-center study included 16 participants (12 women, 4 men; mean age 18.6 ± 12.4 years) with idiopathic scoliosis (Cobb angle ≤ 40°) who underwent 3-6 months of individualized PSSE-Schroth under the supervision of a certified physiotherapist. Outcome measures included clinical postural assessment, pelvic imbalance, functional mobility, and limited radiographic evaluation. Descriptive statistics and subgroup analyses were used to assess pre-intervention outcomes. Results: Participants demonstrated significant improvements in scapular symmetry, trunk alignment, and reduction in rotational deformity, as documented by clinical photographs and functional reassessment. Although full radiographic follow-up was limited, individual case comparisons demonstrated stability or regression of curve severity in those who adhered to the exercises. The majority of adolescents (81.25%) demonstrated postural correction regardless of the use of a prosthesis. Statistical analysis showed a potential relationship between the Riser grade and the type of scoliosis (p = 0.057). No significant age or gender differences were observed in the pelvic alignment categories. Discussion: This study showed that a structured PSSE-Schroth program can improve posture and trunk symmetry in persons with idiopathic scoliosis, even within a relatively short intervention period. These results are well connected with existing evidence supporting the conservative role of PSSE-Schroth in scoliosis treatment, although the lack of a control group and small sample size limit the generalizability. Conclusions: This study defines the value of PSSE- Schroth exercises in the conservative treatment of idiopathic scoliosis. Despite methodological limitations, the results show that PSSE-Schroth can produce measurable improvements in posture and spinal alignment, even in a short treatment period. Further research is needed to confirm these findings and optimize standardized protocols.