ScoliosisNCT07059663
Synergic Effects of Schroth Method With and Without Core Stabilization Exercises in Idiopathic Scoliosis Patients
A study testing Schroth Method with Core Stabilization Exercises and Schroth Method in people with Scoliosis and Scoliosis Idiopathic, run by University of Lahore at 1 site in Pakistan.
Trial summary
A randomized controlled trial was conducted on 72 patients diagnosed with idiopathic scoliosis at the University of Lahore Teaching Hospital. The study aimed to explore the synergistic effects of the Schroth method with and without core stabilization exercises. Read more about this study
- Who is it for?
- Ages 10 to 18 years
- Conditions the study is for
- Scoliosis, Scoliosis Idiopathic
- What is being tested?
- Schroth Method with Core Stabilization Exercises and Schroth Method
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 72 participants
- Where
- 1 sitePakistan
- Study dates
- 30 Jul 2025to 30 Jan 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 10 to 18 years
- All sexes
- No healthy volunteers
- Child, Adult
Who may be able to join
- • Age 10 to 18
- X-ray diagnosed of idiopathic scoliosis with Cobb Angle 10˚- 30˚
- Participants with Idiopathic Scoliosis
- Both genders will be included
- Scoliosis with Down syndrome.
Who cannot join
- Any neurological condition such as cerebral palsy or epilepsy.
- Any other orthopedic condition such as hip dysplasia, osteogenesis imperfecta, or leg length discrepancy.
- Surgical history of the spine, such as spinal fusion and decompression surgery.
- Severe systemic disorders such as autoimmune disorders, severe cardiovascular conditions
- Non-Idiopathic Scoliosis
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Pakistan1 site, 1 recruiting
- Recruiting
UOL Teaching Hospital
Lahore, Punjab Province
About this study
A randomized controlled trial was conducted on 72 patients diagnosed with idiopathic scoliosis at the University of Lahore Teaching Hospital. The study aimed to explore the synergistic effects of the Schroth method with and without core stabilization exercises. Participants were randomly allocated into two groups: Group A, which received both the Schroth method and core stabilization exercises, and Group B, which received only the Schroth method. The intervention lasted for 10 weeks, with assessments conducted at baseline, the 5th week, and the 10th week. Outcome measures included Cobb angle (spinal curvature), lumbar extensor endurance (Sorensen test), chest mobility, and quality of life (SRS-22 questionnaire). The study found significant improvements in all outcome measures for both groups, with Group A showing superior results. The addition of core stabilization exercises to the Schroth method resulted in better reductions in Cobb angle, enhanced lumbar extensor endurance, and improved chest mobility and quality of life, indicating a synergistic effect of the combined approach. The findings suggest that incorporating core stabilization exercises into scoliosis treatment protocols can lead to superior clinical outcomes.
Read the detailed description
A randomized controlled trial will be conducted at the University of Lahore Teaching Hospital. Thirty patients diagnosed with idiopathic scoliosis, aged 10 to 18 years, will be randomly divided into two groups: Group A will receive the Schroth method in combination with core stabilization exercises, while Group B will receive only the Schroth method. Both interventions will be delivered three times weekly for ten weeks. Outcome measures, including Cobb angle (curve magnitude), lumbar extensor endurance (Sorensen test), chest mobility, and quality of life (SRS-22), will be assessed at baseline, week 5, and week 10.
- Conditions
- Scoliosis, Scoliosis Idiopathic
- Being tested
- Schroth Method with Core Stabilization Exercises, Schroth Method
- Keywords
- Schroth Method, Idiopathic Scoliois, Core Stabilization Exercises, Cobb Angle, Lumbar Extensor Endurance, Chest mobility, SRS-22 questionnaire, Postural correction, Spinal deformity, Physiotherapy
- Medical subject headings
- Scoliosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Schroth Method with Core Stabilization ExercisesOther
The Schroth method will focus on postural correction techniques aimed at improving spinal alignment, reducing the curvature of the spine, and enhancing trunk control. Key exercises will include spinal elongation, de-rotation, and specific breathing techniques to help reduce the scoliotic curve. Core stabilization exercises will target the deep trunk muscles, such as the transversus abdominis and multifidus, to improve spinal stability. These exercises will involve bodyweight exercises, resistance bands, and stability balls, aimed at increasing muscle endurance and promoting better posture. The interventions will be performed three times a week for 10 weeks, with each session lasting 60 minutes
Schroth MethodOther
The control group will receive the Schroth method alone, focusing solely on postural correction exercises. These exercises will aim to improve spinal alignment, reduce curvature, and enhance postural control through spinal elongation, de-rotation, and specific breathing techniques designed to address the scoliosis. The control group will not receive any core stabilization exercises in addition to the Schroth method. This intervention will also be performed three times a week for 10 weeks, with each session lasting 60 minutes
| Study group | Role | What they receive |
|---|---|---|
| Schroth method with Core Stabilization Exercises | Experimental | The Schroth method and core stabilization exercises will be performed three times a week for 10 weeks, with each session lasting 60 minutes Receives: Other: Schroth Method with Core Stabilization Exercises |
| Schroth Method | Active comparator | this group will receive the core stabilization exercises alone Receives: Other: Schroth Method |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Cobb Angle(Curve Magnitude)
The Cobb angle will be used to measure the reduction in spinal curvature. The Cobb angle is the standard method for assessing the severity of scoliosis. A decrease in the Cobb angle indicates improvement in spinal alignment
Measured: Change from Pre-Intervention to the 10th week
Change in Lumbar Extensor Endurance (Sorensen Test)
The Sorensen test will assess lumbar extensor muscle endurance, measuring the ability to hold an isometric contraction for as long as possible. Improvements in endurance indicate better trunk stability
Measured: Change from pre-intervention to 10th week
Change in Chest Mobility (measured by chest expansion)
Chest mobility will be measured using a non-stretch measuring tape at the xiphoid level, both at rest and during maximal inhalation and exhalation. An increase in chest mobility is an indicator of improved thoracic flexibility and lung function.
Measured: Change from pre-intervention to 10th week
Change in Quality of Life (SRS-22 Questionnaire)
The Scoliosis Research Society (SRS-22) questionnaire will be used to assess the quality of life, including function, pain, mental health, self-image, and satisfaction with treatment. Improvements in scores reflect enhanced functional outcomes and psychosocial well-being. Each item is rated on a 5-point Likert scale (1 = worst, 5 = best).
Total score ranges from 22 to 110. Higher scores indicate better quality of life and treatment satisfaction.
Measured: Change from pre-intervention to 10th week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Jul 2025
- Study start30 Jul 2025 (estimated)
- Primary completion10 Sep 2025 (estimated)
- Study completion30 Jan 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for ScoliosisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 72 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University of Lahore
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Faiza Sarwar, University of Lahore
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07059663
- Sponsor's protocol ID
- Faiza.sarwar
- Status last verified
- Jul 2025
- First submitted
- 1 Jul 2025
- Last updated
- 15 Jul 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided: Can only be requested from principal investigator
Publications
Kocaman H, Bek N, Kaya MH, Buyukturan B, Yetis M, Buyukturan O. The effectiveness of two different exercise approaches in adolescent idiopathic scoliosis: A single-blind, randomized-controlled trial. PLoS One. 2021 Apr 15;16(4):e0249492. doi: 10.1371/journal.pone.0249492. eCollection 2021.
PubMed 33857180Egea-Gamez RM, Galan-Olleros M, Martinez-Caballero I, Ramirez-Barragan A, Serrano JI, Palazon-Quevedo A, Gonzalez-Diaz R. Scoliosis in Adolescent Patients With Down Syndrome: Correlation Between Curve Magnitude and Functional Level. Clin Spine Surg. 2023 Dec 1;36(10):E471-E477. doi: 10.1097/BSD.0000000000001495. Epub 2023 Jul 14.
PubMed 37448188Day JM, Fletcher J, Coghlan M, Ravine T. Review of scoliosis-specific exercise methods used to correct adolescent idiopathic scoliosis. Arch Physiother. 2019 Aug 23;9:8. doi: 10.1186/s40945-019-0060-9. eCollection 2019.
PubMed 31463082Ceballos-Laita L, Carrasco-Uribarren A, Cabanillas-Barea S, Perez-Guillen S, Pardos-Aguilella P, Jimenez Del Barrio S. The effectiveness of Schroth method in Cobb angle, quality of life and trunk rotation angle in adolescent idiopathic scoliosis: a systematic review and meta-analysis. Eur J Phys Rehabil Med. 2023 Apr;59(2):228-236. doi: 10.23736/S1973-9087.23.07654-2. Epub 2023 Jan 24.
PubMed 36692412
Study at a glance
From the registry record, last updated by the sponsor on 15 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Synergic Effects of Schroth Method With and Without Core Stabilization Exercises in Idiopathic Scoliosis Patients
- ClinicalTrials.gov ID
- NCT07059663
- Acronym / sponsor ID
- Faiza.sarwar
- Conditions
- Scoliosis, Scoliosis Idiopathic
- Keywords
- Schroth Method, Idiopathic Scoliois, Core Stabilization Exercises, Cobb Angle, Lumbar Extensor Endurance, Chest mobility, SRS-22 questionnaire, Postural correction
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 72 participants (estimated)
- Lead sponsor
- University of LahoreUniversity, hospital or other
- Study start
- 30 Jul 2025 (estimated)
- Primary completion
- 10 Sep 2025 (estimated)
- Study completion
- 30 Jan 2026 (estimated)
- First posted
- 11 Jul 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A randomized controlled trial was conducted on 72 patients diagnosed with idiopathic scoliosis at the University of Lahore Teaching Hospital. The study aimed to explore the synergistic effects of the Schroth method with and without core stabilization exercises. Participants were randomly allocated into two groups: Group A, which received both the Schroth method and core stabilization exercises, and Group B, which received only the Schroth method. The intervention lasted for 10 weeks, with assessments conducted at baseline, the 5th week, and the 10th week. Outcome measures included Cobb angle (spinal curvature), lumbar extensor endurance (Sorensen test), chest mobility, and quality of life (SRS-22 questionnaire). The study found significant improvements in all outcome measures for both groups, with Group A showing superior results. The addition of core stabilization exercises to the Schroth method resulted in better reductions in Cobb angle, enhanced lumbar extensor endurance, and improved chest mobility and quality of life, indicating a synergistic effect of the combined approach. The findings suggest that incorporating core stabilization exercises into scoliosis treatment protocols can lead to superior clinical outcomes.
Detailed description
A randomized controlled trial will be conducted at the University of Lahore Teaching Hospital. Thirty patients diagnosed with idiopathic scoliosis, aged 10 to 18 years, will be randomly divided into two groups: Group A will receive the Schroth method in combination with core stabilization exercises, while Group B will receive only the Schroth method. Both interventions will be delivered three times weekly for ten weeks. Outcome measures, including Cobb angle (curve magnitude), lumbar extensor endurance (Sorensen test), chest mobility, and quality of life (SRS-22), will be assessed at baseline, week 5, and week 10.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Schroth method with Core Stabilization Exercises | Experimental | Other: Schroth Method with Core Stabilization ExercisesThe Schroth method and core stabilization exercises will be performed three times a week for 10 weeks, with each session lasting 60 minutes |
| Schroth Method | Active comparator | Other: Schroth Methodthis group will receive the core stabilization exercises alone |
Who may qualify
- Ages
- 10 to 18 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult
Key inclusion criteria (5 listed)
- • Age 10 to 18
Key exclusion criteria (5 listed)
- Any neurological condition such as cerebral palsy or epilepsy.
- Any other orthopedic condition such as hip dysplasia, osteogenesis imperfecta, or leg length discrepancy.
- Surgical history of the spine, such as spinal fusion and decompression surgery.
- Severe systemic disorders such as autoimmune disorders, severe cardiovascular conditions
- Non-Idiopathic Scoliosis
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Schroth Method with Core Stabilization ExercisesThe Schroth method will focus on postural correction techniques aimed at improving spinal alignment, reducing the curvature of the spine, and enhancing trunk control. Key exercises will include spinal elongation, de-rotation, and specific breathing techniques to help reduce the scoliotic curve. Core stabilization exercises will target the deep trunk muscles, such as the transversus abdominis and multifidus, to improve spinal stability. These exercises will involve bodyweight exercises, resistance bands, and stability balls, aimed at increasing muscle endurance and promoting better posture. The interventions will be performed three times a week for 10 weeks, with each session lasting 60 minutes | Other | Schroth method with Core Stabilization Exercises |
| Schroth MethodThe control group will receive the Schroth method alone, focusing solely on postural correction exercises. These exercises will aim to improve spinal alignment, reduce curvature, and enhance postural control through spinal elongation, de-rotation, and specific breathing techniques designed to address the scoliosis. The control group will not receive any core stabilization exercises in addition to the Schroth method. This intervention will also be performed three times a week for 10 weeks, with each session lasting 60 minutes | Other | Schroth Method |
Primary outcome
Change in Cobb Angle(Curve Magnitude)
Time frame: Change from Pre-Intervention to the 10th week
The Cobb angle will be used to measure the reduction in spinal curvature. The Cobb angle is the standard method for assessing the severity of scoliosis. A decrease in the Cobb angle indicates improvement in spinal alignment
Change in Lumbar Extensor Endurance (Sorensen Test)
Time frame: Change from pre-intervention to 10th week
The Sorensen test will assess lumbar extensor muscle endurance, measuring the ability to hold an isometric contraction for as long as possible. Improvements in endurance indicate better trunk stability
Change in Chest Mobility (measured by chest expansion)
Time frame: Change from pre-intervention to 10th week
Chest mobility will be measured using a non-stretch measuring tape at the xiphoid level, both at rest and during maximal inhalation and exhalation. An increase in chest mobility is an indicator of improved thoracic flexibility and lung function.
Change in Quality of Life (SRS-22 Questionnaire)
Time frame: Change from pre-intervention to 10th week
The Scoliosis Research Society (SRS-22) questionnaire will be used to assess the quality of life, including function, pain, mental health, self-image, and satisfaction with treatment. Improvements in scores reflect enhanced functional outcomes and psychosocial well-being. Each item is rated on a 5-point Likert scale (1 = worst, 5 = best). Total score ranges from 22 to 110. Higher scores indicate better quality of life and treatment satisfaction.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Jul 2025.
- Results publication: PubMed 33857180Kocaman H, Bek N, Kaya MH, Buyukturan B, Yetis M, Buyukturan O. The effectiveness of two different exercise approaches in adolescent idiopathic scoliosis: A single-blind, randomized-controlled trial. PLoS One. 2021 Apr 15;16(4):e0249492. doi: 10.1371/journal.pone.0249492. eCollection 2021.
- Results publication: PubMed 37448188Egea-Gamez RM, Galan-Olleros M, Martinez-Caballero I, Ramirez-Barragan A, Serrano JI, Palazon-Quevedo A, Gonzalez-Diaz R. Scoliosis in Adolescent Patients With Down Syndrome: Correlation Between Curve Magnitude and Functional Level. Clin Spine Surg. 2023 Dec 1;36(10):E471-E477. doi: 10.1097/BSD.0000000000001495. Epub 2023 Jul 14.
- Results publication: PubMed 31463082Day JM, Fletcher J, Coghlan M, Ravine T. Review of scoliosis-specific exercise methods used to correct adolescent idiopathic scoliosis. Arch Physiother. 2019 Aug 23;9:8. doi: 10.1186/s40945-019-0060-9. eCollection 2019.
- Results publication: PubMed 36692412Ceballos-Laita L, Carrasco-Uribarren A, Cabanillas-Barea S, Perez-Guillen S, Pardos-Aguilella P, Jimenez Del Barrio S. The effectiveness of Schroth method in Cobb angle, quality of life and trunk rotation angle in adolescent idiopathic scoliosis: a systematic review and meta-analysis. Eur J Phys Rehabil Med. 2023 Apr;59(2):228-236. doi: 10.23736/S1973-9087.23.07654-2. Epub 2023 Jan 24.
- Individual participant dataSharing planned: Undecided. Can only be requested from principal investigator
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Schroth Method with Core Stabilization Exercises and Schroth Method in people with Scoliosis and Scoliosis Idiopathic, run by University of Lahore at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 15 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Dr Asim Arif, Physical Therapist (+923216597727, asim.arif@uipt.uol.edu.pk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Cobb Angle(Curve Magnitude) (time frame: Change from Pre-Intervention to the 10th week). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07059663, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jul 2025.