Adolescent idiopathic scoliosis AIS is the usual diagnosis made in healthy children with a spinal curvature of unknown cause of least 10 degrees but less than 50 degrees. The primary aim of scoliosis management is to stop curvature progression. Anecdotally, the American Academy of Orthopedic Surgeons agree that PSSEs are often considered to produce just as successful of a patient outcome as does surgery. SEAS has been described as a scoliosis-specific active self-correction technique performed without any external aids and incorporated into functional exercises, The primary goals of SEAS include enhanced posture control, posture rehabilitation, muscle endurance, spinal stability, self-correction, and development of balance stability. Treatment sessions are conducted at least twice a week for 40 minutes each. Barcelona Scoliosis Physical Therapy School BSPTS method: based on the principles developed by Katharina Schroth, and is mainly used to treat patients with adolescent idiopathic scoliosis, some forms of congenital anteroposterior scoliosis deformities and such other as Scheuermann disease. The predecessor of BSPTS was founded in 1968 in Barcelona, Spain by physiotherapist Elena Salvá. It is a physiotherapy method that includes cognitive, sensory and kinesthetic retraining to improve scoliosis at a three dimensional level. All principles follow a complete posture correction pattern including the trunk, upper and lower limbs. High-intensity forces are applied to the exercises through isometric contractions, stretching and breathing exercises. In summary, the principles of the BSPTS Method as they appear in the international literature are: 3D postural correction, translation, rotation, sagittal expansions, Expansion / Contraction, Stabilization, Integration. Studies have shown that the BSPTS methodology is also effective in stabilizing the progression of scoliosis. In a one-year study by Zapata and co-authors, the BSPTS group showed effective stabilization of the Cobb angle compared to the observation group. There isn't any previous study comparing between effect of SEAS approach and BSPTS in treating AIS.
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change of cobbs angle
Timeframe: after 6 months of treatment
change of sagittal and coronal imbalance
Timeframe: after 6 months of treatment
changes of angle of trunk rotation
Timeframe: after 6 months of treatment