Evidence map›Paper›PMID 41843057›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026

Effects of proprioceptive neuromuscular facilitation and core stabilization on physical and functional parameters in adolescents with idiopathic scoliosis: a randomized controlled trial.

Mehmet Hanifi Kaya, Öznur Büyükturan, Buket Büyükturan, Halil Alkan, Fatih Erbahçeci̇

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Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Mehmet Hanifi KayaFaculty of Medicine, Ahi Evran University, Kırşehir, Turkey. hnfky6@gmail.com.
Öznur BüyükturanFaculty of Medicine, Ahi Evran University, Kırşehir, Turkey.
Buket BüyükturanFaculty of Medicine, Ahi Evran University, Kırşehir, Turkey.
Halil AlkanFaculty of Health Sciences, Muş Alparslan University, Muş, Turkey.
Fatih Erbahçeci̇Faculty of Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdolescent Idiopathic Scoliosis (AIS) is a three-dimensional spinal deformity that negatively affects postural alignment, functional capacity, and quality of life. Exercise-based interventions such as Proprioceptive Neuromuscular Facilitation (PNF) and Core Stabilization (CS) are increasingly utilized to improve structural and functional outcomes in AIS, yet comparative evidence remains limited.

objectiveTo evaluate and compare the isolated effects of Proprioceptive Neuromuscular Facilitation (PNF) and Core Stabilization (CS) exercises on spinal curvature, trunk rotation, physical function, and health-related quality of life in adolescents with Adolescent Idiopathic Scoliosis (AIS), with the aim of informing evidence-based conservative treatment strategies.

methodsThis randomized controlled trial included 52 adolescents aged 10–18 years diagnosed with AIS. Participants were randomly assigned to either a PNF group (n = 26) or a CS group (n = 26). Both groups underwent supervised exercise interventions three times per week for 10 weeks. The primary outcome was the Cobb angle. Secondary outcomes included Angle of Trunk Rotation (ATR), Scoliosis Research Society-22 (SRS-22) questionnaire scores, and physical function tests (six-minute walk test, sit-to-stand test). Assessments were conducted by blinded evaluators.

resultsBoth groups demonstrated significant improvements in Cobb angle, ATR, SRS-22 scores, and physical function (p < 0.05). The PNF group showed a greater reduction in Cobb angle (6.8° ± 1.2°) compared to the CS group (5.4° ± 1.1°, p < 0.05), as well as superior improvements in ATR. Quality of life and physical performance improved significantly in both groups, with no statistically significant differences between groups in SRS-22 scores.

conclusionBoth PNF and CS exercises are effective in improving spinal alignment, trunk symmetry, and physical function in adolescents with AIS. PNF appears to offer greater structural benefits, while both interventions are equally effective in enhancing quality of life. These findings support the integration of exercise-based rehabilitation into conservative management protocols for AIS.

Indexed as

Adolescent idiopathic scoliosisAngle of trunk rotationCobb angleCore stabilizationProprioceptive neuromuscular facilitationRandomized controlled trialSRS-22

Identifiers

PMID41843057

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