Spinal Stabilization Exercise Effectiveness for Low Back Pain in Adolescent Idiopathic Scoliosis: A Randomized Trial

Karina Amani Zapata, Sharon S. Wang-Price, Daniel J. Sucato, Mary Thompson, Elaine Trudelle-Jackson, Venita Lovelace-Chandler

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


Purpose: To compare 8 weeks of weekly supervised spinal stabilization exercises with 1-time treatment in participants with low back pain and adolescent idiopathic scoliosis. Methods: Participants were randomly assigned to the supervised or unsupervised group. Seventeen participants in the supervised group received weekly physical therapy, and 17 participants in the unsupervised group received a 1-time treatment followed by home exercises. Results: Significant between-group differences were found in the Numeric Pain Rating Scale and the Patient-Specific Functional Scale scores after 8 weeks (P <.01), indicating the supervised group had significantly more pain reduction and functional improvements than the unsupervised group. However, no between-group differences were found in back muscle endurance, the revised Oswestry Back Pain Disability Questionnaire scores, or the Global Rating of Change scores. Conclusions: Supervised physical therapy may be more effective than 1-time treatment in reducing pain and improving function in patients with adolescent idiopathic scoliosis and low back pain.

Original languageEnglish (US)
Pages (from-to)396-402
Number of pages7
JournalPediatric Physical Therapy
Issue number4
StatePublished - Sep 25 2015


  • adolescent
  • exercise therapy/methods
  • female
  • human
  • low back pain/physiopathology
  • low back pain/therapy
  • male
  • muscle strength/physiology
  • pain measurement
  • patient education as topic
  • physical therapy/methods
  • questionnaires
  • scoliosis
  • self-care
  • treatment outcomes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Physical Therapy, Sports Therapy and Rehabilitation


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