IJOMAHIP Published Article Details

Abstract Structural scoliosis is a three-dimensional spinal deformity marked by lateral curvature and vertebral rotation. In adults, lumbar scoliosis can contribute to chronic pain, gait changes, and reduced quality of life. Corrective exercises (CE) are central to conservative care, but the rigidity of structural curves often limits therapeutic gains. Repetitive peripheral magnetic stimulation (rPMS), is a non-invasive neuromodulatory method, may enhance muscle activation, decrease stiffness, and improve tolerance to exercise, though its use in scoliosis has not been well studied. The single-case pre-post observational report explored the effect of combining rPMS with CE on spinal alignment in an adult with structural lumbar levoscoliosis, and assessed the feasibility and safety of this approach. A 52-year-old male with a baseline lumbar Cobb angle of 23° completed a 5-week program consisting of ten rPMS sessions (BTL 6000 Super Inductive System Elite, 30% intensity; joint mobilization, relaxation, and strengthening protocols) followed by 30 minutes of pupervised CE. Lumbar Cobb angle was measured on standing anteroposterior radiographs before and after treatment. Feasibility and safety were monitored through attendance, adverse-event reporting, and patient feedback. Post-intervention imaging showed a reduction in lumbar Cobb angle from 23° to 20°, indicating a 3° improvement in coronal alignment. The protocol was well tolerated, with full adherence, no reported adverse events, and positive participant feedback. Although the magnitude of change was modest, a 3° reduction is meaningful in the context of adult structural scoliosis, where curve flexibility is limited. These findings suggest that integrating rPMS with CE may offer a complementary strategy for improving spinal alignment in adults with structural lumbar scoliosis. Further research with larger samples and controlled designs is warranted to clarify its therapeutic potential. KEYWORDS: scoliosis, repetitive peripheral magnetic stimulation, corrective exercise, Cobb angle, neuromodulation, case report