Adolescent idiopathic scoliosis is a structural spinal disorder that occurs during puberty and lacks a definitive etiology. The spinal deviation of the thoracic region occurs more frequently in adolescent and typical manifestations may include noticeable spinal deformities, impair posture and restrict body movement . Existing studies on scoliosis-specific exercises like Schroth, lyon and side shifts approaches have shown positive outcomes in reducing curvature progression and enhancing postural stability. Also, the exergaming exercises enhance postural deformity by providing real-time body movement of postural correction exercises through games.However, research on the tailored program for AIS is limited, leading to uncertainties about it's their clearance effect. Recent literature underscores the need for standardized protocols.The current study aims to assess the evidence of the specific tailored program based on differential approaches of the scoliosis specific exercises as (schroth, lyon and side shifts) methods. Also, asses the evidence of the specific customized tailored exergaming exercises, to identifying their impact on cobb's angle, angle of trunk rotation, pulmonary function and quality of life.