NCT06266637

Effect of Scoliosis-Specific Exercise on Lower Limb Biomechanics

Effect of Physiotherapeutic Scoliosis-Specific Exercise on Lower Limb Biomechanics in Adolescents With Idiopathic Scoliosis: A Randomised Controlled Trial

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 56 (actual)
• Sponsor: Delta University for Science and Technology · Academic / Other
• Sex: All
• Age: 10 Years – 18 Years
• Healthy volunteers: Not accepted

Summary

PURPOSE: To examine the effect of Physiotherapeutic Scoliosis-Specific Exercise on limb biomechanical parameters in adolescents with idiopathic scoliosis. A randomised controlled trial BACKGROUND: Adolescent idiopathic scoliosis is one of the most common orthopaedic diseases affecting the spine during adolescence. The efficacy of exercise treatment is controversial. Although evidence suggests that PSSE, which include auto-correction in 3D, integration in daily life, stabilizing the corrected posture, and patient education, could improve some outcomes, effect of PSSE on related biomechanical alterations in lower limbs have not yet been examined. HYPOTHESES: Null hypothesis There are no statistically significant effect of Physiotherapeutic Scoliosis-Specific Exercise on lower limb biomechanics in scoliotic adolescents. RESEARCH QUESTION: What are the effect of Physiotherapeutic Scoliosis-Specific Exercise on lower limb biomechanics in scoliotic adolescents.?

Detailed description

procedures: A randomized controlled clinical trial will be conducted Assessment: x-ray computed scanogram radiography of the whole spine and both lower limbs in standing will be used. The following measurements will be taken pre and post the treatment program: For the lumbar spine coronal alignment: 1. Cobb's angle for dorso-lumbar scoliosis (curve apex from D10- L4) will be measured. 2. Coronal balance estimated by the distance between plumb line and central sacral line from anterioposterior x-ray view For both lower limbs: 1. the length will be measured for the limb, the tibia and the femur 2. tibiofemoral angle 3. joint line convergence angle 4. mechanical axis 5. mechanical axis deviation Treatment: Patients will be randomly assigned into two groups to receive the prescribed treatment program for 6 months., 1 session per week in addition to a home program of daily exercise . The control group will receive the standard care composed of trunk muscles strengthening exercises, trunk proprioception exercises . The experimental group will receive the same standard treatment in addition to Physiotherapeutic Scoliosis-Specific Exercise Data will be analyzed using 2 way MANOVA.

Conditions

• Scoliosis Idiopathic

Interventions

Type	Name	Description
OTHER	Conventional Physical Therapy Program	Conventional Physical Therapy program: trunk muscles strengthening exercises, trunk muscles endurance exercises, trunk proprioception exercises . postural correction exercises. Core exercise Spinal mobility exercises
OTHER	Physiotherapeutic Scoliosis-Specific Exercise (Schroth)	It uses exercises customized for each patient to return the curved spine to a more natural position. The spine is addressed in all three anatomical planes - sagittal, frontal and transverse. The purpose of the method is to create spinal balance and stability by improving body mechanics and spinal stabilization to prevent further curve progression

Timeline

• Start date: 2023-03-12
• Primary completion: 2024-03-01
• Completion: 2024-03-15
• First posted: 2024-02-20
• Last updated: 2024-02-20

Locations

1 site across 1 country: Egypt