NCT07319702

Proprioceptive Neuromuscular Facilitation Combined With Spiral Muscle Chain Training for Pediatric Scoliosis

Clinical Effects of Proprioceptive Neuromuscular Facilitation Combined With Spiral Muscle Chain Training in the Treatment of Children With Scoliosis

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 189 (actual)
• Sponsor: Nie danning · Academic / Other
• Sex: All
• Age: 13 Years – 18 Years
• Healthy volunteers: Not accepted

Summary

The goal of this clinical trial is to evaluate the clinical effectiveness of proprioceptive neuromuscular facilitation (PNF) combined with spiral muscle chain (SPS) training in improving spinal function and posture in children with adolescent idiopathic scoliosis. The main questions it aims to answer are: Does PNF combined with SPS training improve trunk alignment and body balance parameters in children with mild adolescent idiopathic scoliosis? Does the combined intervention improve spinal mobility and paraspinal muscle endurance compared with single-intervention approaches? Does the combined intervention lead to favorable changes in surface electromyography (sEMG) indicators of trunk and paraspinal muscles? Researchers will compare a PNF therapy group, an SPS training group, and a combined PNF + SPS group to assess differences in spinal alignment, muscle endurance, and neuromuscular activation outcomes. Participants will: Be assigned to one of three intervention groups: PNF therapy alone, SPS training alone, or combined PNF and SPS training Participate in supervised exercise training sessions three times per week for 12 weeks Undergo pre- and post-intervention assessments, including electronic spinal measurements and surface electromyography testing

Conditions

• Adolescent Idiopathic Scoliosis (AIS)

Interventions

Type	Name	Description
BEHAVIORAL	Proprioceptive Neuromuscular Facilitation (PNF) Therapy	Proprioceptive neuromuscular facilitation (PNF) therapy is used as an exercise-based intervention to address abnormal spinal curvature in children with adolescent idiopathic scoliosis. The PNF program includes resisted scapular-pelvic patterns, cervical flexion and extension, trunk diagonal patterns (chopping and lifting), bilateral upper-limb diagonal patterns, and bridge exercises. Training sessions are supervised and conducted three times per week (every other day) for 12 weeks.
BEHAVIORAL	Spiral Muscle Chain (SPS) Training	Spiral muscle chain (SPS) training is applied as an exercise-based intervention aimed at improving spinal alignment, postural control, and neuromuscular coordination in children with adolescent idiopathic scoliosis. The SPS program consists of spiral stabilization exercises performed with elastic resistance, body positioning control, and stretching components according to a standardized training protocol. Training sessions are supervised and conducted three times per week (every other day) for 12 weeks.
BEHAVIORAL	Combined Exercise Therapy	The combined intervention integrates proprioceptive neuromuscular facilitation (PNF) therapy and spiral muscle chain (SPS) training as a comprehensive exercise program for children with adolescent idiopathic scoliosis. Participants perform both PNF and SPS exercise components within each training cycle to target spinal alignment, muscle endurance, and neuromuscular activation. Training sessions are supervised and conducted three times per week (every other day) for 12 weeks.

Timeline

• Start date: 2024-03-05
• Primary completion: 2024-12-30
• Completion: 2024-12-30
• First posted: 2026-01-06
• Last updated: 2026-01-06

Locations

1 site across 1 country: China