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Completed

NCT Number: NCT07634003

The Effect of Core Exercises in Postoperative Scoliosis

This study aims to investigate the effects of a core stabilization-based rehabilitation program following adolescent idiopathic scoliosis (AIS) surgery on radiological parameters, pain, upper extremity function, range of motion, and scapular assessment. Participants diagnosed with AIS and treated with posterior spinal fusion surgery will undergo a rehabilitation program based on core stabilization exercises. Outcome measures will include Cobb angle, vertebral rotation, Visual Analog Scale (VAS), QuickDASH, Trunk Appearance Perception Scale (TAPS), SRS-22, cervical and shoulder range of motion, and scapular assessment tests. Assessments will be conducted before and after the rehabilitation program.

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Key information

Conditions

Adolescent Idiopathic Scoliosis

Age range

10 year–18 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Hasan Kalyoncu University

Gaziantep, Turkey (Türkiye)

About this study

This study is designed to investigate the effects of a core stabilization-based rehabilitation program following adolescent idiopathic scoliosis (AIS) surgery on radiological, functional, and scapular parameters. Individuals diagnosed with AIS and treated with posterior spinal fusion surgery will be recruited for participation.

Radiological assessment will include thoracic and lumbar Cobb angles and vertebral rotation measurements. Clinical assessments will include the Visual Analog Scale (VAS) for pain, QuickDASH for upper extremity function, Trunk Appearance Perception Scale (TAPS) for body image perception, and SRS-22 for health-related quality of life. Cervical and shoulder range of motion will also be evaluated.

Scapular assessment will include the Lateral Scapular Slide Test (LSST), Scapular Assistance Test (SAT), and wall push-up test. The study aims to evaluate changes in scapular asymmetry, scapular control, and scapulothoracic mechanics following the rehabilitation program.

Assessments will be performed before and after the intervention to examine potential changes in radiological, functional, and scapular outcomes.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Individuals diagnosed with adolescent idiopathic scoliosis (AIS)
  • Individuals who underwent posterior spinal fusion surgery
  • Age between 10 and 18 years
  • Individuals participating in a core stabilization-based rehabilitation program
  • Individuals who agreed to participate voluntarily

Exclusion criteria

  • Presence of neurological, rheumatological, or other orthopedic disorders affecting posture or upper extremity function
  • History of additional spinal surgery
  • Cognitive impairment preventing participation in evaluations
  • Incomplete assessment data
  • Noncompliance with the rehabilitation program

Treatment and study plan

Core Stabilization-Based Rehabilitation Program

Behavioral

Participants received a core stabilization-based rehabilitation program following adolescent idiopathic scoliosis surgery. The rehabilitation program included core stabilization exercises, postural control training, scapular stabilization exercises, and functional exercise approaches.

Primary outcomes

  1. Scapular Assessment

    Time frame: 10 weeks

    Scapular control and asymmetry were evaluated using the Lateral Scapular Slide Test (LSST), Scapular Assistance Test (SAT), and wall push-up test. LSST measures scapular asymmetry by assessing the distance between the scapula and spinal landmarks at different arm positions. Greater side-to-side differences indicate increased scapular asymmetry. SAT evaluates improvement in symptoms and scapular motion during assisted scapular upward rotation. The wall push-up test was used to assess scapular winging and scapular stability.

Secondary outcomes

  1. Visual Analog Scale (VAS)

    Time frame: 10 weeks

    Pain intensity was evaluated using the Visual Analog Scale (VAS). The scale ranges from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Lower scores indicate reduced pain intensity.

Other outcomes

  1. QuickDASH Score

    Time frame: 10 weeks

    Upper extremity function was assessed using the QuickDASH questionnaire. Scores range from 0 to 100, with higher scores indicating greater disability and poorer upper extremity function. Lower scores indicate functional improvement.

  2. TAPS Score

    Time frame: 10 weeks

    Body image perception was evaluated using the Trunk Appearance Perception Scale (TAPS). Scores range from 1 to 5, with higher scores indicating better perception of trunk appearance and lower deformity perception.

  3. SRS-22 Quality of Life Score

    Time frame: 10 weeks

    Quality of life was assessed using the Scoliosis Research Society-22 questionnaire (SRS-22). The questionnaire evaluates pain, self-image, function, mental health, and satisfaction. Higher scores indicate better quality of life.

  4. Range of Motion

    Time frame: 10 weeks

    Cervical and shoulder range of motion measurements were evaluated using goniometric assessment. Higher values indicate greater joint mobility and flexibility.

  5. Radiological Parameters

    Time frame: 10 weeks

    Vertebral rotation measurements were evaluated radiologically. Lower rotation values indicate reduced spinal deformity.

Sponsors and collaborators

Lead sponsor

Hasan Kalyoncu University

Other

Registry information

Official study title

The Effect of Core Stabilization Exercises on Scapular and Shoulder Asymmetry in Postoperative Adolescent Idiopathic Scoliosis.

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Jun 8, 2026
Registry last updated
Jun 8, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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