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Completed

NCT Number: NCT05056363

The Effects of Core Stability Training in Children With Adolescent Idiopathic Scoliosis

Adolescent idiopathic scoliosis (AIS) is a three-dimensional structural deformity of the spine in which lateral flexion and axial rotation are seen in vertebrae with a Cobb (method for measuring spinal curvature) angle of 10° and above. AIS is the most common type of scoliosis and it occurs in the period from the onset of puberty (up to 10 years) until the closure of growth plates.

Children with AIS have cosmetic effects, decrease in functional capacity, muscle weakness in certain parts of the body, decrease in quality of life and posture disorders. Lack of core stability might be causing these problems.

Core stability training may have a positive effect for these problems experienced by children with AIS.

Pathologies that cause the disease may originate from the nervous system and musculoskeletal system. In this study, the investigators will evaluate these systems objectively with EMG biofeedback and Isokinetic Testing.

The aim of this study is to show the effect of core stability training on various problems (as we mentioned before) caused by the disease. In addition, the investigators of this study hope to contribute to the literature(with objective evaluations) about the pathological background and treatment of this challenging disease which the cause is unknown.

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Key information

Conditions

Adolescent Idiopathic Scoliosis

Age range

10 year–20 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Istanbul University

Istanbul, Fatih, 34093, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Diagnosed with AIS between the ages of 10-20
  • Cobb angle is between 15-40 degrees
  • The child's and family's consent to participate in the study
  • The child does not receive any other treatment that will affect his scoliosis.

Exclusion criteria

  • Surgical operation in the last 3 months
  • Presence of an orthopedic, neurological, systemic disease that will prevent him from exercising
  • Having mental, communicative and behavioral disorders that may cause problems understanding commands and questions or performing exercises
  • Exercising 3 or more days a week.

Treatment and study plan

Home Based Traditional Scoliosis Exercises

Other

Patients in this group will receive posture exercises, strengthening exercises, diaphragmatic breathing exercises and stretching exercises.

Core stability training

Other

Patients in this group will receive traditional scoliosis exercises. In addition, the training group will receive core stabilization exercises for multifidus, diaphragm,erector spines, rectus abdominis, internal and external obliques, quadratus lumborum, iliopsoas, gluteus maximus, and pelvic floor muscles.

Primary outcomes

  1. Muscle Strength of Trunk Flexion / Extension

    Time frame: 8 week

    Measurement of isokinetic and isometric muscle strength with Biodex System 3Pro Multijoint System Isokinetic Dynamometer.

  2. Cobb Angle

    Time frame: 8 week

    Cobb Angle measurement with AP Radiography

  3. Muscle Strength

    Time frame: 8 week

    Evaluation of the muscle strength with using a non-invasive Myomed 932 EMG-biofeedback device (Enraf-Nonius, The Netherlands)

  4. Muscle Electromyographic Activity

    Time frame: 8 week

    Measurement of the surface electromyographic activity with using a non-invasive Myomed 932 EMG-biofeedback device (Enraf-Nonius, The Netherlands)

Secondary outcomes

  1. Trunk Rotation

    Time frame: 8 week

    Evaluation of the thoracic, thoracic-lumber junction, lumber axial trunk rotation with Bunnell Scoliometer

  2. Patients Quality of Life

    Time frame: 8 week

    Quality of life will be measured with using the Scoliosis Research Society 22 item questionnaire (SRS-22r).

    SRS-22 has a minimum score of 22 and a maximum score of 110. Each question is scored on 1-5 scale. Questions are sorted into different domains and total and mean scores for each domain are calculated. A total score for the entire questionnaire is also calculated.

  3. Cosmetic Deformity Evaluation

    Time frame: 8 week

    Patients cosmetic deformity will be evaluated with Walter Reed Visuel Assesment Scale.

    This scale includes seven items with figures representing different aspects of the spinal deformity: spinal deformity, rib prominence, lumbar prominence, thoracic deformity, trunk imbalance, shoulder asymmetry and scapular asymmetry. The figures are scored from minimum (1, no deformity) to maximum (5, severe deformity) and summed up to yield a total score (minimum: 5 points, maximum: 35 points).

  4. Flexibility Measurement

    Time frame: 8 week

    Patients flexibility will be measured with forward and lateral bending tests

Sponsors and collaborators

Lead sponsor

Istanbul University

Other

Registry information

Official study title

In The Light of Isokinetic Test and sEMG: How Effective Is Core Stability Exercise Training On Cobb Angle Muscle Strenght and Quality of Life In Adolescent Idiopathic Scoliosis

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Sep 24, 2021
Registry last updated
Feb 21, 2024

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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