HRQoL And Function Of Adults Treated In Adolescence For Scoliosis With Physical Exercises
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Purpose
We attempt to investigate the influence of physiotherapy and physical activity education applied in adolescence on physical fitness, curve progression, pulmonary function, physical activity and quality of life in adulthood. Quality of life assessment includes mental and social functioning, body image, self - esteem, depression and anxiety surveillance. The follow - up period ranges from 15 to 26 years. Also a group of shorter follow - up of 9 - 13 years is available.
The null hypothesis is that scoliosis specific exercise program applied in adolescence does not influence HRQoL and functioning in adulthood.
| Condition |
|---|
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Scoliosis |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Retrospective |
| Official Title: | THE ASSESSMENT OF QUALITY OF LIFE AND FUNCTION OF ADULTS TREATED IN ADOLESCENCE FOR IDIOPATHIC SCOLIOSIS WITH PHYSICAL EXERCISES |
- health related quality of life [ Time Frame: one time point ] [ Designated as safety issue: No ]generic and condition-specific questionnaires
- pulmonary function [ Time Frame: one time point ] [ Designated as safety issue: No ]spirometry, total lung capacity
- physical fitness [ Time Frame: one time point ] [ Designated as safety issue: No ]cycloergometric submaximal physical working capacity test
- curve progression [ Time Frame: two time points: data from medical records (past) and present meausserements ] [ Designated as safety issue: No ]x-ray, Cobb angle, trunk rotation, scoliometer
- psychopathology [ Time Frame: one time point ] [ Designated as safety issue: No ]questionnaires / inventories of mental heath (e.g. depression, anxiety)
| Estimated Enrollment: | 200 |
| Study Start Date: | January 2010 |
| Estimated Study Completion Date: | December 2012 |
| Estimated Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
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exercise
subjects diagnosed and treated in the Centre of Corrective and Compensatory Gymnastics in Bielsko - Biala, Poland, between 1983 and 1994, with scoliosis - specific exercise program
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control
age and condition - matched subjects, who were diagnosed at the same time, in the same clinic, and by the same physician, and prescribed the same method of physiotherapy, but did not start the exercise treatment
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Detailed Description:
Among conservative treatment approaches of adolescent idiopathic scoliosis (AIS), different physiotherapy methods are recommended and popular in some countries (Spain, Germany, Poland), while in others bracing and observation are standard (North America, Australia, the UK, Scandinavia. Neither of the methods have been shown to be definitely effective. Considerable evidence indicates that bracing can lead to psychological stress, poorer body image and self - esteem and reduce overall quality of life in adulthood. As to physiotherapy and physical exercises, such evidence is limited, especially long term follow up studies are not available.
Eligibility| Ages Eligible for Study: | 22 Years to 44 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
Treatment group (retrospection - medical records) - patients diagnosed and / or treated in the Centre of Corrective and Compensatory Gymnastics in Bielsko - Biala, Poland, between 1983 and 1994. Diagnosis: idiopathic scoliosis (IS) - adolescent idiopathic scoliosis (AIS) or early onset idiopathic scoliosis (EOIS) A comparison (control) group: patients with IS, age - and condition - matched, who were diagnosed at the same time, in the same clinic, and by the same physician, and prescribed the same method of physiotherapy, but did not start the exercise treatment.
Inclusion Criteria:
- clinical diagnosis of scoliosis in adolescence
- participation in exercise program in the Centre of Compensatory Gymnastics in Bielsko-Biala in adolescence
- medical records available
Exclusion Criteria:
- contraindications for pulmonary and / or exercise tests
- psychiatric disorders
- recent trauma
- recent traumatic (emotional) event
- contraindications for x-ray exposure
Contacts and Locations| Contact: Maciej Plaszewski, PhD | +48 692 427 156 | plaszewski@wp.pl |
| Poland | |
| Faculty of Physiotherapy, WSA | Recruiting |
| Bielsko-Biala, Poland, 43-300 | |
| Contact: Pawel Kowalski, MSc kovalp@interia.pl | |
| Study Director: | Maciej Plaszewski, PhD | Faculty of Physical Education and Sport in Biala Podlaska, University School of Physical Education, Warsaw, Poland |
More Information
No publications provided
| Responsible Party: | Maciej Plaszewski, PhD, Józef Piłsudski University of Physical Education |
| ClinicalTrials.gov Identifier: | NCT01384955 History of Changes |
| Other Study ID Numbers: | DS.136 |
| Study First Received: | June 27, 2011 |
| Last Updated: | August 23, 2012 |
| Health Authority: | Poland: Ministry of Science and Higher Education |
Keywords provided by Józef Piłsudski University of Physical Education:
|
scoliosis physical therapy long term outcome pulmonary function |
physical fitness health related quality of life psychopathology |
Additional relevant MeSH terms:
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Scoliosis Spinal Curvatures Spinal Diseases Bone Diseases Musculoskeletal Diseases |
ClinicalTrials.gov processed this record on June 13, 2013