HRQoL and Function of Adults Treated in Adolescence for Scoliosis With Physical Exercises
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.
|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)
|Study Start Date:||January 2010|
|Study Completion Date:||June 2013|
|Primary Completion Date:||April 2013 (Final data collection date for primary outcome measure)|
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
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
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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01384955
|Faculty of Physiotherapy, WSA|
|Bielsko-Biala, Poland, 43-300|
|Study Director:||Maciej Plaszewski, PhD||Faculty of Physical Education and Sport in Biala Podlaska, University School of Physical Education, Warsaw, Poland|