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Effectiveness of Exercises in Adolescent Idiopathic Scoliosis

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ClinicalTrials.gov Identifier: NCT02552615
Recruitment Status : Completed
First Posted : September 17, 2015
Last Update Posted : September 17, 2015
Sponsor:
Collaborator:
Hacettepe University
Information provided by (Responsible Party):
Gözde Gür, Hacettepe University

Brief Summary:
The aim of this study was to compare the effects of spinal stabilization and body awareness in addition to brace wearing versus classical exercises on subjective verticality perception, trunk symmetry and quality of life in AIS. Study included 30 AIS patients between the ages of 14.40±201 years (stabilization group), 14.2±2 years (Body awareness) and 13.60±1.65 (classical). Cobb angles, rotation, subjective visual (SVV), postural (SPV) and haptic (SHV) and deformity perception, quality of life were assessed at baseline and after 10th week of treatment. Cobb angle decreased in stabilization and awareness groups. Rotation decreased in three groups. SVV improved in all groups. SPV and SHV, body asymmetry and cosmetic deformity improved in stabilization and awareness groups. Only function improved with stabilization treatment. Stabilization and body awareness exercises created positive changes in AIS.

Condition or disease Intervention/treatment Phase
Adolescent Idiopathic Scoliosis Other: body awareness therapy Other: core stabilization exercises Other: traditional exercises Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 30 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Investigation of the Effects of Spinal Stabilization and Body Awareness Exercises on Subjective Vertical Perception, Curve Magnitude, Body Symmetry and Quality of Life in Adolescent Idiopathic Scoliosis
Study Start Date : January 2014
Actual Primary Completion Date : March 2015
Actual Study Completion Date : June 2015

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: body awareness therapy (BAT)
Each session started with short warm-up, continued with specific exercises. Following each session, verbal reflexions was taken for 10 minutes. Exercises fulfilled in lying, sitting, standing and walking positions. Additionally program included vocal-breathing exercises and massage. Patients received 20 sessions for one hour at clinic for ten-week treatment period.
Other: body awareness therapy
Active Comparator: Traditional exercises
Program included traditional exercises intended for strengthening back, abdominal, pelvis and shoulder girdle muscles and muscles in convex side of the curve, stretching exercises especially for the concave side of the curve, flexibility exercises for spine, postural training and breathing exercises. Patients received 20 sessions for one hour at clinic for ten-week treatment period.
Other: traditional exercises
Experimental: core stabilization exercises
Exercises started to progress from static to dynamic positions in which muscle activation incorporate into functional tasks including trunk and extremity movements. Local, global muscle stability training, global muscle mobility training and strengthening training of these core structure was carried out progressively advancing more difficult. Patients received 20 sessions for one hour at clinic for ten-week treatment period.
Other: core stabilization exercises



Primary Outcome Measures :
  1. cobb angle [ Time Frame: 10 weeks ]
    Cobb's angles were measured on standard standing anterior-posterior spine radiograph and recorded as degrees. Cobb angle is considered the gold standard to evaluate the curve magnitude


Secondary Outcome Measures :
  1. Posterior Trunk Asymmetry Index (POTSI) [ Time Frame: 10 weeks ]
    POTSI is a surface topography method, which scores body shape and asymmetry objectively. The measurements of patient's back were taken for the calculation of the score POTSI is composed of six index including frontal asymmetry index (FAI), height differences index (HDI) for shoulder, axilla and trunk regions. Total score is a sum of these six indexes.

  2. axial trunk rotation [ Time Frame: 10 weeks ]
    Axial trunk rotations (ATR) were assessed with scoliometer in Adam's forward bend test

  3. Walter Reed Visual Assessment Scale (WRVAS) [ Time Frame: 10 weeks ]
    WRVAS was used to assess cosmetic deformity. The domains of WRVAS are body curve, rib prominence, flank prominence, head rib pelvis, head pelvis, shoulder level and scapular rotation. Each domain generates a score from 1 (best deformity) to 5 (worst deformity). Total score is an average of these 7 domains

  4. SRS-22 Questionnaire [ Time Frame: 10 weeks ]
    It assess quality of life in scoliosis. This instrument consists of six domains including function, pain, self-image, mental health, satisfaction/dissatisfaction which are scored from 1 (best answer) to 5 (worst answer) each question

  5. vertical perception [ Time Frame: 10 weeks ]
    All visual (SVV), postural (SPV) and haptic (SHV) subjective vertical perception tests were performed using manually controlled laser liner device by the therapist in a darkened, silent and empty room. The therapist put laser line as deviated from vertical, then turned it to vertical slowly and asked patient to find true earth vertical. Subjects were instructed to tell "stop" when they thought it is correct angle for them. Assessment were repeated for horizontal line and at the angles of 30°, 45°, 60° left and 30°, 45°, 60° right (according to the ground). This test expressed SVV assessment. For SPV patient predict angle with his/her hand position. For SHV, patients predict angle by holding a wooden stick with their hands.



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Ages Eligible for Study:   10 Years to 16 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • patients who were diagnosed with idiopathic scoliosis
  • ages between 10 and 16 who were prescribed a brace

Exclusion Criteria:

  • Patients who did not accept to participate in the study or wear a spinal brace
  • congenital curve
  • neuromuscular, rheumatologic, renal, cardiovascular, pulmonary or vestibular diseases, tumors,
  • previous surgical correction or conservative therapy

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02552615


Locations
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Turkey
Hacettepe University
Ankara, Samanpazari, Turkey, 06100
Sponsors and Collaborators
Gözde Gür
Hacettepe University
Investigators
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Principal Investigator: Gozde Gur, PhD research assistant and physiotherapist
Publications:

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Responsible Party: Gözde Gür, research assistant, Hacettepe University
ClinicalTrials.gov Identifier: NCT02552615    
Other Study ID Numbers: Go 14/19
First Posted: September 17, 2015    Key Record Dates
Last Update Posted: September 17, 2015
Last Verified: September 2015
Keywords provided by Gözde Gür, Hacettepe University:
scoliosis, verticality perception, body symmetry
Additional relevant MeSH terms:
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Scoliosis
Spinal Curvatures
Spinal Diseases
Bone Diseases
Musculoskeletal Diseases