Screening and Prevalence of Adolescent Idiopathic Scoliosis in Selected Urban and Countryside Schools in Egypt

• ClinicalTrials.gov Identifier: NCT03894865
• Recruitment Status: Completed
• First Posted: March 29, 2019
• Last Update Posted: July 30, 2019
• Sponsor: Cairo University
• Information provided by (Responsible Party): Karima Abdelaty Hassan, Cairo University

Study Description

Brief Summary:

Early detection of scoliosis and determination of which areas are more affected urban or countryside will help in early management. Also, this will guide the government and the community for early intervention to decrease the factors that leads to this postural abnormality. This also will guide another clinician to search for the cause of these posture deformities and to concentrate screening for special areas with special cultures.

Condition or disease	Intervention/treatment	Phase
Scoliosis	Other: procedure1; Other: procedure2	Not Applicable

Detailed Description:

Scoliosis may have an impact on the Egyptian society as children between 10-15 years old represent 9.5 % of the population which is the third large category appendix (3). So without the early detection of adolescent idiopathic scoliosis for that age group, bad impacts will be implemented for Egyptian society by causing disabilities and psychological problems for these children.

The early detection of scoliosis is of a great importance as curve detection before skeletal maturation gives a good opportunity for early treatment or prevention of curve progression. Scoliosis has a bad effect on cosmetic appearance, quality of life, Psychological well-being, disability, back Pain, breathing function. It may also progress in adulthood and need further treatment. So a multidimensional and comprehensive evaluation of scoliosis patients is necessary to design a complete therapeutic approach.

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 840 participants
• Allocation: Non-Randomized
• Intervention Model: Parallel Assignment
• Masking: None (Open Label)
• Primary Purpose: Screening
• Official Title: Screening and Prevalence of Adolescent Idiopathic Scoliosis in Selected Urban and Countryside Schools in Egypt
• Actual Study Start Date: April 1, 2019
• Actual Primary Completion Date: July 1, 2019
• Actual Study Completion Date: July 1, 2019

Arms and Interventions

Arm	Intervention/treatment
Experimental: urban school; Male students from selected urban schools undergo screening for idiopathic scoliosis	Other: procedure1; The students will be asked to bend forward with his knees straight, feet together and hands freely and loosely hanged. if there was scoliosis the rib cage rotated and a hump appeared. Positive test indicated the presence of a rib hump and negative if there was any hump appeared; Other Name: Adam's forward bend test; Other: procedure2; Measurement of the angle of trunk rotation (ATR) by using a scoliometer HD smartphone application.; Other Name: Angle of trunk rotation
Experimental: countryside schools; Male students from selected countryside schools undergo screening for idiopathic scoliosis	Other: procedure1; The students will be asked to bend forward with his knees straight, feet together and hands freely and loosely hanged. if there was scoliosis the rib cage rotated and a hump appeared. Positive test indicated the presence of a rib hump and negative if there was any hump appeared; Other Name: Adam's forward bend test; Other: procedure2; Measurement of the angle of trunk rotation (ATR) by using a scoliometer HD smartphone application.; Other Name: Angle of trunk rotation

Outcome Measures

Primary Outcome Measures :

1. Positive Adam's forward bending test [ Time Frame: 10 minutes ]
   Proportion of patients with a positive Adam's forward bending test
2. degree of trunk rotation [ Time Frame: 15 minutes ]
   scoliometer HD reading >7 degrees (=>20 degrees Cobb angle) Proportion of patients with more than 7 degree

Secondary Outcome Measures :

1. screening [ Time Frame: 15 minutes ]
   percentage of childerns with idiopathic scoliosis

Eligibility Criteria

• Ages Eligible for Study: 10 Years to 15 Years (Child)
• Sexes Eligible for Study: Male
• Accepts Healthy Volunteers: No

Criteria

Inclusion criteria:

1. Age range from 10 to 15 years.
2. Males students.
3. Students who have structural scoliosis.

Exclusion criteria:

1. Congenital deformities.
2. Recent fracture and there is a fixation in the upper or the lower extremities
3. Neuromuscular disorder (Cerebral palsy and spinal muscle atrophy).
4. Syndromic disorders (Muscular dystrophy, Osteogenesis imperfect, and Spina-bifida).

Contacts and Locations

Locations

Egypt

Faculty of Physical therapy, Cairo University

Cairo, Egypt, egypt

Sponsors and Collaborators

Cairo University

Investigators

• Principal Investigator: karima A Hassan, PhD; Cairo University

More Information

• Responsible Party: Karima Abdelaty Hassan, principal investigator, Cairo University
• ClinicalTrials.gov Identifier: NCT03894865
• Other Study ID Numbers: scoliosis in Egypt
• First Posted: March 29, 2019
• Last Update Posted: July 30, 2019
• Last Verified: July 2019

Individual Participant Data (IPD) Sharing Statement:

• Plan to Share IPD: No

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Karima Abdelaty Hassan, Cairo University:

scoliosis, prevalence; screening, Egypt

Additional relevant MeSH terms:

Scoliosis; Spinal Curvatures; Spinal Diseases; Bone Diseases; Musculoskeletal Diseases