pilates-based exercises practised by hybrid telerehabilitation in adolescent idiopathic scoliosis

Conditions: Adolescent Idiopathic Scoliosis

Summary: the aim of this study was to see the effect of pilates-based exercise training applied with hybrid telerehabilitation method on cobb angle, trunk rotation angle (atr), respiratory functions, respiratory muscle strength and functional capacity in children with ais between the ages of 10-18 and home-based pilates exercise. compare its effectiveness with respect to its training. investigators of this study think that synchronous telerehabilitation sessions added to home-based pilates exercise training in children with ais with moderate and moderate-to-severe curves can have positive effects on the evaluation parameters examined, and the results of this study can guide the relevant physiotherapists and health professionals by adding a new perspective to the literature.

adolescent idiopathic scoliosis (ais) is defined as a deformity characterized by abnormal spinal curve formation and rotation of the vertebrae in the coronal plane in a healthy individual aged 10 years and older, without any known cause.this study aimed to investigate the effect of pilates-based exercise training applied with hybrid telerehabilitation method on cobb angle, respiratory function, respiratory muscle strength and functional capacity in patients with ais, including postural corrections and breathing pattern determined by curve type-localization. within the scope of the study, 32 patients diagnosed with ais, aged 10-18 years, were randomized and divided into education and control groups. cobb angle measurement, trunk rotation angle measurement, respiratory function test, respiratory muscle strength, functional capacity were evaluated in all patients. training and control groups participated in supervised sessions once a week during the first 2 weeks of exercise training processes. during these sessions, the patients were informed about the basics of pilates, the postural corrections determined according to the curve type and localization, and the respiratory principles. for the next 10 weeks, the training group took synchronous online sessions with a physiotherapist 3 days a week, and the exercises were continued at home for 4 days. the control group, on the other hand, continued the same exercises 7 days a week, home-based for 10 weeks. at the end of 12 weeks, all assessments were repeated.

Eligibility criteria:
inclusion criteria: * diagnosis of ais between the ages of 10-18 * cobb angle is between 25-50 degrees * desktop-laptop computers, smart phones, electronic tablets, etc., which will provide internet connection and video-conferencing facilities in the homes of the patients * the child is not included in another treatment program that will affect the progression of scoliosis exclusion criteria: * surgical operation in the last 3 months * the child has a neurological, orthopedic or systemic disease that will prevent him from exercising * having communicative, cognitive and behavioral disorders that may cause problems in understanding commands and questions during assessment and exercises * exercising regularly at least 3 days a week

Keywords: pilates telerehabilitation