Pilates-Based Exercises Practised by Hybrid Telerehabilitation in Adolescent Idiopathic Scoliosis
Condition: Adolescent Idiopathic Scoliosis
MeSH terms: Scoliosis
Study type: Interventional

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.
    

Detailed description: 
      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.
    

Intervention name(s): Exercise
Intervention type(s): Other
Intervention description(s): Sessions are consisted of scoliosis-specific pilates-based exercises.The exercises were kept constant in total content, but the bilateral or unilateral application directions, the number of repetitions for the right and left sides, and the extremities used were modified for each patient according to the localization of the major curve and the type of the curve. The taught postural corrections were requested to be maintained during all exercises. Exercises for flexibility were performed asymmetrically or symmetrically according to the chosen exercise, extremities were chosen according to the curve type, with 5 repetitions and 30 seconds for each repetition. Exercises aimed at strengthening were performed for a total of 12 repetitions, during a 5-second contraction, by arranging the number of repetitions for the right and left in line with the target muscles, again considering the curve type, and the patients were asked to rest between the exercises.
Allocation: Randomized
Intervention model: Crossover Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Pilates; Telerehabilitation