Self Correction Exercises for Idiopathic Scoliosis Among Adolescents. A Randomised Controlled Trial
Condition: Scoliosis Idiopathic
MeSH terms: Scoliosis
Study type: Interventional

Summary: 
      Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity with an unknown
      cause that affects adolescents aged 10 or older. A standing posterior-anterior radiograph
      with a Cobb angle greater than 10 degrees is used to make the diagnosis. Depending on the
      severity of the spinal deformity, conservative treatments and surgery are used to treat AIS.
      Patients whose spinal curvature is greater than 45 degrees are typically considered for
      surgery. The majority of patients with AIS receive conservative treatments to prevent and
      slow the progression of the curve. 2 Orthotic intervention (OI) and scoliosis-specific
      exercise (SSE) are commonly recommended by the International Society on Scoliosis Orthopaedic
      and Rehabilitation Treatment for patients with a curvature between 20 and 45 degrees. Self
      correction exercises are the group of spinal extension, lateral spinal flexion and rotational
      exercises performed to correct spinal deviation. Exercises are performed in a different
      fundamental postures.
    

Detailed description: 
      Scoliosis is a malformation of the musculoskeletal system that is defined by lateral
      deviation of the spine, which is typically accompanied by vertebral rotation and lordosis.
      The term "scoliosis" refers to the curvature of the spine that results from the condition
      (3-dimensional deformity). Scoliosis in female teenagers often reaches its most advanced
      stage between the ages of 11 and 16 years old. In general, scoliosis may be broken down into
      two categories: structural and non-structural scoliosis. The level of severity and the degree
      of deformity of the spine are the major characteristics that differentiate the two groups. It
      is common practice to refer to the structural type of scoliosis as a sort of spinal deformity
      that cannot be corrected without surgical intervention. Bracing, exercises, and education are
      some of the conservative treatments that may be used to control non-structural spinal
      deformity, which is a movable disorder. Scoliosis that is not treated properly may advance to
      a functionally degraded condition, which is characterized by physical asymmetry, muscular
      imbalance, back discomfort, and considerable respiratory disruption. This can lead to
      distorted body image and a loss of self-esteem in the patient. Idiopathic adolescent
      scoliosis, more commonly known as AIS, is the diagnosis that is typically made in children
      who are otherwise healthy but have a spinal curvature of at least ten degrees but less than
      fifty degrees. This curvature range is what determines whether a child is considered to have
      AIS. While treating scoliosis, the primary goal of therapy should be to slow or stop the
      disease's development so that the treatment may be regarded effective. Non-conservative
      therapies often entail surgical techniques for the correction of spinal abnormalities;
      nevertheless, these operations do not come without associated risks. Individuals who arrive
      with a scoliosis curvature of less than 40 degrees have the potential to be candidates for
      conservative treatments such as physiotherapy scoliosis-specific exercise (PSSE), with or
      without the concomitant use of an external brace.
    

Intervention name(s): Self Correction exercises; orthotic devices
Intervention type(s): Other; Device
Intervention description(s): Active self-correction exercises to restore movements in different planes as close to physiologically normal as possible.; the orthotic devices designed to correct the scoliosis curve
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: 1431 of the 108 subjects visiting out-patient Department of our hospital met the inclusion criteria. All the subjects diagnosed with kyphoscoliosis signed the informed consent approved by the ethical committee of the hospital. The diagnosis was based on the diagnosis by an experienced radiologist. Subjects with idiopathic kyphoscoliosis and Cobb's angle greater than 60 degree and normal pulmonary function were included. The subjects with other cardiovascular pathologies, congenital disorders and inability to commute were excluded from this study.
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary purpose: Treatment