Effect of PSSE on Spine Reposition Sensation in Scoliosis
Condition: Scoliosis; Adolescence; Spinal Curvatures; Proprioception; Physiotherapy; Exercise
MeSH terms: Scoliosis; Spinal Curvatures
Study type: Interventional

Summary: 
      The main aim of the investigator's study is to investigate the effect of Physiotherapeutic
      Scoliosis-Specific Exercises (PSSE) on spine joint reposition sense and also to investigate
      the effect of PSSE on vertebral rotation, pain, posture, body image and quality of life in
      Adolescent Idiopathic Scoliosis (AIS).

      Twenty-six patients with AIS will randomly allocated to two groups. 'Schroth' exercises will
      apply to the PSSE group for 8 weeks (16 sessions). The control group wiil teach basic
      elements. Patients' spinal pain (Visual Analogue Scale), posture parameters (PostureScreen
      Mobile, Posterior Trunk Asymmetry Index (POTSI) and Anterior Trunk Asymmetry Index (ATSI)),
      cosmetic perception (Walter Reed Visual Evaluation Scale (WRVAS)), joint reposition
      sensations (dual-inclinometer), quality of life (Pediatric Quality of Life Scale and SRS-22)
      will assess at the first session and at the end of 8 weeks.
    

Detailed description: 
      Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity of the spine which is
      seen in 1-3% of the adolescent population and mostly in girls. Lateral curvature in the
      frontal plane, axial rotation in the horizontal plane, and kyphosis and lordosis in the
      sagittal plane are observed. Etiology-related factors of AIS are genetic factors, abnormal
      neurophysiological functions occurring in the nervous system, hormones, metabolic
      dysfunction, abnormal skeletal development, biomedical factors, environmental and lifestyle
      factors.

      The vertical position is associated with cortical, subcortical and medullar integration, and
      postural control based on bodily input.

      Approaches as observation, patient education, scoliosis-specific physiotherapy exercises
      (PSSE), inpatient rehabilitation, electrical stimulation, manipulative applications and brace
      application are the conservative treatments of scoliosis. PSSE, which includes
      three-dimensional correction, daily life activities training, posture stabilization and
      patient education, is a method recommended by Society On Scoliosis Orthopaedic and
      Rehabilitation Treatment (SOSORT) for the conservative treatment of scoliosis. The Schroth
      'method is one of the PSSE methods that use three-dimensional postural correction mechanisms.
      The main goal of the Schroth 'exercises is to reduce the asymmetric load on the spine by
      using posture variations specific to the patient's curvature. There are no studies i
      regarding the effect of PSSE on changing proprioceptive neural mechanisms evaluated in the
      etiopathogenesis of scoliosis.
    

Intervention name(s): PSSE
Intervention type(s): Other
Intervention description(s): Physiotherapeutic Scoliosis-Specific Exercises (PSSE) group will receive exercise for 30-40 mins in a day, twice in a week, totally 8 weeks and 16 hours.
Control group will be taught the basic elements of corrective exercises and want them to do the practising during 8 weeks at home.
Allocation: Randomized
Intervention model: Factorial Assignment
Masking: Double (Participant, Investigator)
Primary purpose: Treatment
Keywords: scoliosis; PSSE; proprioception; joint reposition