The Effect Insoles on Functional Capacity With Adolescent Idiopathic Scoliosis Using Spinal Orthosis
Condition: Scoliosis; Adolescence; Pressure Area; Scoliosis; Orthosis
MeSH terms: Scoliosis
Study type: Interventional

Summary: 
      Adolescent Idiopathic Scoliosis; by problem of stabilty causes postural changes, because of
      this reason patient with scoliosis needs to assesment by risk of balance. Postural
      adjustments are required, both in a static stance and during walking. Insoles from foot
      orthoses support better postural balance and control.

      It has been reported that approximately 87% of scoliosis patients have pelvic asymmetry, and
      patients with scoliosis with a Cobb angle of 15⁰ or more have balance problems in their feet.
      Foot orthoses (FO) correct pelvic asymmetry and reduce lower extremity joint angles during
      walking.

      In the literature, although there are studies such as balance assessment and plantar pressure
      analysis in Adolescent Idiopathic Scoliosis (AIS) patients, there are not enough studies on
      the effect of insoles used in scoliosis patients, and it has been observed that there is no
      study on the effect of insoles on treatment in patients using spinal orthosis.

      The aim of this study is to investigate the effect of insoles on the treatment of scoliosis
      patients using Chêneau type spinal orthosis.

      In the study; The effect of insoles on patients with 20-45⁰ curvature, adolescent idiopathic
      scoliosis and using Chêneau type spinal orthosis; It was planned to investigate the groups
      using and not using insoles at the beginning of the treatment and after 3 months of follow-up
      by comparing the results of Cobb angle measurement, functional capacity assessment test,
      quality of life assessment test, balance test and plantar pressure analysis.
    

Detailed description: 
      Adolescent Idiopathic Scoliosis (AIS) is a three-dimensional deformity of the spine that is
      commonly seen in individuals aged 10-19 years, and spinal orthosis application, one of the
      conservative treatment methods, is widely preferred today. Spinal orthosis application in
      individuals with scoliosis may adversely affect functional capacity, quality of life, balance
      and plantar pressure. The aim of this study is to determine the use of insoles for 3 months
      in AIS individuals using Chêneau type spinal orthosis functional capacity, quality of life,
      balance and the effect of plantar pressure is to investigate. Study group included 42
      individuals aged between 10-19 with a Cobb angle of 20-45⁰. Participants were randomly
      separated into 2 groups; Control-KG (n=21) and using insoles-TG (n=21). While only Chêneau
      type spinal orthosis was applied to KG group for 3 months, Chêneau type spinal orthosis and
      insoles were applied to TG group. Measurements were repeated after one week of spinal
      orthosis application and at the end of the 3rd month. The 6 Minute Walk Test (6 MWT) was used
      to evaluate the functional capacity of the participants, the Scoliosis Research Society-22
      (SRS-22) for quality of life, and the Sensor Medica Maxi pedobarographic device for balance
      and plantar pressure measurements.
    

Intervention name(s): Spinal Orthoses and Insoles; Spinal Orthoses
Intervention type(s): Device; Device
Intervention description(s): Evaluation of scoliosis treatment in people using spinal orthoses and insoles; Evaluation of scoliosis treatment in people using spinal orthoses
Allocation: Randomized
Intervention model: Factorial Assignment
Intervention model description: The first group uses spinal orthoses. The second group uses spinal orthosis and insoles.
Masking: Single (Participant)
Primary purpose: Other
Keywords: Adolescent Idiopathic Scoliosis; Scoliosis Brace; Insoles