Structured 3D Exercise and the Conventional Exercise Program for Scoliosis in Children With Rheumatic Disease
Condition: Scoliosis; Juvenile Idiopathic Arthritis
MeSH terms: Arthritis; Scoliosis; Rheumatic Diseases; Arthritis, Juvenile; Collagen Diseases
Study type: Interventional

Summary: 
      Usage including cases followed up with rheumatism diagnosis and treatment in Istanbul
      University-Cerrahpasa Medical Faculty Pediatric Rheumatology Clinic, Physiotherapy and
      Rehabilitation Unit. The study included 50 patients with a spinal x-ray scoliosis problem,
      aged 8-16 years, who were diagnosed with rheumatism at least 6 months ago, whose medical
      treatment was stable, Risser 0-4 and exercise indication (Cobb = 10-45ͦ). Patients with
      additional neurological diagnosis against rheumatism, who have received any previous
      treatment for a spine problem, who have a mental state and who do not have the consent of
      their family will not be included. The cases will be divided into 2 groups by method. In the
      first group (n = 25), structured 3-dimensional scoliosis exercises are taught in the clinic,
      and the second group (n = 25) is taught conventional physiotherapy applications (posture-core
      applications-bennet protocols) in the clinic, and both groups are followed by the WTE method.
    

Detailed description: 
      The demographic and clinical characteristics of all subjects willing to participate in the
      study will be questioned with the "Sociodemographic Data Form". Sociodemographic data form;
      pain, age, gender, height, weight, type of rheumatism, how many years ago the patient was
      diagnosed, the presence of rheumatism and scoliosis in the family, the drugs used, exercise
      habits, exacerbation history, whether they used a device before, and the awareness of the
      family about scoliosis. The trunk rotation angles with the forward bend test and the Cobb
      angle with the SubrotoAngleAid application via x-ray. Respiratory functions will be evaluated
      with portable spirometer, body awareness will be evaluated with Walter Reed Visual Assessment
      Scale, and quality of life will be evaluated with Scoliosis Research Association Scale-22
      (SRS-22). After the evaluations, in the first treatment session in the clinic, the cases in
      the first group; Body awareness, respiratory control, differences between rotational and
      normal breathing, posture exercises and core stabilization exercises will be taught and
      family training will be provided. In the next session, a home program will be created by
      applying 3D scoliosis exercises that are structured according to the needs of the patients.
      Body awareness, respiratory control, posture exercises and core stabilization exercises will
      be taught and family training will be given to the patients in the second group in the first
      treatment session. In the next session, conventional exercises for the needs of the cases
      will be taught and a home exercise program will be created. Both groups will be interviewed
      for 2-week periods using the WTE method, and the exercises will be progressed gradually as
      needed. At the beginning of the treatment and in the 6th month, all evaluations will be
      repeated and the effectiveness of the exercises will be investigated. SPSS (Statistical
      Package for Social Sciences) (SPSS 21.0) statistical program will be used in the statistical
      analysis of the data. In all statistical analyzes, p <0.05 will be considered significant.
    

Intervention name(s): Schroth 3-Dimensional scoliosis exercise; conventional scoliosis exercise
Intervention type(s): Other; Other
Intervention description(s): Schroth 3-Dimensional scoliosis exercises; conventional scoliosis exercise
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: scoliosis; Juvenile idiopathic arthritis; 3D exercise