Trial on Two Treatments for Adolescent Idiopathic Scoliosis
Condition: Scoliosis; Adolescence
MeSH terms: Scoliosis
Study type: Interventional

Summary: 
      Adolescent Idiopathic scoliosis is a three-dimensional structural deformity of the spine and
      pelvic that occurs in children. More evidence has arisen to emphasize the important role
      played by pelvic asymmetry during the progression of scoliosis. The purpose of this study is
      to compare the effectiveness of pelvic adjustments accompanied with Schroth-based exercises,
      with the latter alone in adolescent idiopathic scoliosis, to assess the impact of pelvic
      asymmetry on the spinal three-dimensional parametric features in scoliosis.
    

Detailed description: 
      Adolescent idiopathic scoliosis is the most common three-dimensional structural deformity of
      the spine among adolescence, the International Society on Scoliosis Orthopaedic and
      Rehabilitation Treatment recommend specific exercise therapy to delay the progression of
      scoliosis. Many specific exercise therapies are effective in reducing the angle of coronal
      scoliosis, but their efficiency in sagittal and axial deformities hasn't been convincing.
      Recent studies have found that the axial asymmetry of the pelvis may be involved in the
      pathogenesis of idiopathic scoliosis, but there is no clinical study on the treatment of
      scoliosis by correcting the axial torsion of the pelvis neither at home nor abroad. So in
      this study, "3 plus 1" multidimensional exercise therapy was applied to mild adolescent
      idiopathic scoliosis for the first time.

      The present study is a single-center randomized controlled trial conducted at the department
      of rehabilitation medicine, Aerospace Center Hospital. The written Informed consent will be
      obtained from each patient and one of their parents before inclusion. Eligible subjects will
      be randomized by a 1:1 allocation ratio either to the experimental group, in which the "3
      plus 1" multidimensional exercise therapy will be performed and pelvic correction technique
      was adopted to correct pelvic axial rotation, or the control group, in which they will
      receive the Schroth-based exercise therapy. Blinded assessments will be conducted at baseline
      and 6-month after the intervention, including the differences in three-dimensional structural
      parameters of pelvis and spine, such as the ratio of the iliac widths, SRS-22 questionnaire,
      etc, to compare the efficacy of two different groups in improving the three-dimensional
      balance of the spine and the quality of daily life in adolescent idiopathic scoliosis.
    

Intervention name(s): Schroth based scoliosis specific exercise; "3 plus 1" multidimensional exercise therapy
Intervention type(s): Behavioral; Behavioral
Intervention description(s): The intervention is set to be delivered in a one-hour Schroth-based exercise session, with the frequency of twice a week for five weeks. The exercise consists of active auto-correction in 3D, stabilizing the corrected posture, and training in ADL.; The intervention is set to be delivered in a 90-minute exercise session, with a frequency of twice a week for five weeks. The exercise consists of a one-hour Schroth-based exercise session and an additional 30-minute manipulative therapy of pelvic asymmetry.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment