The Effects of Core Stability Training on Balance in Children With Adolescent Idiopathic Scoliosis

Study Overview
=================
Brief Summary
-----------------
Scoliosis can be defined as a 3-dimensional deformity in which the lateral deviation and rotation of the vertebrae occur, as well as changes in the physiological curves of the spine. The gold standard criterion is that the Cobb angle, which determines the lateral deviation of the spine in the frontal plane, is greater than 10°. Postural control and balance occur as a result of the integration of many sensory information. It is thought that postural control and balance in Adolescent Idiopathic Scoliosis (AIS) patients are adversely affected by biomechanical changes in sensory input, central integration, weight transfer mechanism and the structure of the medulla spinalis. In addition to these, vestibular disorders and proprioceptive losses may have an effect on balance. Decline in balance reduces the quality of life of individuals with AIS. In addition, exercise has an important place in the treatment of individuals with AIS. In order to get more efficiency from the exercises, it is necessary to improve the balance. The aim of this study is to evaluate the changes in balance and proprioception of patients, to determine the place of balance exercises in the treatment of individuals with AIS, and to investigate the effect of core stabilization exercises on balance and proprioception in patients with AIS.

Official Title
-----------------
The Effects of Core Stability Training on Balance in Children With Adolescent Idiopathic Scoliosis

Conditions
-----------------
Adolescent Idiopathic Scoliosis

Intervention / Treatment
-----------------
* Other: Home Based Traditional Scoliosis Exercises
* Other: Core Stability Training


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Diagnosed with AIS between the ages of 10-18 Cobb angle is between 10-40 degrees The child's and family's consent to participate in the study The child does not receive any other treatment that will affect his scoliosis Exclusion Criteria: Surgical operation in the last 3 months Presence of an orthopedic, neurological, systemic disease that will prevent him from exercising Having mental, communicative and behavioral disorders that may cause problems understanding commands and questions or performing exercises Exercising 3 or more days a week.

Ages Eligible for Study
-----------------
Minimum Age: 10 Years
Maximum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Control Group<br>The control group will be given home based traditional scoliosis exercise training for 8 weeks, 5 days a week for 45 minutes. | Other: Home Based Traditional Scoliosis Exercises<br>* Patients in this group will receive posture exercises, strengthening exercises, diaphragmatic breathing exercises and stretching exercises.<br>|
| Experimental: Training Group<br>In addition to conventional home based traditional scoliosis exercises, patients in this group will also receive core stabilization exercise training for 45 minutes, 5 times in a week for 8 weeks. Every two sessions will be supervised in a clinic per week. | Other: Home Based Traditional Scoliosis Exercises<br>* Patients in this group will receive posture exercises, strengthening exercises, diaphragmatic breathing exercises and stretching exercises.<br>Other: Core Stability Training<br>* Patients in this group will receive traditional scoliosis exercises. In addition, the training group will receive core stabilization exercises for multifidus, diaphragm,erector spines, rectus abdominis, internal and external obliques, quadratus lumborum, iliopsoas, gluteus maximus, and pelvic floor muscles.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Balance | Evaluation of balance with Biodex Balance System | 8 week | 
| Proprioception | Evaluation of proprioception with Biodex System 3 Pro Multijoint System | 8 week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Balance | Evaluation of balance with Unipedal Stance Test | 8 week | 
| Proprioception | Evaluation of proprioception with Unterberger Test | 8 week | 
| Balance | Evaluation of balance with Modified Rhomberg Test | 8 week | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Balance, Proprioception, Exercise