The Effect of Sitting and Standing Posture on Trunk Rotation in Patients With Idiopathic Scoliosis

Study Overview
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Brief Summary
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The aim of this study is to investigate the acute effect of activities of daily living on trunk rotation in patients with adolescent idiopathic scoliosis.

Detailed Description
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Patients with AIS who applied to Bandırma Onyedi Eylül University Physiotherapy and Rehabilitation Department will be included in this study. Individuals diagnosed with AIS, whose Cobb angle is between 20º -50º, who do not have any chronic diseases that require neurological or psychiatric medication, and who volunteer to participate in the study will be included. Individuals with any contraindications for exercise, previous spine surgery, thoracic apex curvature of 6 or more, mental problems, non-idiopathic scoliosis but with different causes will be excluded from the study. To determine the demographic characteristics of the participants, age, gender, weight, height, presence of chronic disease, age at first diagnosis, exercise habits, treatments, and brace use will be questioned. The ATR will be used to measure degrees of trunk rotation to monitor the effects of treatment without radiographic evaluation. On the first day, the demographic characteristics of the participants will be questioned, Cobb angles, Risser findings, and ATR degrees will be recorded. After the first day, all postural activities and measurements will be taken on different days (at least three days apart) not to affect the degrees of trunk rotation in patients with AIS.

Official Title
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The Effect of Sitting and Standing Posture on Trunk Rotation in Patients With Idiopathic Scoliosis

Conditions
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Scoliosis Idiopathic

Intervention / Treatment
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* Behavioral: Corrected Sitting postures
* Behavioral: Natural / relaxed sitting postures
* Behavioral: Corrected Standing posture
* Behavioral: Natural / relaxed standing postures


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being diagnosed with AIS between the ages of 10-35 Cobb angle between 20º -50º, To be able to continue the program to be applied, Not having a chronic disease that requires the use of any neurological or psychiatric medication, The willingness of parents and/or patients to participate in the study. Exclusion Criteria: The patient has any contraindications for exercise, Having had previous spine surgery, Having a curvature of 6 or more thoracic apex, Having any mental problems, The fact that scoliosis is not idiopathic but has arisen for different reasons (neurological, congenital, etc.)

Ages Eligible for Study
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Minimum Age: 10 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patients with adolescent idiopathic scoliosis<br>Patients with AIS applying to Bandırma Onyedi Eylül University Physiotherapy and Rehabilitation Department will be included in this study. Individuals diagnosed with AIS, whose Cobb angle is between 20º -50º, who do not have any chronic disease requiring neurological or psychiatric medication, and who volunteered to participate in the study will be included. Individuals with any contraindications for exercise, previous spinal surgery, 6 or more curvature of the thoracic apex, mental problems, non-idiopathic scoliosis but with different causes will be excluded from the study. | Behavioral: Corrected Sitting postures<br>* Change after being in Corrected Sitting postures<br>Behavioral: Natural / relaxed sitting postures<br>* Change after being in relaxed sitting postures<br>Behavioral: Corrected Standing posture<br>* Change after being in Corrected Standing posture<br>Behavioral: Natural / relaxed standing postures<br>* Change after being in relaxed standing postures<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Angle of trunk rotation (ATR) | ATR can be used to monitor the effects of treatment without radiographic evaluation. ATR measurement is done using a special inclinometer called a scoliometer. The patient is asked to lean forward with the arms relaxed. The scoliometer is placed posteriorly and the degree observed at the point of greatest gimbosity is recorded. | Change from Baseline angle of trunk rotation at 5 minutes | 
| Demographic Characteristics | Within the scope of the demographic information form, participants' age, gender, weight, height, presence of chronic diseases, age at which they were first diagnosed, exercise habits, treatments received, brace use will be questioned. | Baseline |