HRQoL and Function of Adults Treated in Adolescence for Scoliosis With Physical Exercises

Study Overview
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Brief Summary
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We attempt to investigate the influence of physiotherapy and physical activity education applied in adolescence on physical fitness, curve progression, pulmonary function, physical activity and quality of life in adulthood. Quality of life assessment includes mental and social functioning, body image, self - esteem, depression and anxiety surveillance. The follow - up period ranges from 15 to 26 years. Also a group of shorter follow - up of 9 - 13 years is available. The null hypothesis is that scoliosis specific exercise program applied in adolescence does not influence HRQoL and functioning in adulthood.

Detailed Description
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Among conservative treatment approaches of adolescent idiopathic scoliosis (AIS), different physiotherapy methods are recommended and popular in some countries (Spain, Germany, Poland), while in others bracing and observation are standard (North America, Australia, the UK, Scandinavia. Neither of the methods have been shown to be definitely effective. Considerable evidence indicates that bracing can lead to psychological stress, poorer body image and self - esteem and reduce overall quality of life in adulthood. As to physiotherapy and physical exercises, such evidence is limited, especially long term follow up studies are not available.

Official Title
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THE ASSESSMENT OF QUALITY OF LIFE AND FUNCTION OF ADULTS TREATED IN ADOLESCENCE FOR IDIOPATHIC SCOLIOSIS WITH PHYSICAL EXERCISES

Conditions
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Scoliosis

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: clinical diagnosis of scoliosis in adolescence participation in exercise program in the Centre of Compensatory Gymnastics in Bielsko-Biala in adolescence medical records available Exclusion Criteria: contraindications for pulmonary and / or exercise tests psychiatric disorders recent trauma recent traumatic (emotional) event contraindications for x-ray exposure

Ages Eligible for Study
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Minimum Age: 22 Years
Maximum Age: 44 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| exercise<br>subjects diagnosed and treated in the Centre of Corrective and Compensatory Gymnastics in Bielsko - Biala, Poland, between 1983 and 1994, with scoliosis - specific exercise program | |
| control<br>age and condition - matched subjects, who were diagnosed at the same time, in the same clinic, and by the same physician, and prescribed the same method of physiotherapy, but did not start the exercise treatment | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| health related quality of life | generic and condition-specific questionnaires | one time point | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pulmonary function | spirometry, total lung capacity | one time point | 
| physical fitness | cycloergometric submaximal physical working capacity test | one time point | 
| curve progression | x-ray, Cobb angle, trunk rotation, scoliometer | two time points: data from medical records (past) and present meausserements | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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scoliosis, physical therapy, long term outcome, pulmonary function, physical fitness, health related quality of life, psychopathology