Short-term Effects of the Simultaneous Use of Two Physiotherapeutic Methods in the Treatment of Adolescent Idiopathic Scoliosis - Pilot Study

Study Overview
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Brief Summary
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The assessment of influence joint physiotherapy (DoboMed and OMT Kaltenborn - Evjenth) on the function of the respiratory system and the morphology of the ribcage in short-term intensive physiotherapy.

Official Title
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Short-term Effects of the Simultaneous Use of Two Physiotherapeutic Methods in the Treatment of Adolescent Idiopathic Scoliosis - Pilot Study

Conditions
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The Spirometry;, The Strength of Respiratory Muscles - MIP, MEP;, Kyphosis (Plurimeter-V), The Angle of Trunk Rotation in Thoracic Part

Intervention / Treatment
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* Other: Derotational manual therapy techniques in selected segments in spine
* Behavioral: Sham therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: girls aged 10 to 16 one arc right side curve Cobb range 12 - 40 degrees Exclusion Criteria: bigger Cobb range double arc curve no parent approval lack of cooperation

Ages Eligible for Study
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Minimum Age: 10 Years
Maximum Age: 16 Years

Sexes Eligible for Study
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Female

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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Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Sham Comparator: Control Group<br>Control DoboMed group - only specific active exercises: symmetrical positions for exercising; asymmetrical active movements; thoracic spine kyphotization; transverse plane derotation; apical area involvement; concave ribs mobilization; exteroceptive facilitation; respiration-directed movements of the thorax and spine; three-dimensional displacement of vertebra; active autocorrection. | Behavioral: Sham therapy<br> <br> |
| Experimental: Experimental group<br>Experimental DoboMed and Kaltenborn manual therapy. Suitable techniques were chosen according to manual examination: cervical spine; thoracic spine; lumbar spine; costovertebral articles; pelvis position. During the 15 sessions in group DK we used:derotational manual terapy techniques in selected segments of spine in preparation for the exercises according to the DoboMed method; the manual techniques used in continuation study were different from techniques in pilot study. | Other: Derotational manual therapy techniques in selected segments in spine<br>* Derotational manual therapy techniques in selected segments of spine in preparation for the exercises according to the DoboMed method.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Simultaneous use of two physiotherapeutic methods in the treatment of Adolescent Idiopathic Scoliosis | Forty-two girls with thoracic AIS; mean age - 14.5y. Cobb - (range 12-40) The group was divided into two randomized subgroups. DoboMed was applied in group D only. DoboMed and manual therapy (Kaltenborn) were applied in group DK. The spirometry, the strength of respiratory muscles (maximal inspiratory and expiratory pressures- MIP, MEP), kyphosis (plurimeter-V) and the angle of trunk rotation (ATR) in thoracic part (Bunnell scoliometer) were estimated twice - before and after therapy. | 3 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Manual therapy, DoboMed exercise, Spirometric test