Trial of Posture Correction Girdle for Adolescents With Early Scoliosis

Study Overview
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Brief Summary
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Adolescent idiopathic scoliosis (AIS) is a prevalent chronic condition that gradually leads to the three dimensional deformity of the spine. Spine curvature increases in youths as puberty progresses. Generally, only observation is suggested for adolescents with early scoliosis (Cobb's angle ≤ 20°). Rigid brace treatment is too draconian for them due to the high corrective force which nearly constrains all movements. Flexible brace treatment is an alternative option; however, its efficacy is still controversial. Posture correction girdle with a specialized design for teenagers with scoliosis is limited and most part of them can only provide some improvement for bad postures, such as hunchback. A scientific approach should be used to design and develop posture correction girdle as a treatment option for adolescents with early scoliosis.

Detailed Description
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The design of posture correction girdle will incorporate different mechanisms, such as compression and pulling forces through a close fit of the intimate apparel lumbar flexion by using a supporting belt transverse forces applied by inserting pads inside the pocket lining by using the principle of the 3-point pressure system axial rotation or coupled motion by using a system with uneven straps, and an active mechanism that aims to shift the trunk away from areas of pressure.

Official Title
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Anisotropic Textile Braces for Adolescent Idiopathic Scoliosis

Conditions
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Scoliosis

Intervention / Treatment
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* Device: Posture Correction Girdle


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosis of AIS Cobb's angle 10˚-20˚ Risser grade ≤ 2 No prior treatment Pre-menarche or post- menarche by no more than 1 year Ability to read and understand English or Chinese Physical and mental ability to adhere to anisotropic textile braces protocol Exclusion Criteria: Diagnosis of other musculoskeletal or developmental illness that might be responsible for the spinal curvature History of previous surgical or orthotic treatment for AIS Contraindications for pulmonary and/ or exercise tests Psychiatric disorders Recent trauma Recent traumatic (emotional) event

Ages Eligible for Study
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Minimum Age: 10 Years
Maximum Age: 13 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Posture Correction Girdle<br>The design of posture correction girdle will incorporate different mechanisms, such as a) compression and pulling forces through a close fit of the intimate apparel, b) lumbar flexion by using a supporting belt, c) transverse forces applied by inserting pads inside the pocket lining by using the principle of the 3-point pressure system, d) axial rotation or coupled motion by using a system with uneven straps, and e) an active mechanism that aims to shift the trunk away from areas of pressure | Device: Posture Correction Girdle<br>* Participants will be invited to undergo a fitting session of posture correction girdle. After the fitting, participants will join a 6-month wear trial of the posture correction girdle. Participants are required to wear the girdle for 8 hours a day and the compliance will be recorded by a logbook daily. Participants will be invited to undergo assessments before the wear trial, after the trial of 3 months, and after the trial of 6 months. The measure outcomes of the assessment include 1) ultrasound scanning image, 2) 3D body scan, 3) electromyography signal, 4) garment pressure, and 5) questionnaire.<br>|
| No Intervention: Control<br>No treatment will be provided for control participants. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Effectiveness of posture correction girdle | The spinal curve progression is said to be under control if the increase in the Cobb's angle is <5° | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Posture improvement | Improvement of posture by clinical photographs assessment | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Posture Correction Girdle