Schroth Exercise Versus Functional Electrical Stimulation in Adolescent With Spinal Deformities

Study Overview
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Brief Summary
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Abnormal spinal curvature can occur as a result of neurologic, orthopedic or idiopathic factors. The role of physiotherapy is not only to prevent intrinsic changes that may occur in the spine but also be used to correct postural abnormalities. this study will investigate the impact of Schroth Exercise compared to Functional Electrical Stimulation in Adolescent With Spinal Deformities (scoliosis and or kyphosis).

Official Title
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Schroth Exercise Versus Functional Electrical Stimulation in Adolescent With Spinal Deformities

Conditions
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Idiopathic Spinal Deformities

Intervention / Treatment
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* Other: Schroth Exercise
* Other: Functional Electrical Stimulation (physiotherapy techniques)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children in this group will be healthy category according to CDC (Centers for Disease Control and Prevention) growth chart which ranged from BMI-for-age 5th to 85th percentiles . All children are normal &perform all activities of daily living They were able to understand and follow verbal commands and instructions included in the testing procedures. Exclusion Criteria: All of them could be part of recreational activities in their public schools but no competitive sports. Children who participated in any regular sport activities involving the lower extremities will be excluded. None of them had any surgical intervention . None of them had any history of other musculoskeletal deformities or neuromuscular disorders. They had neither visual, auditory defect.

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 16 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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Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Schroth Exercise<br>The Schroth Method is a nonsurgical option for scoliosis treatment. It uses exercises customized for each patient to return the curved spine to a more natural position. The goal of Schroth exercises is to de-rotate, elongate and stabilize the spine in a three-dimensional plane. it will be applied 3 session per week for 3 months. | Other: Schroth Exercise<br>* two month (three session per week)<br>|
| Experimental: Functional Electrical Stimulation<br>30 minutes of Functional Electrical Stimulation (FES) three times a week for 3 months. Two electrodes were attached on the lateral parts of the convex side of the body, and two others on the erector spinae muscles. FES (CU-FS1; Novastim, Korea) was set at a frequency of 35 Hz, with a 250-μs pulse width. Electrical stimulation lasted for 6 seconds, followed by a 6-second rest. | Other: Functional Electrical Stimulation (physiotherapy techniques)<br>* two month (three session per week)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| cobb angle | The measurement of Cobb angle involves estimating the angle between the two tangents of the upper and lower end-plates of the upper and lower end vertebra, respectively. | at the beginning of the study | 
| cobb angle | The measurement of Cobb angle involves estimating the angle between the two tangents of the upper and lower end-plates of the upper and lower end vertebra, respectively | by the end of successful two month of intervention |