Effects of Schroth Method and Proprioceptive Neuromuscular Facilitation Technique in Patients With Idiopathic Scoliosis

Study Overview
=================
Brief Summary
-----------------
The aim of this study is to compare the effects of schroth method and proprioceptive neuromuscular facilitation techniques on pain, mobility, and quality of life in patients with idiopathic scoliosis.

Detailed Description
-----------------
Scoliosis is a three-dimensional deformity that causes the spine to curve sideways. The most common type of scoliosis is idiopathic, which means the exact cause is unknown. It accounts for approximately 85% of cases. The prevalence rate of 2-5% with a Cobb angle greater than 10 degrees. All previous studies in which schroth method with other different techniques has been performed have shown greater improvement in the management of scoliosis. However, there is no clinical significance work on the Comparative effect of the schroth method and PNF. Previous literature showed no significant improvement in mobility and quality of life. This study aims to find evidence of clinical significance work on effects of Schroth method and proprioceptive neuromuscular facilitation technique on pain, mobility, and quality of life in patients with idiopathic scoliosis in both gender

Official Title
-----------------
Comparative Effects of Schroth Method and Proprioceptive Neuromuscular Facilitation Technique on Pain, Mobility and Quality of Life in Patients With Idiopathic Scoliosis

Conditions
-----------------
Idiopathic Scoliosis

Intervention / Treatment
-----------------
* Other: Schroth exercises
* Other: PNF technique


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Participants with Lenke curve type 1 scoliosis and other types of scoliotic curve magnitude will be included. Cobb angle 10-30 Exclusion Criteria: Participants with any surgical and traumatic history of spine Participants prescribed with brace treatment Subjects with Non-idiopathic scoliosis Subjects with any systematic disease e.g. (cardiovascular, vestibular, rheumatological, neuromuscular and pulmonary disease)

Ages Eligible for Study
-----------------
Minimum Age: 10 Years
Maximum Age: 40 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Schroth exercises<br>Mobilization in the spine between ribs will be performed to increase the mobility of joints. To strengthen the muscles such as erector spinae, iliopsoas, and the quadratus lumborum, muscle activation will be done. Then the four exercises of the Schroth method which are the 50 x Swiss ball exercise, Prone exercise, Sail exercise, and the Muscle-cylinder exercise will be performed. This will be followed by hot pack and static stretching of muscles. | Other: Schroth exercises<br>* 9 participants will perform Schroth exercises with 2 mint rest between each exercise. + Hot pack (10 mint) +static stretching of the involved muscles with 10 to 30-sec hold and 2 to 4 repetitions as a standard treatment. A total of 45 min sessions three times a week on alternate days for three weeks will be provided.<br>|
| Experimental: PNF technique<br>This technique involves the specific program and pattern of PNF that are deep breathing, pelvic posterior tilting, DI flexion & Extension of UL and D2 flexion, and extension of LL. + Hot pack + static stretching of the involved muscles. | Other: PNF technique<br>* 9 participants will perform PNF techniques followed by a hot pack for 10 minutes and static stretching of the involved muscles with 10 to 30-sec hold and 2 to 4 repetitions as a standard treatment. A total of 45 min sessions three times a week on alternate days for three weeks will be given.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| NPRS for pain | The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain). | 3rd week | 
| Goniometer for range of motion | It will be used to measure flexion, extension, and lateral flexion of the spine. | 3rd week | 
| SRS-22 questionnaire for quality of life | It includes five domains: self-image, function, pain, mental health (five questions each), and satisfaction with treatment (two questions) to assess the quality of life with scoliosis. | 3rd week | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
idiopathic scoliosis, schroth method, proprioceptive neuromuscular facilitation techniques