The Effect of Asymmetric Spinal Stabilization Exercise on Scoliosis

Study Overview
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Brief Summary
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The purpose of this study is to evaluate the effect of asymmetric spinal stabilization exercise on scoliosis

Detailed Description
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Design: Prospective study Setting: hospital rehabilitation department Intervention: Participants are educated asymmetric spinal stabilization exercise along scoliosis curve patterns, including the location of apex and the direction of convexity. After performing asymmetric spinal stabilization exercise, participants are compared the main outcome measures. Main outcome measures: Cobb angle, Apical vertebral rotation in Adam's test, surface EMG, Scoliosis Research Society-22(SRS-22) quastionnaire

Official Title
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The Effect of Asymmetric Spinal Stabilization Exercise on Scoliosis

Conditions
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Scoliosis Idiopathic

Intervention / Treatment
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* Behavioral: asymmetric spinal stabilization exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: who have idiopathic scoliosis, showing at Cobb's angle over 10 degrees on X-ray Exclusion Criteria: Patients who underwent spinal surgery Patients with spinal scoliosis due to cerebral palsy, muscle paralysis, polio, congenital spinal abnormalities Patients observed with Cobb's angle less than 10 degrees, over 40 degrees Patients complaining of acute low back pain

Ages Eligible for Study
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Minimum Age: 8 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
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: scoliosis patients<br>scoliosis patients who have cobb angle over 10 degree perform asymmetric spinal stabilization exercise | Behavioral: asymmetric spinal stabilization exercise<br>* The patients were educated to strengthening weakness side of spinal muscle, as asymmetric spinal stabilization exercise(ASSE) before teach ASSE, the investigators will evaluate Cobb angle, Apical vertebral rotation in Adam's test, surface EMG, Scoliosis Research Society-22(SRS-22) quastionnaire for evaluation of scoliosis severity after perform ASSE, the investigators will evaluate Cobb angle, Apical vertebral rotation in Adam's test, surface EMG, Scoliosis Research Society-22(SRS-22) quastionnaire for evaluation of scoliosis severity<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| cobb angle | measure lateral curve of vertebra on spine x-ray AP view | through study completion, an average of 6 months | 
| Apical vertebral rotation | angle of trunk rotation in Adam's test | through study completion, an average of 1 year | 
| surface electromyography | surface muscle contraction of bilateral spinal muscle on T7, T12, L3 | through study completion, an average of 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Scoliosis Research Society-22(SRS-22) quastionnaire | five different factors (pain, self-image/appearance, function/activity, mental health, and satisfaction with management, 5 = best; 1 = worst)the minimum and maximum score range is from 5 to 25 | through study completion, an average of 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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surface EMG, cobb angle, exercise, Spinal Curvatures