Development of Exercise Protocol for Scoliosis Using Surface Electromyography(S-EMG)

Study Overview
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Brief Summary
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There has been much effort in recent years to better understand the causes of idiopathic scoliosis (IS). Some studies suggested muscle imbalance as a cause of scoliosis based on asymmetric muscular activation. Surface electromyography can evaluate asymmetrical muscular weakness. Therefore, the peak amplitude values can be used to compare the side to side differences in paraspinal muscles. From these findings the investigators improve the exercise method of IS according to muscle weakness and curve pattern.

Detailed Description
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Design: Prospective study Setting: hospital rehabilitation department the investigators will check the muscular activation at bilateral paraspinal muscles with surface electromyography and curve type with simple radiography. Intervention: After that the investigators educate asymmetrical stabilization exercise according to muscle weakness and curve pattern. Main outcome measures: Cobb angle

Official Title
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Development of Exercise Protocol for Scoliosis Using Surface Electromyography(S-EMG)

Conditions
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Idiopathic Scoliosis

Intervention / Treatment
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* Behavioral: asymmetrical stabilization exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: X-ray shows a cobb angle of 10 degrees or higher. Patients 8 and older. Exclusion Criteria: Patients with spinal surgery Patients with scoliosis caused by cerebral palsy, muscle paralysis, polio, congenital spinal cord abnormalities, etc. Cobb angle less than 10 degrees and more than 40 degrees Patients with acute back pain

Ages Eligible for Study
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Minimum Age: 8 Years
Maximum Age: 30 Years

Sexes Eligible for Study
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All

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
Intervention Model: Single Group Assignment
Interventional Model Description: Annual evaluation after educating asymmetrical stabilization exercise. Cohort study.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: asymmetrical stabilization exercise group<br>'asymmetrical stabilization exercise' patient learn asymmetrical stabilization exercise according to the asymmetrical paraspinal muscles weakness and curve type | Behavioral: asymmetrical stabilization exercise<br>* Exercise is combined to form an appropriate combination of motion (Side-lying, Bird-dog, Prone arm lift, Prone leg lift) according to the curve pattern and muscle weakness of each patient's.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cobb angle | the angle of curvature be measured by drawing lines parallel to the upper border of the upper vertebral body and the lower border of the lowest vertebra of the structural curve on plain radiography | through study completion, an average of 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Scoliosis Research Society-22(SRS-22) | questionnaire for evaluating quality of life in patients with idiopathic scoliosis | through study completion, an average of 6 months | 

 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