Evaluation of Thoracolumbar Fascia and Relationship With Low Back Pain in Individuals With Idiopathic Scoliosis

Study Overview
=================
Brief Summary
-----------------
This observational study seeks to explore the potential association between thoracolumbar fascia characteristics and low back pain in individuals diagnosed with idiopathic scoliosis.

Detailed Description
-----------------
This observational study aims to investigate the potential link between thoracolumbar fascia characteristics and low back pain in individuals with idiopathic scoliosis. The hypothesis underlying this study posits that alterations in thoracolumbar fascia thickness and properties contribute to changes in trunk flexibility and subsequently influence the occurrence and intensity of low back pain in patients with idiopathic scoliosis. The researchers believe that an increase in thoracolumbar fascia thickness may lead to reduced trunk flexibility, restricting the normal range of motion and potentially causing or exacerbating low back pain. To explore this hypothesis, the study will include participants diagnosed with idiopathic scoliosis. The researchers will measure thoracolumbar fascia thickness using ultrasound and assess trunk flexibility through various range of motion tests, including trunk flexion, extension, and lateral flexion using a goniometer, as well as the sit-and-reach test. To quantify the severity of the spinal curvature, the Cobb angle will be measured on anteroposterior standing radiographs. Participants will also be asked to report their pain levels using the Visual Analog Scale, a simple tool where individuals rate their pain on a scale from 0 to 10. By analyzing the collected data, the researchers aim to establish potential correlations between thoracolumbar fascia thickness, trunk flexibility, and low back pain in individuals with idiopathic scoliosis.

Official Title
-----------------
Evaluation of Thoracolumbar Fascia and Relationship With Low Back Pain in Individuals With Idiopathic Scoliosis

Conditions
-----------------
Idiopathic Scoliosis, Pain

Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria (with Scoliosis): Being 10 years of age or older Having a diagnosis of idiopathic scoliosis Having a Cobb angle measurement above 15 degrees Inclusion Criteria (for Healthy Individuals): Being 10 years of age or older Have no pathological spinal curvature. Have no history of low back pain in the last 3 months (Visual Analog Scale score <3/10). Exclusion Criteria: Having any neurological, psychological, congenital, or rheumatological condition Having a history of surgery or trauma involving the lower extremities or spinal region within the last 1 year Having received any previous treatment related to scoliosis

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

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

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

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

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Idiopathic scoliosis without pain<br>In this group, there will be individuals diagnosed with idiopathic scoliosis whose Cobb angle is above 15 degrees and whose pain level, as assessed by the Visual Analog Scale, is below 3. | |
| Idiopathic scoliosis with pain<br>In this group, there will be individuals diagnosed with idiopathic scoliosis whose Cobb angle is above 15 degrees, and their pain level, as assessed by the Visual Analog Scale, is above 3. | |
| Control<br>In this group, there will be healthy individuals whose pain level, as assessed by the Visual Analog Scale, is below 3. | |

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

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Thoracolumbar Fascia Thickness | The thoracolumbar fascia thickness (mm) obtained after ultrasonographic assessment. | Baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual analog scale | The pain levels of individuals obtained after the Visual Analog Scale assessment.Patients will be asked to mark their perceived pain levels on a 100-millimeter horizontal line. | Baseline | 
| Trunk Normal Range of Motion | The degrees of trunk flexion, extension, right lateral flexion, and left lateral flexion obtained after goniometric measurements. | Baseline | 
| Trunk Flexibility | The sit-and-reach test and trunk rotation values will be recorded in centimeters. | Baseline | 
| McGill Short Form Pain Questionnaire | A questionnaire providing numerical outputs about the sensory qualities, affective qualities, and intensity of pain. | Baseline | 
| Oswestry Low Back Pain Disability Questionnaire | A questionnaire scored from 0 to 50, assessing the impact of low back pain on daily life activities. | Baseline | 
| Scoliosis Research Society-30 (SRS-30) | This questionnaire consists of 30 questions and is used to evaluate the health-related quality of life in individuals with scoliosis. | Baseline | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
fascia, scoliosis, pain