Physiotherapy Scoliosis Specific Exercise Improves Truncal Shift in Idiopathic Scoliosis

Study Overview
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Brief Summary
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Introduction: Truncal shift caused by scoliosis can be measured with a Formetric Scanner using the Maximal Thoracic Apical Deviation (MTAD) measurement. It is a well-documented complaint with regards to body-image in patients with idiopathic scoliosis (IS). Furthermore, thoracic apical deviation is an important measure in pre-operative assessment and post-operative outcomes. Objective: The aim of this retrospective cohort study was to determine the long-term effects of an intensive course of Physiotherapy Scoliosis Specific Exercise (PSSE) on MTAD in patients with IS. Methods: Consecutive IS patients with a single right-sided thoracic curvature who completed an intensive 4-week course of PSSE were recruited. Data was collected between April 2019 and December 2021. All patients were routinely scanned using a Formetric Scanner pre-, immediately post-, 12- and 24-months post-treatment. MTAD, measured in millimetres, was documented. Adults (>17 years old) (group 1) and children (group 2) were analysed separately.

Official Title
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Physiotherapy Scoliosis Specific Exercise Improves Truncal Shift in Idiopathic Scoliosis: a 24 Month Follow up

Conditions
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Scoliosis, Apical Deviation, Adolescent Idiopathic Scoliosis

Intervention / Treatment
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* Other: Physiotherapy Scoliosis Specific Exercise (PSSE)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients who completed the group treatment program in its entirety. Patients who have measurements obtained from all necessary time points. Patient who have Scoliosis and who have a primary thoracic curvature. Exclusion Criteria: Patient who did not complete treatment or all measurements obtained. Patients who underwent surgery.
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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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Children<br>Patients under the age of 18 | Other: Physiotherapy Scoliosis Specific Exercise (PSSE)<br>* Patients completed 120 hours of group based PSSE over a four week time frame. Monday - Friday, 10.00-17.00.<br>|
| Adults<br>Patients 18 years old and above | Other: Physiotherapy Scoliosis Specific Exercise (PSSE)<br>* Patients completed 120 hours of group based PSSE over a four week time frame. Monday - Friday, 10.00-17.00.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Maximal Thoracic Apical Deviation | Maximal Apical Deviation measurement in mm, obtained from the DIERS 4D Formetric Scanner | Pre-Treatment (Day 1 of treatment), Day 20 of treatment after study completion, an average of four weeks later, 12 months after Post-Treatment, and 24 months after Post-Treatment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Body Image Score | Average Body Image Score. Average score from 5 categories, scored from 1-10. | Pre-Treatment (Day 1 of treatment), Day 20 of treatment after study completion, an average of four weeks later, 12 months after Post-Treatment, and 24 months after Post-Treatment |