The Effect of Conservative Treatment on Perceptual and Cognitive Asymmetry in Scoliosis

Study Overview
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Brief Summary
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Adolescent idiopathic scoliosis (AIS) patients have been found to exhibit cortical asymmetry. This study aimed to examine the impact of conservative treatments on perceptual and cognitive asymmetry in the auditory system assessed by dichotic listening in AIS patients with thoracic major curves.

Detailed Description
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Background: Adolescent idiopathic scoliosis (AIS) patients have been found to exhibit cortical asymmetry. This study aimed to examine the impact of conservative treatments on perceptual and cognitive asymmetry in the auditory system assessed by dichotic listening in AIS patients with thoracic major curves. Method: This study involved 30 AIS patients and 21 healthy subjects. The intervention group used a Cheneau brace and performed 18 Schroth Best Practice (SBP) exercise sessions. Auditory lateralization was assessed using the Dichotic Listening Paradigm (DLP) in both groups before and after the intervention.

Official Title
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The Effect of Schroth Best Practice Exercises and Cheneau Brace Treatment on Perceptual and Cognitive Asymmetry in Adolescent Idiopathic Scoliosis With Thoracic Major Curve

Conditions
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Adolescent Idiopathic Scoliosis

Intervention / Treatment
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* Other: Exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria for Intervention Group: Having been diagnosed with AIS, Being 10-16 years of age, Having a Cobb angle of between 20° and 50° Risser's sign of 0-3, Having right thoracic scoliosis, Being right-handed, Having received no previous treatment that may affect scoliosis, Having no chronic disease requiring the use of medication. Inclusion Criteria for Intervention Group: Participants aged 10-16 years Exclusion Criteria for both groups: Having previous spinal operations, Hearing loss, or the presence of other muscular, neurological, or rheumatic diseases.

Ages Eligible for Study
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Minimum Age: 10 Years
Maximum Age: 16 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
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention group<br>Schroth Best Practice Exercises and Cheneau braces. There were 18 sessions, each lasting 90 minutes, a total of 6 weeks for the exercise training. | Other: Exercise<br>* Cheneau brace and Schroth Best Practice exercise<br>|
| No Intervention: Control Group<br>For six weeks, no application was made. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Dichotic Listening Paradigm | The Dichotic Listening Paradigm is a method that provides behavioral information to determine auditory system asymmetry and is reliable for use with adolescents. The DLP was implemented in both groups at baseline and at the end of week 6 in a seated position with eyes open in a quiet room. In this paradigm, syllables ba, da, ga, pa, ta, and ka were utilized; these were standardized by the Dokuz Eylül University Music Sciences Voice Studio for Turkish society | 6 weeks |