Does Adolescent Idıopathic Scoliosis Cause Pelvic Floor Dysfunction?

Study Overview
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Brief Summary
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The aim of this study was to investigate relationship between the type and severity of scoliosis and pelvic floor dysfunctions in individuals with adolescent idiopathic scoliosis.

Detailed Description
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While a healthy spine has a flat appearance in the axial line in the frontal plane, individuals with scoliosis have lateral flexion to one side and rotation deformity in the horizantal plane. In other words, it is a 3-dimensional problem that causes severe postural disorder in advanced stages, accompanied by lateral flexion of the spine of 10 degrees or more in the frontal plane, axial rotation in the transverse plane and kyphosis-lordosis deformity in the sagittal plane. Especially the core region, which is formed by 4 main muscle groups, stabilizes the pelvic organs by balancing intra-abdominal pressure increases and provides spinal stabilization. Studies showing that pelvic floor functions may be affected in normal spinal physiologic curvature changes are available in the literature. However, the relationship between the angle and severity of scoliosis and pelvic floor dysfunctions due to idiopathic scoliosis has not been clearly clarified. In this context, the study aims to evaluate and compare scoliosis-related parameters (type of scoliosis, cobb angle, axial rotation angle), pelvic floor dynamics and dysfunctions in individuals with idiopathic scoliosis and healthy individuals with the same age group and characteristics.

Official Title
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Relationship Between the Type and Severity of Scoliosis and Pelvic Floor Dysfunctions in Individiuals With Adolescent Idiopathic Scoliosis

Conditions
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Scoliosis Idiopathic, Pelvic Floor Disorders

Intervention / Treatment
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* Other: Examination


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Those with adolescent idiopathic scoliosis diagnosed above 10' degree, Under 19 years of age diagnosed with AIS, Individuals whose consent was obtained from their families to participate in the study Exclusion Criteria: Those with congenital scoliosis, Those with a history of neuromuscular disease, Diagnosed with any systemic disease other than AIS, Those with a history of malignancy and/or ongoing treatment, Those with a history of urogenital diseases and surgical history, Individuals with previous spinal surgery

Ages Eligible for Study
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Minimum Age: 11 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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Female

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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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Examination|Posture Evaluation, Scoliosis Examination, Pelvic Floor Assesments|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Scoliosis | With X-Ray | 10 minutes | 
| Posture Analysis | With Posture Screen Mobile Application | 5 minutes | 
| Pelvic Floor Muscle Activity | With Real Time Transabdominal Ultrasound | 15 Minutes | 
| Pelvic Floor Dysfunction | With Pelvic Floor Distress Inventory | 5 minutes | 
| Dysfunctional Voiding | With Dysfunctional Voiding Scoring System | 10 minutes |