Clinical trial NCT06276972: Relationship Between Spine Coronal Alignment and Lower Limb Biomechanical in Scoliosis
Official title: The Relationship Between Spine Coronal Alignment and Lower Limb Biomechanical Parameters in Scoliotic Adolescents. A Cross Sectional Study
Study type: OBSERVATIONAL
Overall status: ACTIVE_NOT_RECRUITING
Conditions: Scoliosis
Keywords: scoliosis
spine alignment
lower limb
biomechanics
Lead sponsor: Delta University for Science and Technology
Sponsor class: OTHER
Collaborators: name: Benha University
First posted: 2024-02-26
Enrollment: 89
Sex: ALL
Minimum age (years): 10
Maximum age (years): 18
Standard ages: CHILD
ADULT
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: adolescents with idiopathic scoliotic curvature of structural origin and in which any secondary causes could be excluded

Brief summary: To examine the relationships between spine coronal alignment and lower limb biomechanical parameters in scoliotic adolescents

Detailed description: BACKGROUND:

Adolescent idiopathic scoliosis is one of the most common orthopaedic diseases affecting the spine during adolescence. Numerous studies deal with the aetiology of the disease, X-ray morphology and classification of curvatures and how the disorder disrupts the spinal biomechanical balance, however the disorder is a complex three-dimensional deformity that affects the body as a whole, and these effects must not be overlooked. No cross-section studies were found assessing the connection between sagittal or coronal balance and the biomechanical parameters of the lower extremity.

HYPOTHESES:

Null hypothesis There are no statistically significant relationships between spine coronal alignment and lower limb biomechanical parameters in scoliotic adolescents.

RESEARCH QUESTION:

What are the relationships between spine coronal alignment and lower limb biomechanical parameters in scoliotic adolescents?

PURPOSE: To examine the relationships between spine coronal alignment and lower limb biomechanical parameters in scoliotic adolescents

Eligibility criteria: Inclusion Criteria:

* Adolescents with age 10-18 years
* complaining of dorsolumbar scoliosis
* curves (apex lies between D10 and L4)
* curve magnitudes greater than 15 degrees and less than 90
* using or not using brace
* all maturity levels (Risser = 0-5)

Exclusion Criteria:

* Other types of scoliosis ; congenital or neuromuscular
* Current physical therapy or medical treatment for scoliosis,
* Contracture or surgery affecting the lumbar spine or lower limbs
* Pathologies such as inflammatory diseases
* congenital anomalies
* Neurological disorders like cerebral palsy or ataxia
* dislocations
* visual or auditory problems

Primary outcomes:
measure: Cobb's angle
timeFrame: at the enrollment
measure: Coronal balance
timeFrame: at the enrollment
measure: length of the the tibia and femur
timeFrame: at the enrollment
measure: tibiofemoral angle
timeFrame: at the enrollment
measure: knee joint line convergence angle
timeFrame: at the enrollment
measure: lower limb mechanical axis; and mechanical axis deviation
timeFrame: at the enrollment
Secondary outcomes:
Other outcomes:
Locations:
city: Gamasa
country: Egypt
facility: Delta university for science and technology
state: Dakahleya
Study officials:
References: