Clinical trial NCT06733623: Impact of Spinal Curves on Asymmetric Posture in Idiopathic Scoliosis
Official title: Does the Presence and Type of Curves Influence the Choice of Asymmetric Postures Adopted in Daily Life by Patients with Juvenile and Adolescent Idiopathic Scoliosis?
Study type: OBSERVATIONAL
Overall status: ACTIVE_NOT_RECRUITING
Conditions: Adolescent Idiopathic Scoliosis (AIS)
Juvenile Idiopathic Scoliosis
Lead sponsor: Istituto Scientifico Italiano Colonna Vertebrale
Sponsor class: OTHER
First posted: 2024-12-13
Enrollment: 490
Sex: ALL
Minimum age (years): 6
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Observational model: CASE_CONTROL
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The participants of the study are patients of a tertiary referral outpatient clinic specializing in the conservative treatment of spinal deformity

Brief summary: Asymmetric postures are often observed in patients with adolescent idiopathic scoliosis (AIS) and are partially associated with instability in sitting and standing positions, as well as with imbalances in gait kinematic parameters in cases of moderate or severe scoliosis.

Based on the currently available data, no correlation has been identified between habitual postures in daily life and the presence of scoliosis. However, the asymmetry of preferred postures in relation to the morphological characteristics of the curves, and how this might contribute to the progression of the clinical condition due to prolonged uneven load distribution, has not yet been analyzed.

Understanding any preferential direction in postures habitually adopted by patients with idiopathic scoliosis could provide valuable insights for the conservative management of the condition.

The aim of this study is to analyze the influence of the morphological characteristics of scoliotic curves (type and laterality) in patients with juvenile and adolescent idiopathic scoliosis on the choice of preferentially maintained asymmetric postures in daily life, using a descriptive questionnaire completed by family members and caregivers, compared to a group of non-scoliotic subjects.

Evaluate the effect of curve magnitude, age, sex, and Risser grade on the choice of usual asymmetric postures.

Estimate the impact of prolonged maintenance of habitual asymmetric postures on the clinical progression in patients with juvenile and adolescent idiopathic scoliosis


Eligibility criteria: Scoliosis group:

Inclusion Criteria:

* Diagnosis of juvenile or adolescent idiopathic scoliosis;
* Age between 6 and 18 years;
* Full spine X-ray in a standing position with anteroposterior projection performed within the year prior to completing the questionnaire.

Exclusion Criteria:

* Diagnosis of secondary scoliosis
* Patients with neuromotor control disorders

Control group:

Inclusion criteria:

* Age between 6 and 18 years;
* No diagnosis of sciolisis
* Full spine X-ray in a standing position with anteroposterior projection performed within the year prior to completing the questionnaire.

Exclusion Criteria:

- Patients with neuromotor control disorders

Primary outcomes:
measure: Everyday posture questionnaire
timeFrame: At enrollment
Secondary outcomes:
Other outcomes:
Locations:
city: Milan
country: Italy
facility: ISICO
Study officials:
References: