Clinical trial NCT06063447: Does Adolescent Idıopathic Scoliosis Cause Pelvic Floor Dysfunction?
Official title: Relationship Between the Type and Severity of Scoliosis and Pelvic Floor Dysfunctions in Individiuals With Adolescent Idiopathic Scoliosis
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Scoliosis Idiopathic
Pelvic Floor Disorders
Lead sponsor: Cyprus International University
Sponsor class: OTHER
Collaborators: name: Near East University, Turkey
First posted: 2023-10-02
Enrollment: 12
Sex: FEMALE
Minimum age (years): 11
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Observational model: OTHER
Time perspective: CROSS_SECTIONAL
Sampling method: PROBABILITY_SAMPLE
Study population: Individuals aged between 11-18 years and followed up in physiotherapy centers that met the inclusion criteria were selected.

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Scoliosis
timeFrame: 10 minutes
measure: Posture Analysis
timeFrame: 5 minutes
measure: Pelvic Floor Muscle Activity
timeFrame: 15 Minutes
measure: Pelvic Floor Dysfunction
timeFrame: 5 minutes
measure: Dysfunctional Voiding
timeFrame: 10 minutes
Secondary outcomes:
Other outcomes:
Locations:
city: Mersin
country: Turkey
facility: Batuhan Ibrahim
state: Lefkosa
Study officials:
affiliation: Cyprus International University
name: Salih Angın, Prof.
role: STUDY_CHAIR
References:
citation: Perkins, J., Boyer, A., Mcleish, A., & Grossnickle, K. (2012). Idiopathic scoliosis and pelvic floor dysfunction. International Journal of Therapy and Rehabilitation, 19(2), 106-110.
citation: Meyer I, McArthur TA, Tang Y, McKinney JL, Morgan SL, Richter HE. Pelvic Floor Symptoms and Spinal Curvature in Women. Female Pelvic Med Reconstr Surg. 2016 Jul-Aug;22(4):219-23. doi: 10.1097/SPV.0000000000000271.
citation: Naziri Q, Detolla J, Hayes W, Burekhovich S, Merola A, Akamnanu C, Paulino CB. A Systematic Review of All Smart Phone Applications Specifically Aimed for Use as a Scoliosis Screening Tool. J Long Term Eff Med Implants. 2018;28(1):25-30. doi: 10.1615/JLongTermEffMedImplants.2017020737.
citation: Negrini S, Donzelli S, Aulisa AG, Czaprowski D, Schreiber S, de Mauroy JC, Diers H, Grivas TB, Knott P, Kotwicki T, Lebel A, Marti C, Maruyama T, O'Brien J, Price N, Parent E, Rigo M, Romano M, Stikeleather L, Wynne J, Zaina F. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disord. 2018 Jan 10;13:3. doi: 10.1186/s13013-017-0145-8. eCollection 2018.
citation: Ahmed SA., Othman NA., Sabet NA., & Salwa F. (2021). Validity and Reliability of Posture Screen Mobile Application in Adolescent Idiopathic Scoliosis. The Medical Journal of Cairo University, 89(June), 737-743.