Clinical trial NCT04921813: Investigation of Conservative Treatment on Adolescent Idiopathic Scoliosis Patients.
Official title: Investigation of the Efficiency of Three Dimensional Scoliosis Exercises and Balance-Coordination Exercises in the Conservative Treatment of Adolescent Idiopathic Scoliosis Patients.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Adolescent Idiopathic Scoliosis
Lead sponsor: Bandırma Onyedi Eylül University
Sponsor class: OTHER
First posted: 2021-06-10
Enrollment: 40
Sex: ALL
Minimum age (years): 10
Maximum age (years): 16
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: rondomized controlled trail
Primary purpose: TREATMENT

Brief summary: Aim: It was aimed to investigate the effectiveness of three-dimensional scoliosis exercises and balance-coordination exercises in patients with adolescent idiopathic scoliosis.

Detailed description: Method: Thirty patients who were diagnosed with adolescent idiopathic scoliosis were randomly divided into three groups. The first group was treated with 3-dimensional scoliosis exercise program according to Schroth method, second group was treated with Schroth exercises and balance-coordination exercises in addition to brace. Exercises were performed for a total of 6 weeks (18 sessions). The third group was treated only with brace and the control group consisted of healthy individuals. Patients were assessed for their curve angle (Cobb method), rotation angle (scoliometer), spinal flexibility (anterior and lateral bending tests), quality of life (Scoliosis Research Society-22), cosmetic effects (Walter Reed Visual Rating Scale), balance parameters (Balance Master System NeuroCom International Inc. Clackamas, OR, USA ver 8.1), vertical perception (Subjective Vertical Detection test) and brain responses (electroencephalography) were assessed before and after treatment. SPSS 20.0 statistical program was used for data analysis of the study.

Eligibility criteria: Inclusion Criteria:

* Being diagnosed with adolescent idiopathic scoliosis between the ages of 10-16 and being deemed appropriate for brace use,
* Cobb angle between 20º -50º,
* To be able to continue the program to be applied,
* Not having a chronic disease that requires the use of any neurological or psychiatric medication, Hearing test results are within normal values,
* Parents allow the child to participate in the study

Exclusion Criteria:

* The patient has any contraindications to exercise,
* Previous spine surgery,
* Having a curvature of thoracic apex 6 or more,
* Having any mental problems,
* Scoliosis is not idiopathic but has occurred for different reasons (neurological, congenital, etc.),
* Presence of neurological, psychiatric, muscular, rheumatic or orthopedic diseases.

Primary outcomes:
measure: Balance and postural control parameters -Weight Bearing/Squat
timeFrame: Change from baseline balance and postural control parameters at 6 weeks, Change from baseline balance and postural control parameters at 1 year, Change from 6th weeks balance and postural control parameters at 1 year
measure: Cobb Angle
timeFrame: Change from baseline Cobb angle at 1 year
measure: Angle of Trunk Rotation
timeFrame: Change from baseline Angle of Trunk Rotation at 6 weeks, Change from baseline Angle of Trunk Rotation at 1 year, Change from 6th weeks Angle of Trunk Rotation at 1 year
measure: Evaluation of subjective visual vertical perception
timeFrame: Change from baseline subjective visual vertical perception at 6 weeks, Change from baseline subjective visual vertical perception at 1 year, Change from 6th weeks subjective visual vertical perception at 1 year
measure: Electroencephalography (EEG)
timeFrame: Change from baseline EEG at 6 weeks
measure: The Dicotic Listening Paradigm:
timeFrame: Change from baseline The Dicotic Listening Paradigm parameters at 6 weeks
measure: Assessment of health-related quality of life
timeFrame: Change from baseline The Scoliosis Research Society - 22 questionnaire at 6 weeks, Change from baseline The Scoliosis Research Society - 22 questionnaire at 1 year, Change from 6th weeks The Scoliosis Research Society - 22 questionnaire at 1 year
measure: Balance and postural control parameters-Modified Clinical test of Sensory Interaction on Balance
timeFrame: Change from baseline balance and postural control parameters at 6 weeks, Change from baseline balance and postural control parameters at 1 year, Change from 6th weeks balance and postural control parameters at 1 year
measure: Balance and postural control parameters-Limit of stability
timeFrame: Change from baseline balance and postural control parameters at 6 weeks, Change from baseline balance and postural control parameters at 1 year, Change from 6th weeks balance and postural control parameters at 1 year
Secondary outcomes:
Other outcomes:
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