Clinical trial NCT05377086: Structured 3D Exercise and the Conventional Exercise Program for Scoliosis in Children With Rheumatic Disease
Official title: Comparison of the Effectiveness of the Structured 3D Exercise and the Conventional Exercise Program for Scoliosis in Children With Rheumatic Disease
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Scoliosis
Juvenile Idiopathic Arthritis
Keywords: scoliosis
Juvenile idiopathic arthritis
3D exercise
Lead sponsor: Biruni University
Sponsor class: OTHER
First posted: 2022-05-17
Enrollment: 50
Sex: ALL
Minimum age (years): 8
Maximum age (years): 16
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Usage including cases followed up with rheumatism diagnosis and treatment in Istanbul University-Cerrahpasa Medical Faculty Pediatric Rheumatology Clinic, Physiotherapy and Rehabilitation Unit. The study included 50 patients with a spinal x-ray scoliosis problem, aged 8-16 years, who were diagnosed with rheumatism at least 6 months ago, whose medical treatment was stable, Risser 0-4 and exercise indication (Cobb = 10-45ͦ). Patients with additional neurological diagnosis against rheumatism, who have received any previous treatment for a spine problem, who have a mental state and who do not have the consent of their family will not be included. The cases will be divided into 2 groups by method. In the first group (n = 25), structured 3-dimensional scoliosis exercises are taught in the clinic, and the second group (n = 25) is taught conventional physiotherapy applications (posture-core applications-bennet protocols) in the clinic, and both groups are followed by the WTE method.

Detailed description: The demographic and clinical characteristics of all subjects willing to participate in the study will be questioned with the "Sociodemographic Data Form". Sociodemographic data form; pain, age, gender, height, weight, type of rheumatism, how many years ago the patient was diagnosed, the presence of rheumatism and scoliosis in the family, the drugs used, exercise habits, exacerbation history, whether they used a device before, and the awareness of the family about scoliosis. The trunk rotation angles with the forward bend test and the Cobb angle with the SubrotoAngleAid application via x-ray. Respiratory functions will be evaluated with portable spirometer, body awareness will be evaluated with Walter Reed Visual Assessment Scale, and quality of life will be evaluated with Scoliosis Research Association Scale-22 (SRS-22). After the evaluations, in the first treatment session in the clinic, the cases in the first group; Body awareness, respiratory control, differences between rotational and normal breathing, posture exercises and core stabilization exercises will be taught and family training will be provided. In the next session, a home program will be created by applying 3D scoliosis exercises that are structured according to the needs of the patients. Body awareness, respiratory control, posture exercises and core stabilization exercises will be taught and family training will be given to the patients in the second group in the first treatment session. In the next session, conventional exercises for the needs of the cases will be taught and a home exercise program will be created. Both groups will be interviewed for 2-week periods using the WTE method, and the exercises will be progressed gradually as needed. At the beginning of the treatment and in the 6th month, all evaluations will be repeated and the effectiveness of the exercises will be investigated. SPSS (Statistical Package for Social Sciences) (SPSS 21.0) statistical program will be used in the statistical analysis of the data. In all statistical analyzes, p \<0.05 will be considered significant.

Eligibility criteria: Inclusion Criteria:

* Cases with a diagnosis of rheumatism in whom scoliosis problems were detected by spine X-ray,
* be between the ages of 8-16,
* Being between 0-4 in the riser,
* Being in exercise indication (Cobb=10-45 ˚)

Exclusion Criteria:

* Having an additional neurological or orthopedic diagnosis other than scoliosis accompanying rheumatism and affecting treatment results
* Having had any surgery on the spine
* Have had previous scoliosis treatment poor mental state

Primary outcomes:
measure: Cobb angle
timeFrame: 0-6 month
measure: Trunk rotation with Scoliometer
timeFrame: 0-6 month
Secondary outcomes:
measure: Physical deformity assesment using with The Walter Reed Visual Assessment Scale (WRVAS)
timeFrame: 0-6 month
measure: FEV1
timeFrame: 0-6 month
measure: FVC
timeFrame: 0-6 month
measure: PEF
timeFrame: 0-6 month
measure: QUALITY OF LIFE ASSESSMENT
timeFrame: 0-6 month
Other outcomes:
Locations:
city: İ̇stanbul
country: Turkey
facility: Eylül Pınar Kısa
Study officials:
References: