Clinical trial NCT04215497: Effect of PSSE on Spine Reposition Sensation in Scoliosis
Official title: Effect of Physiotherapeutic Scoliosis-Specific Exercises on Spine Joint Reposition Sensation in Adolescent Idiopathic Scoliosis
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Scoliosis; Adolescence
Spinal Curvatures
Proprioception
Physiotherapy
Exercise
Keywords: scoliosis
PSSE
proprioception
joint reposition
Lead sponsor: Istanbul University - Cerrahpasa
Sponsor class: OTHER
First posted: 2020-01-02
Enrollment: 25
Sex: ALL
Minimum age (years): 10
Maximum age (years): 17
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: FACTORIAL
Primary purpose: TREATMENT

Brief summary: The main aim of the investigator's study is to investigate the effect of Physiotherapeutic Scoliosis-Specific Exercises (PSSE) on spine joint reposition sense and also to investigate the effect of PSSE on vertebral rotation, pain, posture, body image and quality of life in Adolescent Idiopathic Scoliosis (AIS).

Twenty-six patients with AIS will randomly allocated to two groups. 'Schroth' exercises will apply to the PSSE group for 8 weeks (16 sessions). The control group wiil teach basic elements. Patients' spinal pain (Visual Analogue Scale), posture parameters (PostureScreen Mobile, Posterior Trunk Asymmetry Index (POTSI) and Anterior Trunk Asymmetry Index (ATSI)), cosmetic perception (Walter Reed Visual Evaluation Scale (WRVAS)), joint reposition sensations (dual-inclinometer), quality of life (Pediatric Quality of Life Scale and SRS-22) will assess at the first session and at the end of 8 weeks.

Detailed description: Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity of the spine which is seen in 1-3% of the adolescent population and mostly in girls. Lateral curvature in the frontal plane, axial rotation in the horizontal plane, and kyphosis and lordosis in the sagittal plane are observed. Etiology-related factors of AIS are genetic factors, abnormal neurophysiological functions occurring in the nervous system, hormones, metabolic dysfunction, abnormal skeletal development, biomedical factors, environmental and lifestyle factors.

The vertical position is associated with cortical, subcortical and medullar integration, and postural control based on bodily input.

Approaches as observation, patient education, scoliosis-specific physiotherapy exercises (PSSE), inpatient rehabilitation, electrical stimulation, manipulative applications and brace application are the conservative treatments of scoliosis. PSSE, which includes three-dimensional correction, daily life activities training, posture stabilization and patient education, is a method recommended by Society On Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) for the conservative treatment of scoliosis. The Schroth 'method is one of the PSSE methods that use three-dimensional postural correction mechanisms. The main goal of the Schroth 'exercises is to reduce the asymmetric load on the spine by using posture variations specific to the patient's curvature. There are no studies i regarding the effect of PSSE on changing proprioceptive neural mechanisms evaluated in the etiopathogenesis of scoliosis.

Eligibility criteria: Inclusion Criteria:

* To have diagnosis of Adolescence Idiopathic Scoliosis
* To be in between 10-17 years
* To be the Cobb angle which determined in Anteroposterior graphy as between 10-45 degree
* To not having any other exercise attitude about scoliosis before.
* To attend the programme regularly
* To be volunteer about being participant to the study

Exclusion Criteria:

* Accompanying mental problems, rheumatologic, neuromuscular, cardiovascular, pulmonary history
* The presence of orthopedic problems or pain that prevent to do exercises
* Loss of vision and / or hearing
* Spinal surgery or tumor history
* Diseases in which exercise is contraindicated
* Patients with communication problems

Primary outcomes:
measure: Evaluation of spine joint position reproduction
timeFrame: 8 week
Secondary outcomes:
measure: Spinal pain assessment
timeFrame: 8 week
measure: Frontal-sagittal plan posture evaluation
timeFrame: 8 week
measure: Body Symmetry
timeFrame: 8 week
measure: Body Symmetry
timeFrame: 8 week
measure: Deformity perception assessment
timeFrame: 8 week
measure: Health-related quality of life assessment
timeFrame: 8 week
measure: Quality of life assessment for scoliosis: Scoliosis Research Society-22 Questionnaire (SRS-22)
timeFrame: 8 week
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Istanbul University Cerrahpasa, Faculty of Health Science
Study officials:
References: