Clinical trial NCT06410456: The Effect of Schroth Exercises on Cerebral Cortical Thickness and Motor and Proprioceptive Fibres
Official title: The Effect of Schroth Exercises on Cerebral Cortical Thickness and Motor and Proprioceptive Fibres
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Adolescent Idiopathic Scoliosis
Lead sponsor: Hitit University
Sponsor class: OTHER
First posted: 2024-05-13
Enrollment: 45
Sex: ALL
Minimum age (years): 10
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Adolescent idiopathic scoliosis (AIS): It is a type of structural scoliosis of unknown aetiology and most commonly seen in girls aged 10-18 years. In addition to spinal deformity, postural asymmetry, proprioceptive sensory, vestibular and vestibulospinal system dysfunctions may be observed in AIS. The Schroth method is a scoliosis-specific exercise approach that uses postural, scoliosis-specific sensorimotor and breathing exercises and is widely used in scoliosis rehabilitation. The treatment programme consists of correction of scoliotic posture with the help of exteroceptive and proprioceptive stimulation and mirrors, isometrics and other exercises to lengthen or strengthen asymmetric muscles, and maintaining a specific breathing pattern. Several studies have shown that the Schroth method improves Cobb angles, slows curve progression, reduces the need for surgery, increases back muscle strength and improves respiratory function. However, although the Schroth method is widely used in AIS rehabilitation, no study has investigated the effects of Schroth exercises on cerebral cortical thickness, proprioceptive sensation and corticospinal pathways.

The aim of this study was to compare the effects of Schroth and traditional exercises on cortical thickness, proprioceptive sensation and corticospinal tracts in individuals with AIS.


Eligibility criteria: Inclusion Criteria:

* Being a female individual between the ages of 10-18
* Being diagnosed with AIS
* Cobb angle should be maximum 25º
* All participants do not have any disease that affects the nervous system.
* All participants must use their right hand as the dominant hand
* All participants do not have any chronic disease requiring the use of any neurological or psychiatric medication.
* Permission to participate in the study is given by the parents of all participants.

Exclusion Criteria:

* MRI of individuals who do not have any mental problems, neurological, psychiatric, muscular, rheumatic or orthopedic diseases will be included in the study.

Primary outcomes:
measure: Tractography
timeFrame: Six months
measure: VolBrain
timeFrame: Six months
measure: Cobb angle
timeFrame: Six months
Secondary outcomes:
Other outcomes:
Locations:
city: Kayseri
country: Turkey
facility: Ahmet Payas
Study officials:
affiliation: Amasya University
name: Ahmet Payas, Ph.D
role: STUDY_DIRECTOR
References:
citation: Kocaman H, Bek N, Kaya MH, Buyukturan B, Yetis M, Buyukturan O. The effectiveness of two different exercise approaches in adolescent idiopathic scoliosis: A single-blind, randomized-controlled trial. PLoS One. 2021 Apr 15;16(4):e0249492. doi: 10.1371/journal.pone.0249492. eCollection 2021.
citation: Li P, Legault J, Litcofsky KA. Neuroplasticity as a function of second language learning: anatomical changes in the human brain. Cortex. 2014 Sep;58:301-24. doi: 10.1016/j.cortex.2014.05.001. Epub 2014 May 17.
citation: Sagi Y, Tavor I, Hofstetter S, Tzur-Moryosef S, Blumenfeld-Katzir T, Assaf Y. Learning in the fast lane: new insights into neuroplasticity. Neuron. 2012 Mar 22;73(6):1195-203. doi: 10.1016/j.neuron.2012.01.025. Epub 2012 Mar 21.