A Suggested Rehabilitation Protocol for the Treatment of C-shape Scoliosis
NCT Number: NCT06563141
Status: RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Idiopathic Scoliosis|Scoliosis Idiopathic|Rehabilitation|C-shape
Interventions: OTHER: traction and mobilization|OTHER: active exercise therapy
Sponsor: Cairo University
Sex: ALL
Age: ADULT
Enrollment: 70
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: SINGLE (PARTICIPANT)|Primary Purpose: TREATMENT
Start Date: 2024-07-01
Completion Date: 2025-05-01
Locations: May University in Cairo (MUC), Cairo, Egypt

Summary:
This study aims to compare the effectiveness of mechanical traction and 3D apical vertebral mobilization and active exercises on Cobb's angle, spinal ROM, and function in patients with C-shaped scoliosis.

Primary Outcome Measures: assessment of degree of spinal curvature, it will be assessed using the scoliometer which is typically consists of a level or inclinometer attached to a base. The scoliometer is placed along the spine, and the angle of deviation from the vertical is measured to assess the severity of the curvature, at baseline and after 3 months
Secondary Outcome Measures: assessment of the change of the weight, height and body mass index, This scale (DT-150, Shanghai, China) Figure (3) will be used for the measurement of height and weight for each participant and the results will be used for the calculation of the Body Mass Index, at baseline and after 3 months|assessment of the change of the trunk flexion and extension ROM, To measure flexion, the patient should bend forward at the waist comfortably without knees, and the examiner should stabilize the goniometer's stationary arm on the midline of the spine., at baseline and after 3 months|assessment of the change of the trunk lateral flexion ROM, To measure lateral flexion, the patient should lean comfortably sideways without bending forward or rotating the trunk, while the goniometer's stationary arm should be stabilized at the appropriate level., at baseline and after 3 months|assessment of the change of the trunk rotation ROM, To measure rotation, the patient rotates their trunk comfortably without moving their hips or feet. The goniometer is placed parallel to the ground, using the scapula's spine as a reference point. The stationary arm remains parallel to the starting position., at baseline and after 3 months|assessment of the change of the cervical flexion and extension ROM, To measure flexion, the patient should comfortably lower their chin towards their chest without bending their upper back or shoulders, maintaining straight-forward eyes., at baseline and after 3 months|assessment of the change of the cervical lateral flexion ROM, To measure lateral flexion, the patient should tilt their head sideways comfortably without rotating their head or shoulders, keeping their chin level during the movement., at baseline and after 3 months|assessment of the change of the cervical rotation ROM, To measure rotation, the patient should comfortably turn their head left or right without tilting their head or shoulders, maintaining straight eyes during the movement., at baseline and after 3 months|assessment of the change of fingertips to floor distance, The finger-to-floor distance test is a quick and convenient method to assess hamstring and lower back flexibility. It involves standing up straight, bending forward, lowering hands, reaching the endpoint, and measuring the distance between fingers and the floor., at baseline and after 3 months|assessment of the change of the degree of spinal curvature, To measure the Cobb angle on an X-ray, identify the vertebrae with the most tilted endplates, draw lines along the spine's curvature, draw perpendicular lines intersecting at a right angle, and measure the Cobb angle, which represents the degree of spinal curvature., at baseline and after 3 months