Effects of Real-Time Feedback Assisted Self-Correction on the Posture of Scoliotic Patients

NCT ID: NCT03978273

Last Updated: 2020-03-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

74 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-11

Study Completion Date

2023-04-30

Brief Summary

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Scoliosis is a progressive three-dimensional deformation of the spine during growth, with a prevalence of 80% in girls.

The treatments currently used are surgery and rigid brace, which aim to stabilize scoliosis evolution. The place of rehabilitation is disputed because the methods are multiple, non-standardized and the sessions are infrequent.

In a previous study (MOUVSCO, NTC02134704), researchers have identified systematic postural abnormalities in patients with scoliosis, and developped a virtual-brace (medical device, MD) to allow real-time self-correction of the trunk position.

The aim of the present study is to evaluate for the first time the efficacy of the virtual-brace on the correction of the posture of scoliotic patients.

The hypothesis is that intensified rehabilitation with the virtual-brace will improve pathological postures related to scoliosis.

Detailed Description

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The present study is the first evaluation of the efficacy of the virtual-brace on scoliotic patients.

The efficacy of rehabilitation will be estimate on the correction of the posture of scoliosis patients over 6 months by comparing 2 groups: a control group of patients conventionally treated with a night-time brace (G0 group\_conventional) and an experimental group of patients wearing a night-time brace, doing postural rehabilitation exercises with the virtual brace and follow-up visits with a physiotherapist (G1 group\_virtual-brace).

Conditions

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Idiopathic Scoliosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Night-time brace + virtual-brace

Patients are conventionally treated with night-time brace. Additionally, they use the new developped virtual-brace (MD).

Group Type EXPERIMENTAL

Night-time brace + virtual-brace

Intervention Type DEVICE

Patients will receive conventional treatment : wearing a night-time brace every night during 6 months.

Additionally :

* They will perform 5 sessions of postural rehabilitation exercises per week (each of 30 minutes) with the virtual-brace (MD).
* They will have also follow up consultations with a physiotherapist every 21 days, to evaluate treatment observance and to adapt postural exercises according to the results and difficulties encountered.

Conventional 3D motion capture Analysis (different trunk tasks and walk) will be performed to evaluate evolution of postural parameters at D0, D90 and D180.

Night-time brace only

Patients are conventionally treated with night-time brace only.

Group Type ACTIVE_COMPARATOR

Night-time brace only

Intervention Type OTHER

Patients will receive conventional treatment : wearing a night-time brace every night during 6 months.

Conventional 3D motion capture Analysis (different trunk tasks and walk) will be performed to evaluate evolution of postural parameters at D0, D90 and D180.

Interventions

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Night-time brace + virtual-brace

Patients will receive conventional treatment : wearing a night-time brace every night during 6 months.

Additionally :

* They will perform 5 sessions of postural rehabilitation exercises per week (each of 30 minutes) with the virtual-brace (MD).
* They will have also follow up consultations with a physiotherapist every 21 days, to evaluate treatment observance and to adapt postural exercises according to the results and difficulties encountered.

Conventional 3D motion capture Analysis (different trunk tasks and walk) will be performed to evaluate evolution of postural parameters at D0, D90 and D180.

Intervention Type DEVICE

Night-time brace only

Patients will receive conventional treatment : wearing a night-time brace every night during 6 months.

Conventional 3D motion capture Analysis (different trunk tasks and walk) will be performed to evaluate evolution of postural parameters at D0, D90 and D180.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients with idiopathic scoliosis (left lumbar or right thoracic),
* Patients with moderate scoliosis: Cobb angle assessed on the last radiography between 20 ° and 35 °,
* Patients requiring the wearing of a rigid night-time brace,
* Patients having a home computer,
* Patients affiliated to social security or similarly regime,
* Patients who gave their consent to participate in the study,
* Patients whose 2 parents have signed the informed consent

Exclusion Criteria

* Patients with an unstabilized medical problem,
* Patients with known allergy to elastane,
* Patients with sensitivity to dizziness,
* Patients with pacemaker,
* Patients with implanted cardiac defibrillator,
* Patients with cochlear implant,
* Patients carrying a non-removable metal element,
* Protected patient concerned by articles L1121-5 and L1121-6 of the Public Health Code,
* Patients whose parents are protected by article L1121-8 of the Public Health Code
Minimum Eligible Age

9 Years

Maximum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Clinical Investigation Centre for Innovative Technology Network

NETWORK

Sponsor Role collaborator

University Grenoble Alps

OTHER

Sponsor Role collaborator

University Hospital, Grenoble

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Aurelien COURVOISIER, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Grenoble

Locations

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University Hospital Grenoble

Grenoble, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Aurelien COURVOISIER, MD, PhD

Role: CONTACT

476767313 ext. 0033

Emilie CHIPON, PhD

Role: CONTACT

476767313 ext. 0033

Facility Contacts

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Aurelien COURVOISIER, MD, PhD

Role: primary

Other Identifiers

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38RC18.053

Identifier Type: -

Identifier Source: org_study_id

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