Effects of Physical Activity Counseling in Patients With Adolescent Idiopathic Scoliosis

NCT ID: NCT05454800

Last Updated: 2022-07-20

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 27 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-07-07
• Study Completion Date: 2024-04-01

Brief Summary

Scoliosis is a three-dimensional deformity of the spine of unknown etiology and is clinically defined as 10° or more lateral curvature of the spine. Although there are different types of scoliosis, the most common type is adolescent idiopathic scoliosis (AIS), which starts at the age of 10. AIS can affect body alignment, spine and soft tissues and cause physical problems such as postural disorder, cosmetic trunk deformity, decreased flexibility of the spinal column, changes in spinal muscle characteristics, and back pain. The aim of our study is to examine the effects of physical activity counseling on physical activity level and posture, perception of deformity and quality of life in patients with AIS.

Detailed Description

AIS is the most common spinal deformity seen by primary care physicians, pediatricians, and spinal surgeons. The primary goal in the conservative treatment of scoliosis in adolescents is to prevent the progression of the curvature and secondary problems associated with spinal deformity and ultimately to eliminate the need for surgery. For this reason, scoliosis-specific corrective exercise therapy given by a physiotherapist is recommended for patients with AIS. However, while this treatment is effective to the gold standard on spine and posture, its effect on physical activity is not known exactly. The aim of this study is to examine the effect of physical activity counseling on physical activity level and posture, perception of deformity and quality of life in individuals with AIS who are given physical activity counseling in addition to scoliosis-specific corrective exercises. Individuals with AIS in both groups, in accordance with the Schroth classification, individually planned exercise program aimed at correcting and stabilizing the spine in three dimensions, in the form of 45-60 minutes sessions, 2 days a week for 8 weeks, a total of 16 sessions. Group 1 will be given physical activity counseling as well as scoliosis-specific corrective exercises. Physical activity counseling will be done face-to-face, and one-on-one interviews will be provided with each participant. Each meeting will last approximately 20-30 minutes and individuals will be encouraged to participate in more physical activity by providing alternative solutions on their physical activity habits, what they like to do or how they can access activities.

Conditions

Scoliosis; Adolescent Scoliosis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Scoliosis Specific Corrective Exercises and Physical Activity Counseling

Individuals with AIS in this group, in accordance with the Schroth classification, individually planned, aimed at correcting and stabilizing the spine in three dimensions, an exercise program will be applied in 45-60 minutes sessions, 2 days a week, for 8 weeks, a total of 16 sessions. In addition to corrective exercises specific to scoliosis, physical activity counseling will also be given.

Group Type: EXPERIMENTAL

Scoliosis Specific Corrective Exercises and Physical Activity Counseling

Intervention Type: OTHER

Scoliosis specific corrective exercises and physical activity counseling

Scoliosis Specific Corrective Exercises

Individuals with AIS in this group, in accordance with the Schroth classification, individually planned, aimed at correcting and stabilizing the spine in three dimensions, an exercise program will be applied in 45-60 minutes sessions, 2 days a week, for 8 weeks, a total of 16 sessions.

Group Type: EXPERIMENTAL

Scoliosis Specific Corrective Exercises

Intervention Type: OTHER

Only scoliosis specific corrective exercises

Interventions

Scoliosis Specific Corrective Exercises and Physical Activity Counseling

Scoliosis specific corrective exercises and physical activity counseling

Intervention Type: OTHER

Scoliosis Specific Corrective Exercises

Only scoliosis specific corrective exercises

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Being diagnosed with Idiopathic Scoliosis by an orthopedic specialist
• Cobb angle determined on anteroposterior radiograph is 10 - 45 degrees

Exclusion Criteria

• Having mental problem, rheumatological, neuromuscular, cardiovascular, pulmonary disease
• Any treatment approach for scoliosis in the last six months
• Having any orthopedic problems that may affect their participation in exercise and/or physical activity
• Having a regular exercise habit

• Minimum Eligible Age: 10 Years
• Maximum Eligible Age: 17 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Istanbul University - Cerrahpasa

OTHER

Sponsor Role: lead

Responsible Party

Pelin Vural

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Ayse Zengin Alpozgen, PhD

Role: STUDY_CHAIR

Istanbul University-Cerrahpaşa Faculty of Health Sciences

Ugur Ovacık, MSc.

Role: STUDY_CHAIR

Istanbul University-Cerrahpaşa, Graduate Education Institute

Elcin Akyurek, MSc.

Role: STUDY_CHAIR

Istanbul University-Cerrahpaşa, Graduate Education Institute

Turgut Akgul, MD

Role: STUDY_CHAIR

Istanbul University Faculty of Medicine

Pelin Vural, MSc.

Role: STUDY_CHAIR

Istanbul University-Cerrahpasa Institute of Postgraduate Education

Locations

Istanbul University-Cerrahpasa

Istanbul, , Turkey (Türkiye)

Site Status: RECRUITING

Countries

Turkey (Türkiye)

Central Contacts

Ayse Zengin Alpözgen, PhD

Role: CONTACT

azengin@istanbul.edu.tr

+905526830479

Facility Contacts

Pelin Vural

Role: primary

pelinvural7@gmail.com

+905344245350

References

Patias P, Grivas TB, Kaspiris A, Aggouris C, Drakoutos E. A review of the trunk surface metrics used as Scoliosis and other deformities evaluation indices. Scoliosis. 2010 Jun 29;5:12. doi: 10.1186/1748-7161-5-12.

Reference Type: BACKGROUND

PMID: 20584340 (View on PubMed)

Stolinski L, Kotwicki T, Czaprowski D, Chowanska J, Suzuki N. Analysis of the Anterior Trunk Symmetry Index (ATSI). Preliminary report. Stud Health Technol Inform. 2012;176:242-6.

Reference Type: RESULT

PMID: 22744500 (View on PubMed)

Other Identifiers

2022-FTR9174

Identifier Type: -

Identifier Source: org_study_id