Managing Kyphosis With Exercise

NCT ID: NCT06082739

Last Updated: 2025-01-17

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

RECRUITING

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-06

Study Completion Date

2029-10-31

Brief Summary

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The primary objective of this study is to determine if stretching exercises as a conservative treatment option will correct kyphosis in postural and Scheuermann's kyphosis.

Detailed Description

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Despite comprehensive documentation of surgical interventions in existing literature, the investigation into non-operative approaches for addressing hyperkyphosis or Scheuermann's kyphosis in the pediatric population has been investigated with inconsistent findings. Various outcomes have been observed with regard to the effectiveness of multiple brace treatment options, alongside recommendations for various physiotherapeutic approaches, either in conjunction with brace treatment or as standalone interventions.

However, there is no universally accepted consensus regarding the conservative management of kyphosis that simultaneously ensures substantial patient satisfaction and heightened bodily awareness. Notably, there have been no studies investigating the efficacy of stretching in the treatment of individuals with kyphosis.

Conditions

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Kyphosis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Exercise group

Patients perform stretching exercises daily.

Group Type EXPERIMENTAL

Exercises

Intervention Type OTHER

Stretching exercises with and without a bolster, ball, or foam roller.

Interventions

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Exercises

Stretching exercises with and without a bolster, ball, or foam roller.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients ages 8 and older with postural or Scheuermann's kyphosis with \>45° of kyphosis or \>10° of thoracolumbar kyphosis from T11-L1 or other cases which seem to have excessive kyphosis.
* Parents of patients aged 17 and younger who are 18 and older and cognitively able to complete a survey will be included in the study as well.

Exclusion Criteria

* Patients with congenital kyphosis or scoliosis greater than 30°.
* Parents of patients aged 17 and younger who are less than 18 years of age or cognitively unable to complete a survey will be excluded from the study.
* Any records flagged "break the glass" or "research opt out."
Minimum Eligible Age

8 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cedars-Sinai Medical Center

OTHER

Sponsor Role lead

Responsible Party

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David Skaggs

Director Spine Center

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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David L Skaggs, MD, MMM

Role: PRINCIPAL_INVESTIGATOR

Cedars-Sinai Medical Center

Locations

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Cedars-Sinai Medical Center

Los Angeles, California, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Cristabelle Alexander, BS

Role: CONTACT

310-423-1061

Facility Contacts

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Cristabelle Alexander, BS

Role: primary

310-423-1061

References

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Priftis KN, Hager J, Vlachou M, Anthracopoulos MB. Effects of bracing on lung function in idiopathic juvenile kyphosis. Pediatr Pulmonol. 2003 Feb;35(2):83-6. doi: 10.1002/ppul.10220.

Reference Type BACKGROUND
PMID: 12526067 (View on PubMed)

Karavidas NS. Bracing for Adolescent Idiopathic Scoliosis (AIS) and Scheuermann Kyphosis: the issue of overtreatment in Greece. Scoliosis Spinal Disord. 2016 Oct 14;11(Suppl 2):30. doi: 10.1186/s13013-016-0095-6. eCollection 2016.

Reference Type BACKGROUND
PMID: 27785469 (View on PubMed)

Mehdikhani M, Behtash H, Ganjavian MS, Khalaj N. Orthotic treatment of idiopathic hyperkyphosis with Milwaukee brace. J Back Musculoskelet Rehabil. 2016 Aug 10;29(3):515-9. doi: 10.3233/BMR-150651.

Reference Type BACKGROUND
PMID: 26836834 (View on PubMed)

Pizzutillo PD. Nonsurgical treatment of kyphosis. Instr Course Lect. 2004;53:485-91.

Reference Type BACKGROUND
PMID: 15116637 (View on PubMed)

Riddle EC, Bowen JR, Shah SA, Moran EF, Lawall H Jr. The duPont kyphosis brace for the treatment of adolescent Scheuermann kyphosis. J South Orthop Assoc. 2003 Fall;12(3):135-40.

Reference Type BACKGROUND
PMID: 14577720 (View on PubMed)

Tsirikos AI, Jain AK. Scheuermann's kyphosis; current controversies. J Bone Joint Surg Br. 2011 Jul;93(7):857-64. doi: 10.1302/0301-620X.93B7.26129.

Reference Type BACKGROUND
PMID: 21705553 (View on PubMed)

Elpeze G, Usgu G. The Effect of a Comprehensive Corrective Exercise Program on Kyphosis Angle and Balance in Kyphotic Adolescents. Healthcare (Basel). 2022 Dec 8;10(12):2478. doi: 10.3390/healthcare10122478.

Reference Type BACKGROUND
PMID: 36554002 (View on PubMed)

Other Identifiers

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STUDY00002960

Identifier Type: -

Identifier Source: org_study_id

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