Dual Task Effect in Adolescent Idiopathic Scoliosis

NCT ID: NCT06446986

Last Updated: 2025-12-18

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

COMPLETED

Total Enrollment

70 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-06-06

Study Completion Date

2025-02-26

Brief Summary

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The goal of this observational study is to evaluate the dual task and upper extremity disability in individuals with adolescent idiopathic scoliosis compared to healthy controls and to examine their relationship with clinical and radiological parameters in adolescent idiopathic scoliosis (AIS). The main questions it aims to answer are:

1. To compare dual task and upper extremity disability in individuals with AIS and healthy sex and age-matched healthy controls.
2. To analyze the relationship of dual-task and upper extremity disability in individuals with AIS with clinical and radiological parameters All participants' dual-task performance will be evaluated and they will answer the upper extremity disability survey. Besides, the study groups will be examined thoroughly and radiological parameters will be calculated to identify the clinical and radiological parameters that affect dual-task performance and upper extremity disability.

Detailed Description

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Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity and sagittal plane changes are accompanied by coronal plane changes. As a result of spinal deformity, morphological changes occur in the trunk and rib cage, and the relationships between body parts are affected. Considering the anatomical proximity between the scapula and the rib cage, alteration of the shoulder and upper extremity functions as a consequence of the change in proximal orientation is expected.

On the other hand, maintaining postural control depends on the dynamic relationship between sensory information and motor output. Dual tasking is an experience-based neurophysiological process that requires a person to perform two tasks simultaneously. When a person has problems with the neurophysiological process, the performance of one or both functions is negatively affected.

This observational study aims to evaluate the dual task and upper extremity disability in individuals with adolescent idiopathic scoliosis compared to healthy controls and to examine their relationship with clinical and radiological parameters in AIS. All participants' dual-task performance will be evaluated and they will answer the upper extremity disability survey. Besides, the study groups will be examined thoroughly and radiological parameters will be calculated to identify the clinical and radiological parameters that affect dual-task performance and upper extremity disability.

Conditions

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Scoliosis Idiopathic

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Study group

Patients with adolescent idiopathic scoliosis

Single and Dual-Task Timed Up and Go Test

Intervention Type OTHER

Timed Up and Go Test will be conducted. Then, for motor-motor dual-task evaluation, the test will be repeated while the subjects carry a tray containing 4 glasses of water without spilling the water. The time required to complete each test will be recorded in seconds.

Single and Dual-Task Tandem Walking Test

Intervention Type OTHER

The tandem walking test will be performed. Then, for cognitive-motor dual-task tandem walking test assessment, the test will be repeated while the subject completes one of 3 different cognitive tasks. These cognitive tasks used during dual-task trials will be switched between trials in an attempt to avoid a practice effect. The time required to complete each test will be recorded in seconds.

The cognitive tasks are as follows:

1. Counting down by six or seven from a randomly presented 2-digit number
2. Counting backward the months starting from a randomly selected month
3. Spelling a five-letter word backwards

Simple Shoulder Test

Intervention Type OTHER

Simple Shoulder Test contains 12 items and rates pain and function in patients with shoulder problems. Each item has two options and is scored either ''1 = yes'' or ''0 = no''. The total score ranges from 0 to 12. Higher scores indicate better physical functions.

Control group

Age and sex matched healthy adolescent peers

Single and Dual-Task Timed Up and Go Test

Intervention Type OTHER

Timed Up and Go Test will be conducted. Then, for motor-motor dual-task evaluation, the test will be repeated while the subjects carry a tray containing 4 glasses of water without spilling the water. The time required to complete each test will be recorded in seconds.

Single and Dual-Task Tandem Walking Test

Intervention Type OTHER

The tandem walking test will be performed. Then, for cognitive-motor dual-task tandem walking test assessment, the test will be repeated while the subject completes one of 3 different cognitive tasks. These cognitive tasks used during dual-task trials will be switched between trials in an attempt to avoid a practice effect. The time required to complete each test will be recorded in seconds.

The cognitive tasks are as follows:

1. Counting down by six or seven from a randomly presented 2-digit number
2. Counting backward the months starting from a randomly selected month
3. Spelling a five-letter word backwards

Simple Shoulder Test

Intervention Type OTHER

Simple Shoulder Test contains 12 items and rates pain and function in patients with shoulder problems. Each item has two options and is scored either ''1 = yes'' or ''0 = no''. The total score ranges from 0 to 12. Higher scores indicate better physical functions.

Interventions

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Single and Dual-Task Timed Up and Go Test

Timed Up and Go Test will be conducted. Then, for motor-motor dual-task evaluation, the test will be repeated while the subjects carry a tray containing 4 glasses of water without spilling the water. The time required to complete each test will be recorded in seconds.

Intervention Type OTHER

Single and Dual-Task Tandem Walking Test

The tandem walking test will be performed. Then, for cognitive-motor dual-task tandem walking test assessment, the test will be repeated while the subject completes one of 3 different cognitive tasks. These cognitive tasks used during dual-task trials will be switched between trials in an attempt to avoid a practice effect. The time required to complete each test will be recorded in seconds.

The cognitive tasks are as follows:

1. Counting down by six or seven from a randomly presented 2-digit number
2. Counting backward the months starting from a randomly selected month
3. Spelling a five-letter word backwards

Intervention Type OTHER

Simple Shoulder Test

Simple Shoulder Test contains 12 items and rates pain and function in patients with shoulder problems. Each item has two options and is scored either ''1 = yes'' or ''0 = no''. The total score ranges from 0 to 12. Higher scores indicate better physical functions.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients diagnosed with Adolescent Idiopathic Scoliosis

Exclusion Criteria

* Patients with complaints of neck, back, and shoulder pain
* Having a known neurological or systemic disease
* Having cognitive dysfunction that cannot cooperate with evaluations
* Having undergone musculoskeletal surgery or injury
* Extremity length difference of more than 1 cm
* Regular repetitive overhead shoulder movements related to professional or sports activities
* BMI \>30 kg/m2
Minimum Eligible Age

10 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Karaman Training and Research Hospital

OTHER

Sponsor Role collaborator

Karamanoğlu Mehmetbey University

OTHER

Sponsor Role lead

Responsible Party

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Aynur Başaran

Proffessor Dr, MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Elif D Durmaz

Role: STUDY_CHAIR

Karaman Training and Research Hospital

Locations

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Karaman Training and Research Hospital

Karaman, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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01-2024/06

Identifier Type: -

Identifier Source: org_study_id