Effectiveness of Dynamic Neuromuscular Stabilization Breathing Exercises With Schroth in Adolescent Idiopathic Scoliosis

NCT ID: NCT06682702

Last Updated: 2025-01-09

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 20 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-11-15
• Study Completion Date: 2025-03-07

Brief Summary

In our study, the degree of scoliosis curvature in volunteers will be determined using full-body standing X-rays. Additionally, the rotation degree of the spinal curvature in volunteers will be assessed with a scoliosis meter (a type of ruler) through the forward bending test while standing. To measure the impact of scoliosis on the quality of life, the SRS-22 questionnaire, consisting of 22 questions, will be used. The level of pain experienced by volunteers as a result of scoliosis will be evaluated using the visual analog scale (VAS), where pain intensity is marked on a 10 centimeter line. Lastly, the volunteers; breathing patterns will be assessed by measuring chest circumference with a tape measure.

Detailed Description

In this randomized controlled trial, we aim to assess various physical and quality of life parameters in volunteers with scoliosis. The degree of spinal curvature will be measured using full body standing X-rays, providing a detailed assessment of the scoliosis angle. Additionally, the rotation degree of the spinal curvature will be evaluated with a scoliosis meter during the forward bending test, which is commonly used to gauge the rotational component of scoliosis.

Quality of life will be assessed using the Scoliosis Research Society-22 (SRS-22) questionnaire, a validated tool consisting of 22 questions designed to evaluate function, pain, self image, mental health, and satisfaction in individuals with scoliosis. To quantify pain levels experienced due to scoliosis, the Visual Analog Scale (VAS) will be used, in which participants mark their pain intensity on a 10 centimeter line, ranging from "no pain" to "worst pain imaginable." This provides an accurate, subjective measure of pain severity.

Breathing patterns will also be evaluated by measuring the volunteers' chest circumference at full inspiration and expiration using a standard tape measure, allowing us to assess any potential restrictions in lung expansion related to the spinal curvature. Through this comprehensive evaluation, we hope to gain a clearer understanding of how scoliosis affects both the physical and psychological well being of individuals and identify potential areas for therapeutic intervention.

Conditions

Adolescent Idiopathic Scoliosis (AIS)

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

DNS Group

Patients diagnosed with adolescent idiopathic scoliosis participated in sessions twice a week for 8 weeks, with each session lasting 45 minutes. During the sessions, ISST Schroth exercises were combined with dynamic neuromuscular stabilization exercises.

Group Type: EXPERIMENTAL

DNS Group

Intervention Type: OTHER

ISST Schroth exercises are a model of exercise aimed at correcting scoliosis in three dimensions. Dynamic neuromuscular stabilization exercises, on the other hand, are designed to achieve sagittal stabilization by utilizing the stabilizing function of the thoracic diaphragm muscle.

Schroth Group

Patients diagnosed with adolescent idiopathic scoliosis participated in sessions twice a week for 8 weeks, with each session lasting 45 minutes. During the sessions, ISST Schroth exercises were performed.

Group Type: EXPERIMENTAL

Schroth Group

Intervention Type: OTHER

ISST Schroth exercises are a model of exercise aimed at correcting scoliosis in three dimensions.

Interventions

DNS Group

ISST Schroth exercises are a model of exercise aimed at correcting scoliosis in three dimensions. Dynamic neuromuscular stabilization exercises, on the other hand, are designed to achieve sagittal stabilization by utilizing the stabilizing function of the thoracic diaphragm muscle.

Intervention Type: OTHER

Schroth Group

ISST Schroth exercises are a model of exercise aimed at correcting scoliosis in three dimensions.

Intervention Type: OTHER

Other Intervention Names

Schroth Exercise; Dynamic Neuromuscular Stabilization; Schroth Exercise

Eligibility Criteria

Inclusion Criteria

• Radiologically measured Cobb angle value between 10 degrees and 50 degrees
• Age between 10 and 18
• Being diagnosed with Adolescent Idiopathic Scoliosis by a physician
• Being between 0 and 5 in the radiologically determined Risser sign
• Being between 12-25 kg/m2 according to body mass index measurement

Exclusion Criteria

• Having had any surgery related to scoliosis
• Having been diagnosed with any psychiatric disease
• Having been diagnosed with an oncological disease
• Having a neurological disease, vestibular or visual problem
• Having any pathology that will affect motor performance
• Using medication that affects the central nervous system
• Having been diagnosed with a rheumatological disease
• Having been diagnosed with any cardiovascular disease

• Minimum Eligible Age: 10 Years
• Maximum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Uskudar University

OTHER

Sponsor Role: lead

Responsible Party

MERVE BAŞARDI

Physiotherapist

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Filiz Eyuboglu, PhD.

Role: STUDY_DIRECTOR

Uskudar University

Mert Ilhan, MSc.

Role: PRINCIPAL_INVESTIGATOR

Uskudar University

Locations

Uskudar University Physiotherapy and Rehabilitation Application and Research Center

Istanbul, , Turkey (Türkiye)

Site Status: RECRUITING

Countries

Turkey (Türkiye)

Central Contacts

Merve Basardi, PT.

Role: CONTACT

mervebasardi@st.uskudar.edu.tr

+905313797303

Facility Contacts

MERVE BASARDI

Role: primary

mervebasardi@st.uskudar.edu.tr

+90(531)3797303

Other Identifiers

2024-PT-MRVB-RCT

Identifier Type: -

Identifier Source: org_study_id