Synergic Effects of Schroth Method With and Without Core Stabilization Exercises in Idiopathic Scoliosis Patients

NCT ID: NCT07059663

Last Updated: 2025-07-15

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

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-30

Study Completion Date

2026-01-30

Brief Summary

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A randomized controlled trial was conducted on 72 patients diagnosed with idiopathic scoliosis at the University of Lahore Teaching Hospital. The study aimed to explore the synergistic effects of the Schroth method with and without core stabilization exercises. Participants were randomly allocated into two groups: Group A, which received both the Schroth method and core stabilization exercises, and Group B, which received only the Schroth method. The intervention lasted for 10 weeks, with assessments conducted at baseline, the 5th week, and the 10th week. Outcome measures included Cobb angle (spinal curvature), lumbar extensor endurance (Sorensen test), chest mobility, and quality of life (SRS-22 questionnaire). The study found significant improvements in all outcome measures for both groups, with Group A showing superior results. The addition of core stabilization exercises to the Schroth method resulted in better reductions in Cobb angle, enhanced lumbar extensor endurance, and improved chest mobility and quality of life, indicating a synergistic effect of the combined approach. The findings suggest that incorporating core stabilization exercises into scoliosis treatment protocols can lead to superior clinical outcomes.

Detailed Description

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A randomized controlled trial will be conducted at the University of Lahore Teaching Hospital. Thirty patients diagnosed with idiopathic scoliosis, aged 10 to 18 years, will be randomly divided into two groups: Group A will receive the Schroth method in combination with core stabilization exercises, while Group B will receive only the Schroth method. Both interventions will be delivered three times weekly for ten weeks. Outcome measures, including Cobb angle (curve magnitude), lumbar extensor endurance (Sorensen test), chest mobility, and quality of life (SRS-22), will be assessed at baseline, week 5, and week 10.

Conditions

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Scoliosis Scoliosis Idiopathic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Schroth method with Core Stabilization Exercises

The Schroth method and core stabilization exercises will be performed three times a week for 10 weeks, with each session lasting 60 minutes

Group Type EXPERIMENTAL

Schroth Method with Core Stabilization Exercises

Intervention Type OTHER

The Schroth method will focus on postural correction techniques aimed at improving spinal alignment, reducing the curvature of the spine, and enhancing trunk control. Key exercises will include spinal elongation, de-rotation, and specific breathing techniques to help reduce the scoliotic curve. Core stabilization exercises will target the deep trunk muscles, such as the transversus abdominis and multifidus, to improve spinal stability. These exercises will involve bodyweight exercises, resistance bands, and stability balls, aimed at increasing muscle endurance and promoting better posture. The interventions will be performed three times a week for 10 weeks, with each session lasting 60 minutes

Schroth Method

this group will receive the core stabilization exercises alone

Group Type ACTIVE_COMPARATOR

Schroth Method

Intervention Type OTHER

The control group will receive the Schroth method alone, focusing solely on postural correction exercises. These exercises will aim to improve spinal alignment, reduce curvature, and enhance postural control through spinal elongation, de-rotation, and specific breathing techniques designed to address the scoliosis. The control group will not receive any core stabilization exercises in addition to the Schroth method. This intervention will also be performed three times a week for 10 weeks, with each session lasting 60 minutes

Interventions

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Schroth Method with Core Stabilization Exercises

The Schroth method will focus on postural correction techniques aimed at improving spinal alignment, reducing the curvature of the spine, and enhancing trunk control. Key exercises will include spinal elongation, de-rotation, and specific breathing techniques to help reduce the scoliotic curve. Core stabilization exercises will target the deep trunk muscles, such as the transversus abdominis and multifidus, to improve spinal stability. These exercises will involve bodyweight exercises, resistance bands, and stability balls, aimed at increasing muscle endurance and promoting better posture. The interventions will be performed three times a week for 10 weeks, with each session lasting 60 minutes

Intervention Type OTHER

Schroth Method

The control group will receive the Schroth method alone, focusing solely on postural correction exercises. These exercises will aim to improve spinal alignment, reduce curvature, and enhance postural control through spinal elongation, de-rotation, and specific breathing techniques designed to address the scoliosis. The control group will not receive any core stabilization exercises in addition to the Schroth method. This intervention will also be performed three times a week for 10 weeks, with each session lasting 60 minutes

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* • Age 10 to 18

* X-ray diagnosed of idiopathic scoliosis with Cobb Angle 10˚- 30˚
* Participants with Idiopathic Scoliosis
* Both genders will be included
* Scoliosis with Down syndrome.

Exclusion Criteria

* Any neurological condition such as cerebral palsy or epilepsy.
* Any other orthopedic condition such as hip dysplasia, osteogenesis imperfecta, or leg length discrepancy.
* Surgical history of the spine, such as spinal fusion and decompression surgery.
* Severe systemic disorders such as autoimmune disorders, severe cardiovascular conditions
* Non-Idiopathic Scoliosis
Minimum Eligible Age

10 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Lahore

OTHER

Sponsor Role lead

Responsible Party

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Faiza Sarwar

Physical Therapist

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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UOL Teaching Hospital

Lahore, Punjab Province, Pakistan

Site Status RECRUITING

Countries

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Pakistan

Central Contacts

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Dr Asim Arif, Physical Therapist

Role: CONTACT

+923216597727

References

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Kocaman H, Bek N, Kaya MH, Buyukturan B, Yetis M, Buyukturan O. The effectiveness of two different exercise approaches in adolescent idiopathic scoliosis: A single-blind, randomized-controlled trial. PLoS One. 2021 Apr 15;16(4):e0249492. doi: 10.1371/journal.pone.0249492. eCollection 2021.

Reference Type BACKGROUND
PMID: 33857180 (View on PubMed)

Egea-Gamez RM, Galan-Olleros M, Martinez-Caballero I, Ramirez-Barragan A, Serrano JI, Palazon-Quevedo A, Gonzalez-Diaz R. Scoliosis in Adolescent Patients With Down Syndrome: Correlation Between Curve Magnitude and Functional Level. Clin Spine Surg. 2023 Dec 1;36(10):E471-E477. doi: 10.1097/BSD.0000000000001495. Epub 2023 Jul 14.

Reference Type BACKGROUND
PMID: 37448188 (View on PubMed)

Day JM, Fletcher J, Coghlan M, Ravine T. Review of scoliosis-specific exercise methods used to correct adolescent idiopathic scoliosis. Arch Physiother. 2019 Aug 23;9:8. doi: 10.1186/s40945-019-0060-9. eCollection 2019.

Reference Type BACKGROUND
PMID: 31463082 (View on PubMed)

Ceballos-Laita L, Carrasco-Uribarren A, Cabanillas-Barea S, Perez-Guillen S, Pardos-Aguilella P, Jimenez Del Barrio S. The effectiveness of Schroth method in Cobb angle, quality of life and trunk rotation angle in adolescent idiopathic scoliosis: a systematic review and meta-analysis. Eur J Phys Rehabil Med. 2023 Apr;59(2):228-236. doi: 10.23736/S1973-9087.23.07654-2. Epub 2023 Jan 24.

Reference Type BACKGROUND
PMID: 36692412 (View on PubMed)

Other Identifiers

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Faiza.sarwar

Identifier Type: -

Identifier Source: org_study_id

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