Proprioceptive Neuromuscular Facilitation Combined With Spiral Muscle Chain Training for Pediatric Scoliosis
NCT ID: NCT07319702
Last Updated: 2026-01-06
Study Results
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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COMPLETED
NA
189 participants
INTERVENTIONAL
2024-03-05
2024-12-30
Brief Summary
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The main questions it aims to answer are:
Does PNF combined with SPS training improve trunk alignment and body balance parameters in children with mild adolescent idiopathic scoliosis?
Does the combined intervention improve spinal mobility and paraspinal muscle endurance compared with single-intervention approaches?
Does the combined intervention lead to favorable changes in surface electromyography (sEMG) indicators of trunk and paraspinal muscles?
Researchers will compare a PNF therapy group, an SPS training group, and a combined PNF + SPS group to assess differences in spinal alignment, muscle endurance, and neuromuscular activation outcomes.
Participants will:
Be assigned to one of three intervention groups: PNF therapy alone, SPS training alone, or combined PNF and SPS training
Participate in supervised exercise training sessions three times per week for 12 weeks
Undergo pre- and post-intervention assessments, including electronic spinal measurements and surface electromyography testing
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
FACTORIAL
TREATMENT
DOUBLE
Study Groups
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Proprioceptive Neuromuscular Facilitation (PNF) Therapy
Participants receive proprioceptive neuromuscular facilitation (PNF) therapy as an exercise intervention for abnormal spinal curvature. Training is conducted 3 times per week (every other day) for 12 weeks. The PNF protocol includes resisted scapular-pelvic patterns, cervical flexion/extension, trunk chopping/lifting patterns, bilateral upper-limb patterns, and bridge exercises (per PNF schedule).
Proprioceptive Neuromuscular Facilitation (PNF) Therapy
Proprioceptive neuromuscular facilitation (PNF) therapy is used as an exercise-based intervention to address abnormal spinal curvature in children with adolescent idiopathic scoliosis.
The PNF program includes resisted scapular-pelvic patterns, cervical flexion and extension, trunk diagonal patterns (chopping and lifting), bilateral upper-limb diagonal patterns, and bridge exercises.
Training sessions are supervised and conducted three times per week (every other day) for 12 weeks.
Spiral Muscle Chain (SPS) Training
Participants receive spiral stabilizing muscle chain (SPS) training as an exercise intervention for abnormal spinal curvature. Training is conducted 3 times per week (every other day) for 12 weeks. The SPS program follows the SPS training schedule (Training 1A-6A, 7C-10C, and stretching component), with planned repetitions/sets and practice time as listed in the protocol schedule.
Spiral Muscle Chain (SPS) Training
Spiral muscle chain (SPS) training is applied as an exercise-based intervention aimed at improving spinal alignment, postural control, and neuromuscular coordination in children with adolescent idiopathic scoliosis.
The SPS program consists of spiral stabilization exercises performed with elastic resistance, body positioning control, and stretching components according to a standardized training protocol.
Training sessions are supervised and conducted three times per week (every other day) for 12 weeks.
Combined Exercise Therapy
Participants receive a combined program consisting of PNF therapy plus SPS spiral muscle chain training as an exercise intervention for abnormal spinal curvature. Training is conducted 3 times per week (every other day) for 12 weeks.
Combined Exercise Therapy
The combined intervention integrates proprioceptive neuromuscular facilitation (PNF) therapy and spiral muscle chain (SPS) training as a comprehensive exercise program for children with adolescent idiopathic scoliosis.
Participants perform both PNF and SPS exercise components within each training cycle to target spinal alignment, muscle endurance, and neuromuscular activation.
Training sessions are supervised and conducted three times per week (every other day) for 12 weeks.
Interventions
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Proprioceptive Neuromuscular Facilitation (PNF) Therapy
Proprioceptive neuromuscular facilitation (PNF) therapy is used as an exercise-based intervention to address abnormal spinal curvature in children with adolescent idiopathic scoliosis.
The PNF program includes resisted scapular-pelvic patterns, cervical flexion and extension, trunk diagonal patterns (chopping and lifting), bilateral upper-limb diagonal patterns, and bridge exercises.
Training sessions are supervised and conducted three times per week (every other day) for 12 weeks.
Spiral Muscle Chain (SPS) Training
Spiral muscle chain (SPS) training is applied as an exercise-based intervention aimed at improving spinal alignment, postural control, and neuromuscular coordination in children with adolescent idiopathic scoliosis.
The SPS program consists of spiral stabilization exercises performed with elastic resistance, body positioning control, and stretching components according to a standardized training protocol.
Training sessions are supervised and conducted three times per week (every other day) for 12 weeks.
Combined Exercise Therapy
The combined intervention integrates proprioceptive neuromuscular facilitation (PNF) therapy and spiral muscle chain (SPS) training as a comprehensive exercise program for children with adolescent idiopathic scoliosis.
Participants perform both PNF and SPS exercise components within each training cycle to target spinal alignment, muscle endurance, and neuromuscular activation.
Training sessions are supervised and conducted three times per week (every other day) for 12 weeks.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
Angle of trunk rotation (ATR) 5° ≤ ATR \< 10°
No brace treatment and no history of spinal surgery
Able to complete PNF therapy and SPS training as required
Written informed consent obtained (participants and their parents/guardians)
Exclusion Criteria
Any exercise-related contraindications
History of spinal surgery
Any congenital deformity
Any trauma within the previous 6 months
Any accompanying neurological, rheumatological, or mental problems
13 Years
18 Years
ALL
No
Sponsors
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Nie danning
OTHER
Responsible Party
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Nie danning
PhD Candidate
Locations
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The Affiliated High School of Nanjing Normal University
Nanjing, Jiangsu, China
Countries
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References
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Xu Y, Feng M, Wu R, Wang Y, Yang Z, Wang Z, Kang Z, Xie L, Liu H. Effect of adding proprioceptive neuromuscular facilitation to conventional physiotherapy on scapular balance and shoulder proprioception in adolescents with idiopathic scoliosis: a randomised controlled trial protocol. BMJ Open. 2025 Nov 19;15(11):e106848. doi: 10.1136/bmjopen-2025-106848.
Nechvatal P, Hitrik T, Kendrova LD, Macej M. Comparison of the effect of the McKenzie method and spiral stabilization in patients with low back pain: A prospective, randomized clinical trial. J Back Musculoskelet Rehabil. 2022;35(3):641-647. doi: 10.3233/BMR-210055.
Maruyama T, Kitagawa T, Takeshita K, Mochizuki K, Nakamura K. Conservative treatment for adolescent idiopathic scoliosis: can it reduce the incidence of surgical treatment? Pediatr Rehabil. 2003 Jul-Dec;6(3-4):215-9. doi: 10.1080/13638490310001642748.
Provided Documents
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Document Type: Study Protocol
Document Type: Informed Consent Form
Other Identifiers
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NNU202410016
Identifier Type: -
Identifier Source: org_study_id
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