Dual Tasking and Upper Extremity Disability in Adolescent Idiopathic Scoliosis
- Conditions
- Scoliosis Idiopathic
- Interventions
- Other: Single and Dual-Task Timed Up and Go TestOther: Single and Dual-Task Tandem Walking TestOther: Simple Shoulder Test
- Registration Number
- NCT06446986
- Lead Sponsor
- Karamanoğlu Mehmetbey University
- Brief Summary
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
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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 70
- Patients diagnosed with Adolescent Idiopathic Scoliosis
- 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
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Study group Single and Dual-Task Tandem Walking Test Patients with adolescent idiopathic scoliosis Control group Single and Dual-Task Timed Up and Go Test Age and sex matched healthy adolescent peers Control group Simple Shoulder Test Age and sex matched healthy adolescent peers Study group Simple Shoulder Test Patients with adolescent idiopathic scoliosis Study group Single and Dual-Task Timed Up and Go Test Patients with adolescent idiopathic scoliosis Control group Single and Dual-Task Tandem Walking Test Age and sex matched healthy adolescent peers
- Primary Outcome Measures
Name Time Method The difference in seconds of the Single and Dual-Task Tandem Walking Test between study and control groups baseline Univariate statistical analyses will be performed to calculate the differences in seconds between the study group and control group.
The difference in seconds of the Single and Dual-Task Timed Up and Go Test between study and control groups baseline Univariate statistical analyses will be performed to calculate the differences in seconds between the study group and control group.
The difference of the Simple Shoulder Test scores between study and control groups baseline Univariate statistical analyses will be performed to calculate the differences in the scores between the study group and control group.
- Secondary Outcome Measures
Name Time Method Multivariate analyses will be carried out with control variables baseline Significant primary outcome measures will be controlled with:
* Clinical parameters:
* Scapular dyskinesia evaluation (present/absent)
* Lateral scapular shift test (positive/negative)
* TRACE score (Trunk Aesthetic Clinical Evaluation) (score ranges from 0 to12)
* Thoracic expansion (cm)
* Radiological parameters: Coronal plan:
* Curve type (single, double major),
* Location of curvature (Thoracic, thoracolumbar, lumbar),
* Majör curve side (right/left),
* Major curve Cobb angle (degrees),
* Coronal balance (mm),
* Apical vertebrae translation (mm),
* Apical vertebrae rotation (Grade from 0 to 4),
* Pelvic obliquity (degrees),
* Radiographic shoulder height (mm),
* Radiological parameters: Sagital plan
* Torasik kyphosis Cobb angle (degrees),
* Lumbar lordosis Cobb angle (degrees),
* Sagittal balance (mm),
* Pelvic tilt (degrees),
* Sacral slope (degrees),
* Pelvic incidence (degrees).
Trial Locations
- Locations (1)
Karaman Training and Research Hospital
🇹🇷Karaman, Turkey