The Effect of Inspiratory Muscle Training on Postural Stability, Posture Perception and Trunk Rotation in Children With Adolescent Idiopathic Scoliosis.
- Conditions
- Adolescent Scoliosis
- Interventions
- Other: Conventional Scoliosis Exercise ProgramOther: Inspiratory Muscle Training
- Registration Number
- NCT05381896
- Lead Sponsor
- Izmir Bakircay University
- Brief Summary
Trunk rotation and distortion of the rib cage, which are common in patients with adolescent idiopathic scoliosis, result in abnormal configuration of the diaphragm and intercostal muscles. This reduces the capacity of the respiratory muscles to produce force, and results in respiratory muscle weakness. The diaphragm, which is the major respiratory muscle, is also a component of the core muscles responsible for postural stability. Therefore, diaphragm muscle weakness results in deterioration of postural stability. Our aim in this study is to investigate the effect of inspiratory muscle training added to the routine scoliosis exercise program on postural stability and posture perception.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 40
- Having adolescent idiopathic scoliosis with a Cobb angle of 20-50° diagnosed by an orthopedic surgeon
- Having a documented diagnosis of neurological disorders
- Having a documented diagnosis of mental disorders which may affect cooperation
- Having a documented diagnosis of chronic airway diseases
- Having a documented diagnosis of orthopedic disorders which may affect mobility
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Control Group Conventional Scoliosis Exercise Program Patients in this group will receive conventional scoliosis exercise program for 1 hour, 6 days a week for 8 weeks. One exercise session will be supervised in a clinic per week, other sessions will be performed at home. Training Group Conventional Scoliosis Exercise Program In addition to the conventional scoliosis exercise program, patients in this group will also receive inspiratory muscle training for 15 minutes, twice a day, 6 days a week for 8 weeks. One exercise session will be supervised in a clinic per week, other sessions will be performed at home. Training Group Inspiratory Muscle Training In addition to the conventional scoliosis exercise program, patients in this group will also receive inspiratory muscle training for 15 minutes, twice a day, 6 days a week for 8 weeks. One exercise session will be supervised in a clinic per week, other sessions will be performed at home.
- Primary Outcome Measures
Name Time Method Change from baseline limits of stability test score in Biodex Balance System SD at 8 weeks 8 weeks Change from baseline postural stability test score in Biodex Balance System SD at 8 weeks 8 weeks
- Secondary Outcome Measures
Name Time Method Change from baseline "Walter Reed Visual Assessment Scale" at 8 weeks 8 weeks Walter Reed Visual Assessment Scale evaluates posture perception. It consists of a visual test including seven items that deal with various aspects of the deformity. Each question has a set of five figures that represent degrees of severity of the deformity: spinal deformity, rib prominence, lumbar prominence, thoracic deformity, trunk imbalance, shoulder asymmetry and scapular asymmetry.
Change from baseline maximum inspiratory pressure (MIP) at 8 weeks 8 weeks Change from baseline maximum expiratory pressure (MEP) at 8 weeks 8 weeks Change from baseline angle of trunk rotation at 8 weeks. 8 weeks Angle of trunk rotation will be evaluated using Bunnell scoliometer in forward bending position
Trial Locations
- Locations (1)
Bezmialem Vakif University
🇹🇷Istanbul, Turkey