Clinical Effects of Proprioceptive Neuromuscular Facilitation Combined With Spiral Muscle Chain Training in the Treatment of Children With Scoliosis
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Nie danning
- Enrollment
- 189
- Locations
- 1
- Primary Endpoint
- Change in Trunk Tilt Angle (ATI)
Overview
Brief Summary
The goal of this clinical trial is to evaluate the clinical effectiveness of proprioceptive neuromuscular facilitation (PNF) combined with spiral muscle chain (SPS) training in improving spinal function and posture in children with adolescent idiopathic scoliosis.
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
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Factorial
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 13 Years to 18 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •\- Age 13 to 18 years
- •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
- •Non-idiopathic scoliosis
- •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
Outcomes
Primary Outcomes
Change in Trunk Tilt Angle (ATI)
Time Frame: Baseline and after 12 weeks of intervention
Trunk tilt angle (Angle of Trunk Rotation, ATI) measured using an electronic spine assessment device to evaluate changes in spinal asymmetry and trunk alignment.
Change in Body Balance Parameters
Time Frame: Baseline and after 12 weeks of intervention
Body balance parameters assessed by electronic spine measurement, including head lateral deviation, shoulder asymmetry, and pelvic tilt.
Change in Paraspinal Muscle Endurance
Time Frame: Baseline and after 12 weeks of intervention
Paraspinal muscle endurance evaluated during the Biering-Sorensen test using surface electromyography-derived fatigue indicators.
Secondary Outcomes
- Change in Spinal Mobility(Baseline and after 12 weeks of intervention)
- Change in Surface Electromyography Parameters(Baseline and after 12 weeks of intervention)
- Change in Trunk Muscle Activation Patterns(Baseline and after 12 weeks of intervention)
Investigators
Nie danning
PhD Candidate
Nanjing Normal University