Investigation of the Effects of Dual Task Training on Dual Task Performance in Individuals With Scoliosis
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Hacettepe University
- Enrollment
- 38
- Locations
- 1
- Primary Endpoint
- Single Motor - Step Lengths
Study Overview
Brief Summary
In this study, "Single Task" and "Dual Task" groups will be formed in individuals aged 10-18 years with scoliosis. For 12 weeks, scoliosis-specific three-dimensional exercises will be applied to both groups. The Single Task group will receive only motor exercise training, while the Dual Task group will receive both motor and cognitive exercise training. At the end of the study, the dual-task performance of both groups will be evaluated and the effects of dual task training on individuals with scoliosis will be analyzed.
Detailed Description
Scoliosis is a term used to describe changes in the shape and position of the spine and chest cage. Essentially, scoliosis involves lateral deviation and rotations of the vertebrae, accompanied by changes in the sagittal plane, creating a three-dimensional deformity. The progressive nature of scoliotic deformity underscores the importance of controlling these components through conservative methods. Without control, scoliosis can lead to postural, balance, and locomotor disorders due to compromised sensory integrity and inadequate proprioceptive feedback. Despite compromised postural control and continuity in individuals with Adolescent Idiopathic Scoliosis (AIS), maintaining daily life activities and body orientation is crucial for controlling the progression of scoliosis. The daily routine of individuals with AIS often involves simultaneous engagement in postural control alongside other daily activities. These routines and exercises frequently incorporate dual-task components. Our study aims to examine the effectiveness of single-task and dual-task walking and balance exercises in individuals with scoliosis, as well as their contributions to scoliosis-specific assessments
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Other
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 10 Years to 18 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Individuals between the ages of 10-16
- •Individuals with idiopathic scoliosis
- •Individuals with curve degrees between 10 and 40
- •Individuals with a body mass index of less than 30 kg\m
- •Be willing to participate in the tests and have the cognitive ability to complete the tests.
Exclusion Criteria
- •Having other types of scoliosis other than idiopathic scoliosis
- •Individuals with previous scoliosis or any spine-related conservative treatment or surgery
- •Acute (fracture, surgery); cardiovascular system (heart failure, arrhythmia...); nervous system diseases (epilepsy, vertigo...); sensory organs (vision or hearing loss...); musculoskeletal disorders (rheumatism, hypermobility syndrome...)
- •Taking any regular medication that may affect balance (ssri, psycholeptic, anti-epileptic medication...)
- •Playing sports at a professional level
- •Using a brace, starting to use a brace
Arms & Interventions
Single Task Group
Control
Intervention: Physiotherapy/Exercise Program (Behavioral)
Dual Task Group
Study
Intervention: Physiotherapy/Exercise Program (Behavioral)
Outcomes
Primary Outcomes
Single Motor - Step Lengths
Time Frame: From baseline assessment to post-intervention at 12 weeks (after 12 exercise sessions, one session per week)
10 meter walking test. Measurements will begin with the participant's first step from the starting line and will end as they cross the finish line. Each participant will complete three trials, during which the step count and duration will be recorded. Based on these evaluations step lengths (m) will be calculated.
Dual-Task (Letter)
Time Frame: From baseline assessment to post-intervention at 12 weeks (after 12 exercise sessions, one session per week).
Participants will read a 5-letter word backward during a 10-meter walk. Each word will be provided randomly, and participants will be instructed to articulate the letters of the word in reverse order while walking.
Single Motor - Walking Speed
Time Frame: From baseline assessment to post-intervention at 12 weeks (after 12 exercise sessions, one session per week)
10 meter walking test. Measurements will begin with the participant's first step from the starting line and will end as they cross the finish line. Each participant will complete three trials, during which the step count and duration will be recorded. Based on these evaluations, walking speed (m/min) will be calculated.
Single Motor - Cadence
Time Frame: From baseline assessment to post-intervention at 12 weeks (after 12 exercise sessions, one session per week)
10 meter walking test. Measurements will begin with the participant's first step from the starting line and will end as they cross the finish line. Each participant will complete three trials, during which the step count and duration will be recorded. Based on these evaluations cadence (steps/min) will be calculated.
Single Cognitive
Time Frame: From baseline assessment to post-intervention at 12 weeks (after 12 exercise sessions, one session per week)
Stroop Test
Dual-Task ( Number)
Time Frame: From baseline assessment to post-intervention at 12 weeks (after 12 exercise sessions, one session per week).
Giving specific cognitive tasks during a 10m walk. These cognitive tasks will be counting backwards in 7's from a random number between 50-100.
Secondary Outcomes
- Body Asymmetry and Posture Assessments(Baseline measurements conducted at the initial assessment. Participants will undergo a 12-week exercise intervention, with one session per week. Post-treatment assessments will be conducted immediately after completing the 12 sessions at the 12th week.)
- Scoliosis-specific assessments 2(Baseline measurements conducted at the initial assessment. Participants will undergo a 12-week exercise intervention, with one session per week. Post-treatment assessments will be conducted immediately after completing the 12 sessions at the 12th week.)
Investigators
Gözde Yagci (Gür)
Prof. Dr.
Hacettepe University