Effects of Core Stabilization Exercises and Rotational Angular Breathing Exercises on Cobb's Angle, Trunk Rotation, Inspiratory Capacity and Spinal Appearance Among Idopathic Scoliosis Patients
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 32
- 试验地点
- 2
- 主要终点
- Trunk rotation
研究概览
简要总结
This study is a single-blind, two-arm parallel-group randomized controlled trial designed to evaluate the effects of core stabilization exercises combined with rotational angular breathing exercises on adolescents with idiopathic scoliosis. Participants aged 10-18 years with a Cobb angle between 10° and 25° will be randomly assigned to either an experimental group receiving a structured exercise program or a control group receiving standard care.
The intervention will be conducted over 12 weeks, with outcomes assessed at baseline, post-intervention, and follow-up periods. Primary outcomes include Cobb angle, angle of trunk rotation, inspiratory capacity, and spinal appearance. The study aims to determine whether the combined exercise approach is more effective than standard care in improving spinal alignment, respiratory function, and physical appearance.
详细描述
Adolescent idiopathic scoliosis is a three-dimensional spinal deformity characterized by lateral curvature and vertebral rotation, commonly developing during adolescence. It is associated with postural asymmetry, trunk deformity, reduced pulmonary function, and decreased quality of life. Conservative management strategies, particularly exercise-based interventions, are widely used to prevent progression and improve functional outcomes.
Core stabilization exercises focus on strengthening the muscles surrounding the spine, including abdominal, paraspinal, and pelvic muscles. These exercises enhance spinal stability, improve postural control, and reduce compensatory movement patterns. However, core stabilization alone may not fully address thoracic asymmetry and respiratory limitations associated with scoliosis.
Rotational angular breathing exercises are scoliosis-specific techniques aimed at improving thoracic expansion, promoting spinal de-rotation, and enhancing pulmonary function. These exercises involve controlled breathing patterns that target the concave side of the rib cage, facilitating improved ventilation and postural correction.
Although both interventions have shown individual effectiveness, limited evidence exists regarding their combined effects on structural, functional, and patient-reported outcomes in adolescents with idiopathic scoliosis. Therefore, this study aims to evaluate the combined impact of core stabilization and rotational angular breathing exercises on multiple clinical outcomes.
This study will be conducted as a single-blind, randomized controlled trial with two parallel groups. A total of 32 participants meeting eligibility criteria will be recruited and randomly assigned in a 1:1 ratio to either the experimental group or the control group.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
We simply did not inform the outcome assessor about the group allocation
入排标准
- 年龄范围
- 10 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adolescents aged 10-17 years
- •Both male and female participants
- •Diagnosed cases of idiopathic scoliosis
- •Cobb's angle between 10° and 25°
- •Both thoracic and lumbar spine scoliosis patients
- •Both C-shaped or S-shaped curve scoliosis patients
排除标准
- •Previous spinal surgery
- •Significant neuromuscular disorders (e.g, muscular dystrophy, cerebral palsy)
- •Other medical conditions affecting participation (e.g, respiratory or cardiac)
- •Any contraindication to exercise program
研究组 & 干预措施
Core stabilization and rotational angular breathing exercises
Planks involve maintaining a straight body position from head to heels while resting on the forearms and toes, effectively strengthening the abdominal muscles and lower back. Bridges require participants to lie on their backs with knees bent and feet flat, lifting their hips to create a straight line from shoulders to knees, targeting the glutes and hamstrings for enhanced pelvic stability. The bird dog exercise is performed on hands and knees, where participants extend one arm and the opposite leg, promoting balance and coordination while engaging the core. Lastly, dead bugs involve lying on the back with arms and legs raised, lowering one arm and the opposite leg while keeping the lower back pressed into the floor, which effectively engages deep core muscles. Additionally, the program will incorporate rotational angular breathing exercises, focusing on enhancing thoracic expansion and postural control through specific breathing techniques.
干预措施: Core Stabilization Exercises (Other)
Standard care
Participants in the active comparator group will receive conventional physiotherapy routinely provided for individuals with idiopathic scoliosis. The program will focus on general posture correction, flexibility, spinal mobility, and basic strengthening exercises without specialized core stabilization or rotational angular breathing techniques.
Standard Care Intervention:
General stretching exercises for trunk and lower limb muscles Active range of motion exercises for spinal mobility Conventional postural correction exercises Basic strengthening exercises for back and abdominal muscles Breathing awareness exercises without rotational angular emphasis Education regarding posture maintenance and ergonomic advice Frequency: 3 sessions per week Total Duration: 12 weeks Session Duration: 40 minutes Session Structure 5 minutes warm-up 25 minutes conventional physiotherapy exercises 5 minutes breathing and relaxation exercises 5 minutes cool-down and posture education
干预措施: Standard Care (in control arm) (Other)
结局指标
主要结局
Trunk rotation
时间窗: 12 weeks
Angle of Trunk Rotation is assessed using a scoliometer during the Adam's Forward Bend Test. The device is placed over the spine at the point of maximum deformity to quantify axial trunk rotation and rib hump prominence. Time Frame: Baseline, 4 weeks, 8 weeks and 12 weeks
Spinal appearance
时间窗: 12 weeks
The Spinal Appearance Questionnaire is a patient-reported outcome measure that evaluates the perception of spinal deformity and cosmetic appearance. It includes domains related to trunk asymmetry, curve perception, and self-image. Time Frame: Baseline, 4 weeks, 8 weeks and 12 weeks
次要结局
未报告次要终点
研究者
Umber Nawaz
Assistant Professor
Lahore University of Biological and Applied Sciences