Implementation of Specific Tailored Exercises Program Versus Exergaming Exercises on Cobb Angle in the Treatment of Adolescent Idiopathic Scoliosis: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 54
- 主要终点
- Cobb's angle
研究概览
简要总结
this study will be conducted to investigate the difference between specific tailored exercise program and exergaming exercises on Cobb's angle, angle of trunk rotation, pulmonary function and quality of the life in adolescent idiopathic scoliosis.
详细描述
Adolescent idiopathic scoliosis is a structural spinal disorder that occurs during puberty and lacks a definitive etiology. The spinal deviation of the thoracic region occurs more frequently in adolescent and typical manifestations may include noticeable spinal deformities, impair posture and restrict body movement . Existing studies on scoliosis-specific exercises like Schroth, lyon and side shifts approaches have shown positive outcomes in reducing curvature progression and enhancing postural stability. Also, the exergaming exercises enhance postural deformity by providing real-time body movement of postural correction exercises through games.However, research on the tailored program for AIS is limited, leading to uncertainties about it's their clearance effect. Recent literature underscores the need for standardized protocols.The current study aims to assess the evidence of the specific tailored program based on differential approaches of the scoliosis specific exercises as (schroth, lyon and side shifts) methods. Also, asses the evidence of the specific customized tailored exergaming exercises, to identifying their impact on cobb's angle, angle of trunk rotation, pulmonary function and quality of life.
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
opaque sealed envelope
入排标准
- 年龄范围
- 10 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Thoracic spine region with C-shaped scoliosis
- •Individuals aged 10-18 years
- •Cobb's angle from 10 to 25 degrees
- •Both genders (male and female)
- •Adolescent idiopathic scoliosis
排除标准
- •Mental health disorders
- •Neuromuscular or rheumatic diseases
- •A history of spinal surgery
- •Patients been prescribed brace treatment
- •Leg length discrepancy
研究组 & 干预措施
Specific Tailored Exercises Program
eighteen patients will receive Specific Tailored Exercises Program plus traditional physical therapy three times per week for three months
干预措施: Specific Tailored Exercises Program (Other)
Specific Tailored Exercises Program
eighteen patients will receive Specific Tailored Exercises Program plus traditional physical therapy three times per week for three months
干预措施: traditional physical therapy (Other)
Exergaming Exercises
eighteen patients will receive Exergaming Exercises plus traditional physical therapy three times per week for three months
干预措施: Exergaming Exercises (Other)
Exergaming Exercises
eighteen patients will receive Exergaming Exercises plus traditional physical therapy three times per week for three months
干预措施: traditional physical therapy (Other)
traditional physical therapy
eighteen patients will receive traditional physical therapy three times per week for three months
干预措施: traditional physical therapy (Other)
结局指标
主要结局
Cobb's angle
时间窗: up to three months
cobbs angle will be measured by x-ray. This method quantifies the lateral spinal curvature measured on a radiograph in the coronal plane, using anterior-posterior (AP) or posterior-anterior (PA) radiographs.A Cobb angle in the range of 10 to 20 degrees is considered as mild scoliosis. Scoliosis severity is moderate when the Cobb angle ranges from 20 to 40 degrees.
the angle of trunk rotation
时间窗: up to three months
Scoliometer mobile applications is a valid and reliable method used to assess the angle of trunk rotation. It is a portable, accessible and easy tracking and follow up. Visual interface and digital readout. Save and track angle trunk rotation values over time
flow rate of inhalation
时间窗: up to three months
The flow rate of inhalation in respiratory physiology refers to the rate at which air moves into the lungs during inspiration, i.e., The volume of air that enters the lungs per unit of time during inspiration. (e.g., mL/sec ). In a flow-based incentive spirometer, this flow rate is indicated by rising elements (e.g., balls) in the device that reflect how quickly air is drawn in during inspiration. For proper medication delivery from a Dry Powder Inhaler (DPI), a flow rate of inhalation of greater than 60 L/min is generally considered optimal.
次要结局
- life disability(up to three months)
研究者
Randa Ahmed Amin
principle investigator :randa ahmed amin
Cairo University