Synergic Effects of Schroth Method With and Without Core Stabilization Exercises in Idiopathic Scoliosis Patients
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 72
- 试验地点
- 1
- 主要终点
- Change in Cobb Angle(Curve Magnitude)
研究概览
简要总结
A randomized controlled trial was conducted on 72 patients diagnosed with idiopathic scoliosis at the University of Lahore Teaching Hospital. The study aimed to explore the synergistic effects of the Schroth method with and without core stabilization exercises. Participants were randomly allocated into two groups: Group A, which received both the Schroth method and core stabilization exercises, and Group B, which received only the Schroth method. The intervention lasted for 10 weeks, with assessments conducted at baseline, the 5th week, and the 10th week. Outcome measures included Cobb angle (spinal curvature), lumbar extensor endurance (Sorensen test), chest mobility, and quality of life (SRS-22 questionnaire). The study found significant improvements in all outcome measures for both groups, with Group A showing superior results. The addition of core stabilization exercises to the Schroth method resulted in better reductions in Cobb angle, enhanced lumbar extensor endurance, and improved chest mobility and quality of life, indicating a synergistic effect of the combined approach. The findings suggest that incorporating core stabilization exercises into scoliosis treatment protocols can lead to superior clinical outcomes.
详细描述
A randomized controlled trial will be conducted at the University of Lahore Teaching Hospital. Thirty patients diagnosed with idiopathic scoliosis, aged 10 to 18 years, will be randomly divided into two groups: Group A will receive the Schroth method in combination with core stabilization exercises, while Group B will receive only the Schroth method. Both interventions will be delivered three times weekly for ten weeks. Outcome measures, including Cobb angle (curve magnitude), lumbar extensor endurance (Sorensen test), chest mobility, and quality of life (SRS-22), will be assessed at baseline, week 5, and week 10.
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)
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
- •• Age 10 to 18
- •X-ray diagnosed of idiopathic scoliosis with Cobb Angle 10˚- 30˚
- •Participants with Idiopathic Scoliosis
- •Both genders will be included
- •Scoliosis with Down syndrome.
排除标准
- •Any neurological condition such as cerebral palsy or epilepsy.
- •Any other orthopedic condition such as hip dysplasia, osteogenesis imperfecta, or leg length discrepancy.
- •Surgical history of the spine, such as spinal fusion and decompression surgery.
- •Severe systemic disorders such as autoimmune disorders, severe cardiovascular conditions
- •Non-Idiopathic Scoliosis
结局指标
主要结局
Change in Cobb Angle(Curve Magnitude)
时间窗: Change from Pre-Intervention to the 10th week
The Cobb angle will be used to measure the reduction in spinal curvature. The Cobb angle is the standard method for assessing the severity of scoliosis. A decrease in the Cobb angle indicates improvement in spinal alignment
Change in Lumbar Extensor Endurance (Sorensen Test)
时间窗: Change from pre-intervention to 10th week
The Sorensen test will assess lumbar extensor muscle endurance, measuring the ability to hold an isometric contraction for as long as possible. Improvements in endurance indicate better trunk stability
Change in Chest Mobility (measured by chest expansion)
时间窗: Change from pre-intervention to 10th week
Chest mobility will be measured using a non-stretch measuring tape at the xiphoid level, both at rest and during maximal inhalation and exhalation. An increase in chest mobility is an indicator of improved thoracic flexibility and lung function.
Change in Quality of Life (SRS-22 Questionnaire)
时间窗: Change from pre-intervention to 10th week
The Scoliosis Research Society (SRS-22) questionnaire will be used to assess the quality of life, including function, pain, mental health, self-image, and satisfaction with treatment. Improvements in scores reflect enhanced functional outcomes and psychosocial well-being. Each item is rated on a 5-point Likert scale (1 = worst, 5 = best). Total score ranges from 22 to 110. Higher scores indicate better quality of life and treatment satisfaction.
Change in Cobb Angle(Curve Magnitude)
时间窗: Change from Pre-Intervention to the 10th week
The Cobb angle will be used to measure the reduction in spinal curvature. The Cobb angle is the standard method for assessing the severity of scoliosis. A decrease in the Cobb angle indicates improvement in spinal alignment
Change in Lumbar Extensor Endurance (Sorensen Test)
时间窗: Change from pre-intervention to 10th week
The Sorensen test will assess lumbar extensor muscle endurance, measuring the ability to hold an isometric contraction for as long as possible. Improvements in endurance indicate better trunk stability
Change in Chest Mobility (measured by chest expansion)
时间窗: Change from pre-intervention to 10th week
Chest mobility will be measured using a non-stretch measuring tape at the xiphoid level, both at rest and during maximal inhalation and exhalation. An increase in chest mobility is an indicator of improved thoracic flexibility and lung function.
Change in Quality of Life (SRS-22 Questionnaire)
时间窗: Change from pre-intervention to 10th week
The Scoliosis Research Society (SRS-22) questionnaire will be used to assess the quality of life, including function, pain, mental health, self-image, and satisfaction with treatment. Improvements in scores reflect enhanced functional outcomes and psychosocial well-being. Each item is rated on a 5-point Likert scale (1 = worst, 5 = best). Total score ranges from 22 to 110. Higher scores indicate better quality of life and treatment satisfaction.
次要结局
未报告次要终点
研究者
Faiza Sarwar
Physical Therapist
University of Lahore