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Oxygen Consumption in Adolescent Idiopathic Scoliosis

Completed
Conditions
Adolescent Idiopathic Scoliosis
Interventions
Device: Rigid Thermoplastic Spinal Brace
Registration Number
NCT03514082
Lead Sponsor
Eastern Mediterranean University
Brief Summary

Adolescent Idiopathic Scoliosis (AIS) is a rotational deformity of the spine that could be seen 2-3% of population. Conservative treatment of AIS with 20-45 degree lateral flexion angle (Cobb) includes brace and therapeutic exercises. Some gait abnormalities were defined like decreased torsional movements of spine, increased muscular work and energy expenditure in AIS. Additionally wearing a brace limits pelvic motions and affects pendulum-like mechanism of gait. Our aim was to investigate gait energy consumption, pulmonary functions, balance and lower extremity loading symmetry in AIS subjects who are getting conservative treatment.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
15
Inclusion Criteria
  • Cobb angle between 20-45 degree,
  • Prescribed a rigid spinal brace by doctor
Exclusion Criteria
  • Having leg length discrepancy more than 1 centimeter
  • Having a lung disease
  • Having another orthopedic or neurologic disorder

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Adolescent Idiopathic ScoliosisRigid Thermoplastic Spinal BraceSubjects with AIS who are beginning to the conservative treatment.
Primary Outcome Measures
NameTimeMethod
Gait Oxygen ConsumptionAssessment will be done at the end of first month of conservative treatment.

Oxygen consumption will be assessed with a mobile metabolic analyzer during walking on treadmill with 4 km/h gait speed. Recordings will be taken for 2 minutes after first 2 minutes of walking.

Secondary Outcome Measures
NameTimeMethod
Pulmonary FunctionsAssessment will be done at the end of first month of conservative treatment.

Forced vital capacity (FVC), Forced expiratory volume in one second (FEV1), FEV1/FVC ratio, peak expiratory flow (PEF), forced expiratory flow at 25-75 % of the pulmonary volume (FEF 25-75%) will be assessed with spirometer.

BalanceAssessment will be done at the end of first month of conservative treatment.

Balance will be assessed with a special equipment that gives deviation that lower values mean better.

Lower extremity loading symmetryAssessment will be done at the end of first month of conservative treatment.

Plantar loading symmetry will be assessed with a pedobarograph located in the middle of a six meters walking way. Loading symmetry will be calculated and compared as percentage of total pressure.

Trial Locations

Locations (1)

Eastern Mediterranean University

🇹🇷

Mersin, Famagusta, Turkey

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