Effectiveness of Physical Therapy Exercises in Hyperkyphosis
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 75
- Locations
- 1
- Primary Endpoint
- survey
Study Overview
Brief Summary
This proposal is a single center preliminary prospective cohort trial that evaluates patients with hyperkyphosis. Participants will receive physical therapy exercises and be followed for the above outcome measures over time. The treatment arm will receive training in one-time training in kyphosis-specific exercises.
It is hypothesized that participants receive physical therapy exercises will demonstrate improved outcome measures over time. Also, it is hypothesized that participants who receive kyphosis-specific exercises will demonstrate significantly improved perceived quality-of-life and significantly reduced pain, compared to participants who receive generalized back exercises after 6 months.
Also, it is hypothesized that a kyphosis-specific SAQ will demonstrate satisfactory test-retest reliability and concurrent validity.
Detailed Description
A total of 50 patients will be recruited for this study. 28 patients will be recruited for both groups, or 14 participants per group. Patients will be randomized by an independent research assistant who will draw the group number from a hat. We assume less than 15% attrition, which results in 12 participants per group.
Patients in both groups will ideally be followed after 6 months, unless the patient's treating orthopaedic surgeon schedules them for a visit up until 12 months later.
Group 1(Kyphosis-specific exercise Group): Patients will receive a one-time treatment consisting of kyphosis-specific exercises that promote depressing the thoracic convexity.
Group 2 (Generalized exercise group): Patients will receive a one-time treatment consisting of core strengthening, hamstring stretching, and generalized back extension exercises.
Patients in each group will be asked to perform these exercises at home about 10 minutes a day, 3 times a week.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 10 Years to 18 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •diagnosis of hyperkyphosis
- •ages 10 to 18 years
- •Cobb angles at least 50°
- •pain >2 on the VAS during the past week.
Exclusion Criteria
- •scoliosis greater than 25°
- •conditions preventing understanding and compliance with an exercise schedule
- •current brace wear
- •previous spine surgery
- •inability to commit to at least 15 minutes of exercises for 3 days a week
- •pain <2 on the VAS during the past week.
Arms & Interventions
Exercise
Schroth-based physical therapy exercises for patients who agree to participate in exercises. Will be compared to observation-only treatment
Intervention: exercise (Other)
Outcomes
Primary Outcomes
survey
Time Frame: 6 month follow-up
19 items that identify factors related to exercise adherence, app usability and acceptability
Secondary Outcomes
- pain intensity(6 month follow-up)
- pain intensity(baseline)
Investigators
Karina Zapata, PT, DPT, PhD
research therapist
Texas Scottish Rite Hospital for Children