A Research study on the effect of an exercise program in people with lateral curvature of spine

Not yet recruiting

• Conditions: Juvenile and adolescent idiopathicscoliosis,

• Registration Number: CTRI/2022/02/040635
• Lead Sponsor: Sujata Maharathi

Brief Summary

Adolescent Idiopathic Scoliosis is a three -dimensional deformity of spine with a visible lateral curvature of spine and a rib hump which are clinical manifestations of the lateral tilt of vertebrae in the coronal plane and rotation in the transverse plane. The accompanying sagittal plane abnormality due to the anterior or posterior translation can produce obliteration of thoracic kyphosis and lumbar lordosis which are often the associated x-ray findings along with a lateral curvature. The deformity also distorts the rib cage and pelvis, position of shoulder girdle altering the length tension relation of limb and spinal muscles affecting their mobility and function.   The deformity of AIS is managed non-surgically if the Cobb angle is less than 40 o. Physiotherapeutic scoliosis specific exercises have proved their effectiveness in improving the functional parameters, fitness, posture, ergonomics, bone density and health related quality of life, reducing pain, respiratory dysfunction, and curve severity in terms of Cobb angle in growing adolescents and young adults including adult patients with adolescent idiopathic scoliosis The non-surgical standard of care in India is Bracing, observation and general mobility and strengthening exercises only which is not helpful to straighten a curve. As the deformity produces asymmetrical spine, specific asymmetrical exercises can correct a specific curve which is designed biomechanically. Evidence shows small and moderate curves can be managed by curve specific exercises and help to stabilize a curve from progression during adulthood. Many subjects with bigger curves also avoid surgery for many reasons like fear of surgery, affordability and family situation and suffer with the trauma of physical impairment, pain and disability. The present study aims to observe the impact of an integrated exercise program of Myofascial release technique, Muscle energy technique, Pilates Technique and some specifically designed techniques based on the biomechanics of mal aligned spine. Based on the prevalence of scoliosis (1.34%), the sample size consists of 22 subjects of both gender from 10 years to 40 years. The selected exercises from each technique along with some new exercises form the integrated exercise program. The intervention consists of Institutional based Physiotherapy twice a week for first 6 months, once in a month for the next 6 months and daily session of 1 hour home exercise program as demonstrated in the log book. The subjects will be assessed for the primary and secondary outcome parameters on the 1st day before intervention, 6 month and 1 year post intervention.  The Pre-intervention and post -intervention data collected will be analyzed  by Students T -test. The purpose of the study is to strengthen the evidence base in favor of specific exercises in the treatment of idiopathic Scoliosis subjects. Considering the standard of nonsurgical scoliotic management in India, there is a need for this type of study.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-02-03
• Last Update Posted: 2022-02-24

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 22

Inclusion Criteria

Male or female subjects diagnosed with Adolescent Idiopathic Scoliosis of age 10 years to 40 years who have not undergone any prior conservative or surgical treatment for scoliosis.

Exclusion Criteria

Infantile and Juvenile scoliosis,Muscular Dystrophy,Congenital scoliosis,Other Neuromuscular Scolioses like Cerebral palsy and Myelomeningocele,Mental Retardation ,Osteogenesis Imperfecta.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Cobb angle,angle of trunk rotation,Spine ROM of flexion and extension,VAS measure for pain.	At pre intervention,and 6 month ,1 year post intervention.

Secondary Outcome Measures

Name	Time	Method
Angle of Lumbar Lordosis,Angle of thoracic kyphosis ,Respiratory function measures like FEV1 and PEF.	At pre intervention,6 months and 1 year post intervention.

Trial Locations

Locations (1)

Nizams Institute of Medical Sciences; 🇮🇳 Hyderabad, TELANGANA, India

Nizams Institute of Medical Sciences

🇮🇳Hyderabad, TELANGANA, India

Sujata Maharathi

Principal investigator

09348953701

sujataphysio74@gmail.com