Effect of Scoliosis-Specific Exercise on Lower Limb Biomechanics
- Conditions
- Scoliosis Idiopathic
- Interventions
- Other: Conventional Physical Therapy ProgramOther: Physiotherapeutic Scoliosis-Specific Exercise (Schroth)
- Registration Number
- NCT06266637
- Lead Sponsor
- Delta University for Science and Technology
- Brief Summary
PURPOSE: To examine the effect of Physiotherapeutic Scoliosis-Specific Exercise on limb biomechanical parameters in adolescents with idiopathic scoliosis. A randomised controlled trial
BACKGROUND:
Adolescent idiopathic scoliosis is one of the most common orthopaedic diseases affecting the spine during adolescence. The efficacy of exercise treatment is controversial. Although evidence suggests that PSSE, which include auto-correction in 3D, integration in daily life, stabilizing the corrected posture, and patient education, could improve some outcomes, effect of PSSE on related biomechanical alterations in lower limbs have not yet been examined.
HYPOTHESES:
Null hypothesis There are no statistically significant effect of Physiotherapeutic Scoliosis-Specific Exercise on lower limb biomechanics in scoliotic adolescents.
RESEARCH QUESTION:
What are the effect of Physiotherapeutic Scoliosis-Specific Exercise on lower limb biomechanics in scoliotic adolescents.?
- Detailed Description
procedures: A randomized controlled clinical trial will be conducted
Assessment:
x-ray computed scanogram radiography of the whole spine and both lower limbs in standing will be used.
The following measurements will be taken pre and post the treatment program:
For the lumbar spine coronal alignment:
1. Cobb's angle for dorso-lumbar scoliosis (curve apex from D10- L4) will be measured.
2. Coronal balance estimated by the distance between plumb line and central sacral line from anterioposterior x-ray view
For both lower limbs:
1. the length will be measured for the limb, the tibia and the femur
2. tibiofemoral angle
3. joint line convergence angle
4. mechanical axis
5. mechanical axis deviation
Treatment:
Patients will be randomly assigned into two groups to receive the prescribed treatment program for 6 months., 1 session per week in addition to a home program of daily exercise .
The control group will receive the standard care composed of trunk muscles strengthening exercises, trunk proprioception exercises .
The experimental group will receive the same standard treatment in addition to Physiotherapeutic Scoliosis-Specific Exercise
Data will be analyzed using 2 way MANOVA.
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 56
- Adolescents with age 10-18 years
- complaining of dorsolumbar scoliosis
- curves (apex lies between D10 and L4)
- curve magnitudes greater than 15 degrees and less than 90
- using or not using brace
- all maturity levels (Risser = 0-5)
- Other types of scoliosis ; congenital or neuromuscular
- Current physical therapy or medical treatment for scoliosis,
- Contracture or surgery affecting the lumbar spine or lower limbs
- Pathologies such as inflammatory diseases
- congenital anomalies
- Neurological disorders like cerebral palsy or ataxia
- dislocations
- visual or auditory problems
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Study group Conventional Physical Therapy Program The experimental group will receive the same standard treatment in addition to Physiotherapeutic Scoliosis-Specific Exercise Study group Physiotherapeutic Scoliosis-Specific Exercise (Schroth) The experimental group will receive the same standard treatment in addition to Physiotherapeutic Scoliosis-Specific Exercise Control group Conventional Physical Therapy Program The control group will receive the standard care composed of trunk muscles strengthening exercises, trunk proprioception exercises .
- Primary Outcome Measures
Name Time Method knee joint line convergence angle From enrollment to the end of treatment at 6 months The knee joint-line convergence angle (KJLCA) h is the angle made by a tangential line between the femoral condyles and the tibial plateau. It will be assessed (in degrees) by computed radiograph (X-ray computed scan-gram)
Cobb's angle From enrollment to the end of treatment at 6 months Cobb's angle for dorso-lumbar scoliosis. The angle of the curve apex from D10 to L4 will be assessed by computed radiograph (X-ray computed scanogram)
Coronal balance From enrollment to the end of treatment at 6 months Coronal balance estimated by the distance between plumb line and central sacral line from Anetroposterior x-ray view assessed by computed radiograph (X-ray computed scanogram )
lower limb mechanical axis; and mechanical axis deviation From enrollment to the end of treatment at 6 months The mechanical axis of the lower limb, also called the Mikulicz line, is drawn by connecting a point in the center of the femoral head to a point in the center of the ankle. The value of the deviation is measured in millimeters and is named mechanical axis deviation (MAD). It will be assessed by computed radiograph (X-ray computed scan-gram).
length of the the tibia and femur From enrollment to the end of treatment at 6 months The length (in centimeter) of the Tibia and femur will be assessed by computed radiograph (X-ray computed scan-gram)
tibiofemoral angle From enrollment to the end of treatment at 6 months The tibiofemoral angle (TFA), or knee angle, is defined as the angle between the anatomical axis of femur with the anatomical axis of tibia. It will be assessed (in degrees) by computed radiograph (X-ray computed scan-gram)
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Delta university for science and technology
🇪🇬Gamasa, Dakahleya, Egypt