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Impact of Spinal Curves on Asymmetric Posture in Idiopathic Scoliosis

Active, not recruiting
Conditions
Adolescent Idiopathic Scoliosis (AIS)
Juvenile Idiopathic Scoliosis
Registration Number
NCT06733623
Lead Sponsor
Istituto Scientifico Italiano Colonna Vertebrale
Brief Summary

Asymmetric postures are often observed in patients with adolescent idiopathic scoliosis (AIS) and are partially associated with instability in sitting and standing positions, as well as with imbalances in gait kinematic parameters in cases of moderate or severe scoliosis.

Based on the currently available data, no correlation has been identified between habitual postures in daily life and the presence of scoliosis. However, the asymmetry of preferred postures in relation to the morphological characteristics of the curves, and how this might contribute to the progression of the clinical condition due to prolonged uneven load distribution, has not yet been analyzed.

Understanding any preferential direction in postures habitually adopted by patients with idiopathic scoliosis could provide valuable insights for the conservative management of the condition.

The aim of this study is to analyze the influence of the morphological characteristics of scoliotic curves (type and laterality) in patients with juvenile and adolescent idiopathic scoliosis on the choice of preferentially maintained asymmetric postures in daily life, using a descriptive questionnaire completed by family members and caregivers, compared to a group of non-scoliotic subjects.

Evaluate the effect of curve magnitude, age, sex, and Risser grade on the choice of usual asymmetric postures.

Estimate the impact of prolonged maintenance of habitual asymmetric postures on the clinical progression in patients with juvenile and adolescent idiopathic scoliosis

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
490
Inclusion Criteria
  • Diagnosis of juvenile or adolescent idiopathic scoliosis;
  • Age between 6 and 18 years;
  • Full spine X-ray in a standing position with anteroposterior projection performed within the year prior to completing the questionnaire.
Exclusion Criteria
  • Diagnosis of secondary scoliosis
  • Patients with neuromotor control disorders

Control group:

Inclusion criteria:

  • Age between 6 and 18 years;
  • No diagnosis of sciolisis
  • Full spine X-ray in a standing position with anteroposterior projection performed within the year prior to completing the questionnaire.

Exclusion Criteria:

  • Patients with neuromotor control disorders

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Everyday posture questionnaireAt enrollment

The types of postures most frequently maintained in daily life by patients with idiopathic scoliosis will be compared with a group of age-matched individuals without scoliosis, and any statistically significant differences will be analyzed using the chi-square test

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

ISICO

🇮🇹

Milan, Italy

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