The Effects of Core Stability Training in Children With Adolescent Idiopathic Scoliosis

Not Applicable

Completed

• Conditions: Adolescent Idiopathic Scoliosis
• Interventions: Other: Home Based Traditional Scoliosis Exercises; Other: Core Stability Training

• Registration Number: NCT05056363
• Lead Sponsor: Istanbul University

Brief Summary

Adolescent idiopathic scoliosis (AIS) is a three-dimensional structural deformity of the spine in which lateral flexion and axial rotation are seen in vertebrae with a Cobb (method for measuring spinal curvature) angle of 10° and above. AIS is the most common type of scoliosis and it occurs in the period from the onset of puberty (up to 10 years) until the closure of growth plates.

Children with AIS have cosmetic effects, decrease in functional capacity, muscle weakness in certain parts of the body, decrease in quality of life and posture disorders. Lack of core stability might be causing these problems.

Core stability training may have a positive effect for these problems experienced by children with AIS.

Pathologies that cause the disease may originate from the nervous system and musculoskeletal system. In this study, the investigators will evaluate these systems objectively with EMG biofeedback and Isokinetic Testing.

The aim of this study is to show the effect of core stability training on various problems (as we mentioned before) caused by the disease. In addition, the investigators of this study hope to contribute to the literature(with objective evaluations) about the pathological background and treatment of this challenging disease which the cause is unknown.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2021-09-15
• Study First Submitted QC: 2021-09-15
• Study First Posted: 2021-09-24
• Study Start: 2021-10-05
• Primary Completion: 2022-03-10
• Study Completion: 2022-03-25
• Status Verified: 2024-02
• Last Update Submitted: 2024-02-19
• Last Update Posted: 2024-02-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 32

Inclusion Criteria

• Diagnosed with AIS between the ages of 10-20
• Cobb angle is between 15-40 degrees
• The child's and family's consent to participate in the study
• The child does not receive any other treatment that will affect his scoliosis.

Exclusion Criteria

• Surgical operation in the last 3 months
• Presence of an orthopedic, neurological, systemic disease that will prevent him from exercising
• Having mental, communicative and behavioral disorders that may cause problems understanding commands and questions or performing exercises
• Exercising 3 or more days a week.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control Group	Home Based Traditional Scoliosis Exercises	The control group will be given home based traditional scoliosis exercise training for 8 weeks, 5 days a week for 45 minutes.
Training Group	Home Based Traditional Scoliosis Exercises	In addition to conventional home based traditional scoliosis exercises, patients in this group will also receive core stabilization exercise training for 45 minutes, 5 times in a week for 8 weeks. Every two sessions will be supervised in a clinic per week.
Training Group	Core Stability Training	In addition to conventional home based traditional scoliosis exercises, patients in this group will also receive core stabilization exercise training for 45 minutes, 5 times in a week for 8 weeks. Every two sessions will be supervised in a clinic per week.

Primary Outcome Measures

Name	Time	Method
Cobb Angle	8 week	Cobb Angle measurement with AP Radiography
Muscle Strength of Trunk Flexion / Extension	8 week	Measurement of isokinetic and isometric muscle strength with Biodex System 3Pro Multijoint System Isokinetic Dynamometer.
Muscle Electromyographic Activity	8 week	Measurement of the surface electromyographic activity with using a non-invasive Myomed 932 EMG-biofeedback device (Enraf-Nonius, The Netherlands)
Muscle Strength	8 week	Evaluation of the muscle strength with using a non-invasive Myomed 932 EMG-biofeedback device (Enraf-Nonius, The Netherlands)

Secondary Outcome Measures

Name	Time	Method
Patients Quality of Life	8 week	Quality of life will be measured with using the Scoliosis Research Society 22 item questionnaire (SRS-22r).; SRS-22 has a minimum score of 22 and a maximum score of 110. Each question is scored on 1-5 scale. Questions are sorted into different domains and total and mean scores for each domain are calculated. A total score for the entire questionnaire is also calculated.
Cosmetic Deformity Evaluation	8 week	Patients cosmetic deformity will be evaluated with Walter Reed Visuel Assesment Scale.; This scale includes seven items with figures representing different aspects of the spinal deformity: spinal deformity, rib prominence, lumbar prominence, thoracic deformity, trunk imbalance, shoulder asymmetry and scapular asymmetry. The figures are scored from minimum (1, no deformity) to maximum (5, severe deformity) and summed up to yield a total score (minimum: 5 points, maximum: 35 points).
Trunk Rotation	8 week	Evaluation of the thoracic, thoracic-lumber junction, lumber axial trunk rotation with Bunnell Scoliometer
Flexibility Measurement	8 week	Patients flexibility will be measured with forward and lateral bending tests

Trial Locations

Locations (1)

Istanbul University; 🇹🇷 Istanbul, Fatih, Turkey