Effectiveness of Various Exercises in Managing Kyphosis
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Cedars-Sinai Medical Center
- Enrollment
- 120
- Locations
- 2
- Primary Endpoint
- Kyphosis angle
Study Overview
Brief Summary
The primary objective of this study is to determine if stretching exercises as a conservative treatment option will correct kyphosis in postural and Scheuermann's kyphosis.
Detailed Description
Despite comprehensive documentation of surgical interventions in existing literature, the investigation into non-operative approaches for addressing hyperkyphosis or Scheuermann's kyphosis in the pediatric population has been investigated with inconsistent findings. Various outcomes have been observed with regard to the effectiveness of multiple brace treatment options, alongside recommendations for various physiotherapeutic approaches, either in conjunction with brace treatment or as standalone interventions.
However, there is no universally accepted consensus regarding the conservative management of kyphosis that simultaneously ensures substantial patient satisfaction and heightened bodily awareness. Notably, there have been no studies investigating the efficacy of stretching in the treatment of individuals with kyphosis.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 8 Years to — (Child, Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients ages 8 and older with postural or Scheuermann's kyphosis with >45° of kyphosis or >10° of thoracolumbar kyphosis from T11-L1 or other cases which seem to have excessive kyphosis.
- •Parents of patients aged 17 and younger who are 18 and older and cognitively able to complete a survey will be included in the study as well.
Exclusion Criteria
- •Patients with congenital kyphosis or scoliosis greater than 30°.
- •Parents of patients aged 17 and younger who are less than 18 years of age or cognitively unable to complete a survey will be excluded from the study.
- •Any records flagged "break the glass" or "research opt out."
Outcomes
Primary Outcomes
Kyphosis angle
Time Frame: Enrollment, 6-month follow-up, 2-year follow-up
Change in severity of kyphosis angle evaluated using radiographs
Secondary Outcomes
- Parental Perception(Enrollment, 6-month follow-up, 2-year follow-up)
- Exercise Adherence(Enrollment, 6-month follow-up, 2-year follow-up)
- Patient Satisfaction and Perception(Enrollment, 6-month follow-up, 2-year follow-up)
Investigators
David Skaggs
Director Spine Center
Cedars-Sinai Medical Center