The Effect of Schroth Exercises on Cerebral Cortical Thickness and Motor and Proprioceptive Fibres
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 54
- 试验地点
- 1
- 主要终点
- Tractography
研究概览
简要总结
Adolescent idiopathic scoliosis (AIS): It is a type of structural scoliosis of unknown aetiology and most commonly seen in girls aged 10-18 years. In addition to spinal deformity, postural asymmetry, proprioceptive sensory, vestibular and vestibulospinal system dysfunctions may be observed in AIS. The Schroth method is a scoliosis-specific exercise approach that uses postural, scoliosis-specific sensorimotor and breathing exercises and is widely used in scoliosis rehabilitation. The treatment programme consists of correction of scoliotic posture with the help of exteroceptive and proprioceptive stimulation and mirrors, isometrics and other exercises to lengthen or strengthen asymmetric muscles, and maintaining a specific breathing pattern. Several studies have shown that the Schroth method improves Cobb angles, slows curve progression, reduces the need for surgery, increases back muscle strength and improves respiratory function. However, although the Schroth method is widely used in AIS rehabilitation, no study has investigated the effects of Schroth exercises on cerebral cortical thickness, proprioceptive sensation and corticospinal pathways.
The aim of this study was to compare the effects of Schroth and traditional exercises on cortical thickness, proprioceptive sensation and corticospinal tracts in individuals with AIS.
详细描述
The purpose of Schroth exercises is to rotate, lengthen and stabilize the spine in a three-dimensional plane. It is aimed to increase the patient's body awareness, to rotate the spine by inflating the deflated parts of the lungs with breathing, and to correct muscle posture asymmetries.
With different stimuli from the environment, some changes occur in the reorganization ability and strength of neurons and the synapses that neurons make with each other. This phenomenon, which is necessary for the adaptation of the organism to the environment, is called neuroplasticity. Thanks to neuroplasticity, some differences in brain structures are observed. Thanks to Schroth exercises, there is an intense proprioception sensory input to the body. At the same time, muscle strengthening occurs with controlled loading. Schroth exercises produce some effects on the brain with these features. In the study, the possible effects of Schroth exercises on the brain will be investigated.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 10 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Being a female individual between the ages of 10-18
- •Being diagnosed with AIS
- •Cobb angle should be maximum 25º
- •All participants do not have any disease that affects the nervous system.
- •All participants must use their right hand as the dominant hand
- •All participants do not have any chronic disease requiring the use of any neurological or psychiatric medication.
- •Permission to participate in the study is given by the parents of all participants.
排除标准
- •MRI of individuals who do not have any mental problems, neurological, psychiatric, muscular, rheumatic or orthopedic diseases will be included in the study.
结局指标
主要结局
Tractography
时间窗: Six months
Number of fibers of tractus corticospinalis, lemniscus medialis tracts
VolBrain
时间窗: Six months
Brain cortical thickness measurement
Cobb angle
时间窗: Six months
次要结局
未报告次要终点
研究者
Ahmet Payas
Assistant professor
Amasya University