Effectiveness of Physical Therapy Exercises in Hyperkyphosis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 75
- 试验地点
- 1
- 主要终点
- survey
研究概览
简要总结
This proposal is a single center preliminary prospective cohort trial that evaluates patients with hyperkyphosis. Participants will receive physical therapy exercises and be followed for the above outcome measures over time. The treatment arm will receive training in one-time training in kyphosis-specific exercises.
It is hypothesized that participants receive physical therapy exercises will demonstrate improved outcome measures over time. Also, it is hypothesized that participants who receive kyphosis-specific exercises will demonstrate significantly improved perceived quality-of-life and significantly reduced pain, compared to participants who receive generalized back exercises after 6 months.
Also, it is hypothesized that a kyphosis-specific SAQ will demonstrate satisfactory test-retest reliability and concurrent validity.
详细描述
A total of 50 patients will be recruited for this study. 28 patients will be recruited for both groups, or 14 participants per group. Patients will be randomized by an independent research assistant who will draw the group number from a hat. We assume less than 15% attrition, which results in 12 participants per group.
Patients in both groups will ideally be followed after 6 months, unless the patient's treating orthopaedic surgeon schedules them for a visit up until 12 months later.
Group 1(Kyphosis-specific exercise Group): Patients will receive a one-time treatment consisting of kyphosis-specific exercises that promote depressing the thoracic convexity.
Group 2 (Generalized exercise group): Patients will receive a one-time treatment consisting of core strengthening, hamstring stretching, and generalized back extension exercises.
Patients in each group will be asked to perform these exercises at home about 10 minutes a day, 3 times a week.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
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
- 否
入选标准
- •diagnosis of hyperkyphosis
- •ages 10 to 18 years
- •Cobb angles at least 50°
- •pain >2 on the VAS during the past week.
排除标准
- •scoliosis greater than 25°
- •conditions preventing understanding and compliance with an exercise schedule
- •current brace wear
- •previous spine surgery
- •inability to commit to at least 15 minutes of exercises for 3 days a week
- •pain <2 on the VAS during the past week.
研究组 & 干预措施
Exercise
Schroth-based physical therapy exercises for patients who agree to participate in exercises. Will be compared to observation-only treatment
干预措施: exercise (Other)
结局指标
主要结局
survey
时间窗: 6 month follow-up
19 items that identify factors related to exercise adherence, app usability and acceptability
次要结局
- pain intensity(6 month follow-up)
- pain intensity(baseline)
研究者
Karina Zapata, PT, DPT, PhD
research therapist
Texas Scottish Rite Hospital for Children