In The Light of Isokinetic Test and sEMG: How Effective Is Core Stability Exercise Training On Cobb Angle Muscle Strenght and Quality of Life In Adolescent Idiopathic Scoliosis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 32
- 试验地点
- 2
- 主要终点
- Muscle Strength of Trunk Flexion / Extension
研究概览
简要总结
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.
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
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 10 Years 至 20 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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.
研究组 & 干预措施
Training Group
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.
干预措施: Core Stability Training (Other)
Control Group
The control group will be given home based traditional scoliosis exercise training for 8 weeks, 5 days a week for 45 minutes.
干预措施: Home Based Traditional Scoliosis Exercises (Other)
Training Group
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.
干预措施: Home Based Traditional Scoliosis Exercises (Other)
结局指标
主要结局
Muscle Strength of Trunk Flexion / Extension
时间窗: 8 week
Measurement of isokinetic and isometric muscle strength with Biodex System 3Pro Multijoint System Isokinetic Dynamometer.
Muscle Electromyographic Activity
时间窗: 8 week
Measurement of the surface electromyographic activity with using a non-invasive Myomed 932 EMG-biofeedback device (Enraf-Nonius, The Netherlands)
Cobb Angle
时间窗: 8 week
Cobb Angle measurement with AP Radiography
Muscle Strength
时间窗: 8 week
Evaluation of the muscle strength with using a non-invasive Myomed 932 EMG-biofeedback device (Enraf-Nonius, The Netherlands)
次要结局
- Cosmetic Deformity Evaluation(8 week)
- Patients Quality of Life(8 week)
- Trunk Rotation(8 week)
- Flexibility Measurement(8 week)
研究者
Fuat Gokdemir
Research Assistant
Istanbul University