The Effect of Inspiratory Muscle Training on Postural Stability, Posture Perception and Trunk Rotation in Children With Adolescent Idiopathic Scoliosis.

NCT05381896 | Completed

• 1 other identifier: Bakircaymzeren06
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Trunk rotation and distortion of the rib cage, which are common in patients with adolescent idiopathic scoliosis, result in abnormal configuration of the diaphragm and intercostal muscles. This reduces the capacity of the respiratory muscles to produce force, and results in respiratory muscle weakness. The diaphragm, which is the major respiratory muscle, is also a component of the core muscles responsible for postural stability. Therefore, diaphragm muscle weakness results in deterioration of postural stability. Our aim in this study is to investigate the effect of inspiratory muscle training added to the routine scoliosis exercise program on postural stability and posture perception.

Conditions

Adolescent Scoliosis

Keywords

postural stability; posture perception; inspiratory muscle training; adolescent idiopathic scoliosis

Outcome Measures

Primary Outcomes (2)

• Change from baseline postural stability test score in Biodex Balance System SD at 8 weeks

  8 weeks

• Change from baseline limits of stability test score in Biodex Balance System SD at 8 weeks

  8 weeks

Secondary Outcomes (4)

• Change from baseline "Walter Reed Visual Assessment Scale" at 8 weeks

  8 weeks

• Change from baseline maximum inspiratory pressure (MIP) at 8 weeks

  8 weeks

• Change from baseline maximum expiratory pressure (MEP) at 8 weeks

  8 weeks

• Change from baseline angle of trunk rotation at 8 weeks.

  8 weeks

Study Arms (2)

Control Group

ACTIVE COMPARATOR

Patients in this group will receive conventional scoliosis exercise program for 1 hour, 6 days a week for 8 weeks. One exercise session will be supervised in a clinic per week, other sessions will be performed at home.

Other: Conventional Scoliosis Exercise Program

Training Group

EXPERIMENTAL

In addition to the conventional scoliosis exercise program, patients in this group will also receive inspiratory muscle training for 15 minutes, twice a day, 6 days a week for 8 weeks. One exercise session will be supervised in a clinic per week, other sessions will be performed at home.

Other: Conventional Scoliosis Exercise Program; Other: Inspiratory Muscle Training

Interventions

Conventional Scoliosis Exercise Program OTHER

Program will include breathing exercises, spinal stabilization and strengthening exercises, posture exercises and stretching execises.

Control Group; Training Group

Inspiratory Muscle Training OTHER

Threshold IMT device will be used for the training. Training intensity will set at 30% of the maximum inspiratory pressure.

Training Group

Eligibility Criteria

• Age: 10 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Having adolescent idiopathic scoliosis with a Cobb angle of 20-50° diagnosed by an orthopedic surgeon

You may not qualify if:

• Having a documented diagnosis of neurological disorders
• Having a documented diagnosis of mental disorders which may affect cooperation
• Having a documented diagnosis of chronic airway diseases
• Having a documented diagnosis of orthopedic disorders which may affect mobility

Sponsors & Collaborators

• Izmir Bakircay University: lead
• Bezmialem Vakif University: collaborator
• Istanbul Kent University: collaborator

Study Sites (1)

Bezmialem Vakif University

Istanbul, Turkey (Türkiye)

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: asst. prof.

Study Record Dates

• First Submitted: May 16, 2022
• First Posted: May 19, 2022
• Study Start: May 23, 2022
• Primary Completion: December 23, 2022
• Study Completion: December 23, 2022
• Last Updated: February 22, 2023

Record last verified: 2023-02

Locations

TU (1)