The Effects of Core Stabilization Exercises on Balance, Proprioception, and Knee Muscle Strength in Children with Adolescent Idiopathic Scoliosis

NCT05557773 | Completed

• 1 other identifier: IUFGokdemir02
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Scoliosis can be defined as a 3-dimensional deformity in which the lateral deviation and rotation of the vertebrae occur, as well as changes in the physiological curves of the spine. The gold standard criterion is that the Cobb angle, which determines the lateral deviation of the spine in the frontal plane, is greater than 10°. Postural control and balance occur as a result of the integration of many sensory information. It is thought that postural control and balance in Adolescent Idiopathic Scoliosis (AIS) patients are adversely affected by biomechanical changes in sensory input, central integration, weight transfer mechanism and the structure of the medulla spinalis. In addition to these, vestibular disorders and proprioceptive losses may have an effect on balance. Decline in balance reduces the quality of life of individuals with AIS. In addition, exercise has an important place in the treatment of individuals with AIS. In order to get more efficiency from the exercises, it is necessary to improve the balance. The aim of this study is to evaluate the changes in balance, proprioception, and knee muscle strength of patients, to determine the place of balance exercises in the treatment of individuals with AIS, and to investigate the effect of core stabilization exercises on balance and proprioception in patients with AIS.

Conditions

Adolescent Idiopathic Scoliosis

Keywords

adolescent idiopathic scoliosis; core stabilization exercises; balance; proprioception; knee muscle strength

Outcome Measures

Primary Outcomes (3)

• Balance

  Evaluation of balance with Biodex Balance System

  8 week

• Proprioception

  Evaluation of proprioception with Biodex System 3 Pro Multijoint System

  8 week

• Muscle Strength of Knee Flexion / Extension

  Muscle Strength of Knee Measurement of isokinetic muscle strength with Biodex System 3Pro Multijoint System Isokinetic Dynamometer.e Flexion / Extension

  8 week

Secondary Outcomes (1)

• Balance

  8 week

Study Arms (2)

Control Group

ACTIVE COMPARATOR

The control group will be given home based traditional scoliosis exercise training for 8 weeks, 5 days a week for 45 minutes.

Other: Home Based Traditional Scoliosis Exercises

Training Group

EXPERIMENTAL

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.

Other: Home Based Traditional Scoliosis Exercises; Other: Core Stability Training

Interventions

Home Based Traditional Scoliosis Exercises OTHER

Patients in this group will receive posture exercises, strengthening exercises, diaphragmatic breathing exercises and stretching exercises.

Control Group; Training Group

Core Stability Training OTHER

Patients in this group will receive traditional scoliosis exercises. In addition, the training group will receive core stabilization exercises for multifidus, diaphragm,erector spines, rectus abdominis, internal and external obliques, quadratus lumborum, iliopsoas, gluteus maximus, and pelvic floor muscles.

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:

• Diagnosed with AIS between the ages of 10-18
• Cobb angle is between 10-40 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

You may not qualify if:

• 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.

Sponsors & Collaborators

• Istanbul University: lead

Study Sites (1)

Istanbul University

Istanbul, Fatih, 34093, Turkey (Türkiye)

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Study Record Dates

• First Submitted: September 24, 2022
• First Posted: September 28, 2022
• Study Start: June 1, 2022
• Primary Completion: February 5, 2023
• Study Completion: February 23, 2023
• Last Updated: February 10, 2025

Record last verified: 2023-02

Locations

TU (1)