The Effect of Schroth Exercises on Pelvic Floor Muscles

NCT05637723 | Recruiting

• 1 other identifier: Schroth Exercise
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to evaluate the effect of Schroth exercise training and Traditional Scoliosis exercise training applied 3 days a week for 6 weeks in people with Adolescent Idiopathic Scoliosis on the pelvic floor muscles and to compare these results with the control group, to evaluate pelvic asymmetry, pain, posture, body awareness, flexibility and life expectancy. It will be planned as a prospective randomized controlled trial to evaluate the correlation between 3 groups on the quality of life.

Conditions

Scoliosis

Keywords

scoliosis; pelvic floor muscle; schroth exercise

Outcome Measures

Primary Outcomes (2)

• Assessment of pelvic floor muscle strength

  The ability of the pelvic floor muscles to contract and relax is evaluated by contraction and relaxation of the pubococcygeal muscles around the vagina and anus. In our study, we will try to determine the change in pelvic floor muscle activity before and after Schroth treatment using EMG Biofeedback device. EMG Biofeedback will be used for evaluation purposes.

  6 weeks

• Assessment of cobb angle

  The degree of curvature in the coronal plane is measured radiographically according to the Cobb method. The Cobb angle, considered the gold standard, is the angle between the perpendiculars when descending lines drawn from the top of the curve along the upper endplate of the most tilting vertebra at the top and the lines drawn under the lower endplate of the most tilting vertebrae to the bottom. The Cobb angle describes only one plane of a three-dimensional deformity, but provides information about the progression of the curvature. Observer variability was recorded as 2.8°-4.9° and interobserver variability was recorded as 6.3°-7.2° in Cobb angle measurement with conventional techniques. In digital Cobb angle measurements, the variability for the same observer and the interobserver variability were reported as 1.3°. In the study, it is planned to evaluate the Cobb angle by the relevant physician.

  6 weeks

Secondary Outcomes (10)

• Assessment of Risser sign

  6 weeks

• Assessment of Angle of Trunk Rotation

  6 weeks

• Assessment of trunk flexibility

  6 weeks

• Assessment of Posture

  6 weeks

• Assessment of Body Awareness

  6 weeks

Study Arms (3)

schroth exercise group

EXPERIMENTAL

Included participants will be included in the Schroth exercise program by a Schroth-trained physiotherapist 3 days a week for 6 weeks, after being evaluated at the start of treatment.

Other: schroth exercise

traditional scoliosis exercise group

ACTIVE COMPARATOR

Included participants will be included in the traditional scoliosis exercise program by a physiotherapist 3 days a week for 6 weeks, after being evaluated at the start of treatment.

Other: traditional scoliosis exercises

control group

NO INTERVENTION

Any exercise program for scoliosis will not be applied to this group.

Interventions

schroth exercise OTHER

The schroth exercise program will be given 3 days a week for 6 weeks.

schroth exercise group

traditional scoliosis exercises OTHER

The traditional scoliosis exercises program will be given 3 days a week for 6 weeks.

traditional scoliosis exercise 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 been diagnosed with idiopathic scoliosis by a specialist physician,
• years old,
• The primary curvature is between 10-45 degrees according to the Cobb method,
• C or S scoliosis,
• Pain in the back/lumbar region due to scoliosis,
• Those who have not received any exercise therapy for scoliosis before,
• Volunteer to participate in the study,
• Having the cognitive capacity to cooperate with the guidance of the physiotherapist,
• Have not had any musculoskeletal injury in the last 6 months,
• No neurological, orthopedic or cardiopulmonary disorders other than the diagnosis of scoliosis,
• Young individuals who have not undergone any surgery related to the diagnosis of scoliosis will be included in the study.

You may not qualify if:

• The patient has any contraindications for exercise,
• Having previously undergone spine surgery and pelvic surgery,
• Having any mental problems,
• The fact that scoliosis is not idiopathic but has arisen for different reasons (neurological, congenital),
• In case of neurological, psychiatric, muscular, rheumatic or orthopedic diseases, these people will not be included in the study.

Sponsors & Collaborators

• Saglik Bilimleri Universitesi: lead

Study Sites (1)

University of health sciences Istanbul physical therapy and rehabilitation training and research hospital

Istanbul, Bahcelievler, Turkey (Türkiye)

RECRUITING

Related Publications (2)

• Schreiber S, Parent EC, Khodayari Moez E, Hedden DM, Hill DL, Moreau M, Lou E, Watkins EM, Southon SC. Schroth Physiotherapeutic Scoliosis-Specific Exercises Added to the Standard of Care Lead to Better Cobb Angle Outcomes in Adolescents with Idiopathic Scoliosis - an Assessor and Statistician Blinded Randomized Controlled Trial. PLoS One. 2016 Dec 29;11(12):e0168746. doi: 10.1371/journal.pone.0168746. eCollection 2016.

  PMID: 28033399 BACKGROUND

• Rigo M, Reiter Ch, Weiss HR. Effect of conservative management on the prevalence of surgery in patients with adolescent idiopathic scoliosis. Pediatr Rehabil. 2003 Jul-Dec;6(3-4):209-14. doi: 10.1080/13638490310001642054.

  PMID: 14713587 BACKGROUND

MeSH Terms

Conditions

Scoliosis

Condition Hierarchy (Ancestors)

Spinal Curvatures; Spinal Diseases; Bone Diseases; Musculoskeletal Diseases

Central Study Contacts

Esra Pehlivan, assoc. prof.

CONTACT

0216 346 36 36; esra.pehlivan@sbu.edu.tr

Zeynep Ayyıldız Eroğlu, MSc PT

CONTACT

0216 346 36 36; zeynep.ayyildiz@hotmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MSc Physiotherapist

Study Record Dates

• First Submitted: November 23, 2022
• First Posted: December 5, 2022
• Study Start: January 15, 2023
• Primary Completion: April 30, 2024
• Study Completion: May 1, 2024
• Last Updated: April 2, 2024

Record last verified: 2024-04

Locations

TU (1)