Effect of Scapular Stabilization Exercises in Individuals With Adolescent Idiopathic Scoliosis

NCT06083714 | Recruiting

• 1 other identifier: 2023
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Idiopathic scoliosis is a three-dimensional deformity of the spine that accounts for approximately 70% of all scoliosis anomalies, and adolescent idiopathic scoliosis (AIS) is the most common type. AIS not only changes the shape of the trunk, but also the relationships between body parts. Considering the close anatomical relationship between the scapula and the rib cage, AIS is associated with changes in scapular position and orientation. Scapular stabilization exercises; these are exercises that aim to restore the position and orientation of the scapula and the motor control and movement pattern of the muscles, thus providing scapula stability for better shoulder kinematics. There are studies reporting that scapular stabilization exercises should be included in the rehabilitation program of patients with scapular dyskinesia and various shoulder pathologies. However, no study has been found in the literature examining the effects of scapular stabilization exercises on changes in scapular position, shoulder imbalance and curve severity seen in scoliosis. Therefore, the aim of the study is to investigate the effect of scapular stabilization exercises applied in addition to Schroth exercises used in the treatment of individuals with AIS, on scoliosis severity, scapula position and shoulder imbalance.

Conditions

Adolescent Idiopathic Scoliosis

Outcome Measures

Primary Outcomes (1)

• Scoliosis Severity

  In determining the degree of curvature, the Cobb angle obtained from the spine x-ray taken in the antero-posterior direction and containing the entire spine will be accepted as the standard measurement method. End vertebral levels will be recorded on the antero-posterior x-ray. Lines perpendicular to the upper end plate of the upper end vertebra and the lower end plate of the lower end vertebra will be drawn and the angle formed between these lines will be recorded as the Cobb angle.

  Change from baseline at 8 weeks

Secondary Outcomes (10)

• Axial Trunk Rotation

  Change from baseline at 8 weeks

• Scapula Position-XRay

  Change from baseline at 8 weeks

• Scapula Position-Lateral Scapula Slide Test

  Change from baseline at 8 weeks

• Scapula Position-Scapular Index

  Change from baseline at 8 weeks

• Periscapular Muscle Strength

  Change from baseline at 8 weeks

Study Arms (2)

Group 1

EXPERIMENTAL

Participants in this group will receive scapular stabilization exercises in addition to Schroth exercises specific to scoliosis.

Other: Scapular Stabilization Exercises; Other: Schroth Exercises

Group 2

ACTIVE COMPARATOR

Participants in this group will receive Schroth exercises specific to scoliosis only.

Other: Schroth Exercises

Interventions

Scapular Stabilization Exercises OTHER

Home-based scapular stabilization exercises (Inferior Glide, Low Row, Scapular Clock, Wall Push Up, Wall Slide and Squat Robbery) will be performed once or twice a day, 3 sets x 20 repetitions, 3 days a week for 8 weeks.

Group 1

Schroth Exercises OTHER

It will be implemented face to face, 3 days a week, each session lasting approximately 45 minutes and in 8-week programs.

Group 1; Group 2

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 adolescent idiopathic scoliosis,
• Having Cobb angle between 10°-30°,
• Those with main thoracic curvature,
• Risser stage between 0-3,
• Volunteer individuals

You may not qualify if:

• Individuals who have had surgery related to the spine and upper extremity,
• Using a supra-axillary trunk orthosis,
• Having any systemic or neurological disease

Sponsors & Collaborators

• Lokman Hekim University: lead

Study Sites (1)

Lokman Hekim University

Ankara, Çankaya, Turkey (Türkiye)

RECRUITING

Study Design

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

Study Record Dates

• First Submitted: October 9, 2023
• First Posted: October 16, 2023
• Study Start: March 30, 2024
• Primary Completion: August 30, 2024
• Study Completion: October 30, 2024
• Last Updated: May 14, 2024

Record last verified: 2024-05

Locations

TU (1)