Correlation Between the Cobb's Angle and the Forward Head Posture in Patients With Adolescent Idiopathic Scoliosis

NCT06629948 | Not Yet Recruiting

• 1 other identifier: Forward head in AIS
• Study Type: observational
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

Purpose of This study to detect if there is correlation between the Cobb's angle and the forward head posture in patients with Adolescent Idiopathic Scoliosis. And if there is correlation between the Cobb's angle and the cervical sagittal curve angle in AIS. And also if there is correlation between the Cobb's angle and deep flexors muscles endurance in AIS

Conditions

Adolescent Idiopathic Scoliosis (AIS); Forward Head Posture

Keywords

Forward head; scoliosis; craniovertebral angle

Outcome Measures

Primary Outcomes (4)

• 1- Measurement of Craniovertebral angle CVA

  We will measure The Craniovertebral angle by the photogrammetric method

  within 3 months from enrollment

• Measurement of Cobb's angle

  Measurement of Cobb's angle from whole spine xray

  within 3 months from enrollment

• Measurement of sagittal cervical curve angle

  Measurement of cervical spines sagittal curve from lateral view X-ray

  within 3 months from enrollment

• 4- Measurement of deep flexors muscle endurance.

  Activation and performance scores will be recorded.

  within 3 months from enrollment

Interventions

x ray DEVICE

whole spine x ray posterioanterior and lateral views

the cranio-cervical flexion test DIAGNOSTIC_TEST

measure of deep neck flexors muscles endurance

Eligibility Criteria

• Age: 10 Years - 18 Years
• Sex: all
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Thirty four Male and female subjects with adolescent idiopathic scoliosis participating in this study will be assigned homogenously some of them with Cobb's angle below 45 degrees and others above 45 degrees (n=34) and they will sign a consent form.

You may qualify if:

• Patients with AIS. 2- Patient with forward head posture CVA less than 48 degress. (Fard et al .,2021) 3- Patients aged between 10 and 18 years, (Upasani et al., 2007). 4- Patients who underwent Posterioanterior (PA) and lateral X-ray radiography, and Cobb angle \>10°.(Nasser et al.,2023) 5- Patients with Lenke types (1 to 6). 6- No previous spine surgery ((Wang, et al., 2017).

You may not qualify if:

• Patients with congenital scoliosis (including hemivertebrae, butterfly vertebrae, and failure of segmentation), (Shu-Man Han et al., 2022 and Nasser et al., 2023).
• Other developmental thoracic deformity (funnel chest etc.). 3- Scoliosis with definitive reasons (secondary to neurofibromatosis, Marfan syndrome, and syringomyelia).
• Patients with neurologic deficit or spondylolisthesis (Upasani et al., 2007).
• History of spinal trauma and infection, and metabolic bone disease.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Cairo University

Cairo, Egypt

Location

Related Publications (4)

• Yaman O, Dalbayrak S. Idiopathic scoliosis. Turk Neurosurg. 2014;24(5):646-57. doi: 10.5137/1019-5149.JTN.8838-13.0.

  PMID: 25269032 BACKGROUND

• Latalski M, Danielewicz-Bromberek A, Fatyga M, Latalska M, Krober M, Zwolak P. Current insights into the aetiology of adolescent idiopathic scoliosis. Arch Orthop Trauma Surg. 2017 Oct;137(10):1327-1333. doi: 10.1007/s00402-017-2756-1. Epub 2017 Jul 14.

  PMID: 28710669 BACKGROUND

• Yip CH, Chiu TT, Poon AT. The relationship between head posture and severity and disability of patients with neck pain. Man Ther. 2008 May;13(2):148-54. doi: 10.1016/j.math.2006.11.002. Epub 2007 Mar 23.

  PMID: 17368075 BACKGROUND

• Wang L, Liu X. Cervical sagittal alignment in adolescent idiopathic scoliosis patients (Lenke type 1-6). J Orthop Sci. 2017 Mar;22(2):254-259. doi: 10.1016/j.jos.2016.12.006. Epub 2016 Dec 23.

  PMID: 28025024 BACKGROUND

Related Links

• Related Info

MeSH Terms

Conditions

Scoliosis

Interventions

Diagnostic Imaging

Condition Hierarchy (Ancestors)

Spinal Curvatures; Spinal Diseases; Bone Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Diagnostic Techniques and Procedures; Diagnosis

Study Officials

• Enas Fawzy Youssef, Professor

  Professor and chairperson of Department of Orthopaedic Physical Therapy for Musculoskeletal Disorders and its Surgery Faculty of Physical Therapy Cairo University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Mina Ezzat Aziz, Bachelor

CONTACT

0201211354070; menaezzat62@gmail.com

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Target Duration: 6 Months
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: DR

Study Record Dates

• First Submitted: October 4, 2024
• First Posted: October 8, 2024
• Study Start: October 1, 2024
• Primary Completion: March 1, 2025
• Study Completion: April 1, 2025
• Last Updated: October 8, 2024

Record last verified: 2024-10

Locations

EG (1)