Effectiveness of Dynamic Neuromuscular Stabilization Breathing Exercises With Schroth in Adolescent Idiopathic Scoliosis

NCT06682702 | Completed

• 1 other identifier: 2024-PT-MRVB-RCT
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

In our study, the degree of scoliosis curvature in volunteers will be determined using full-body standing X-rays. Additionally, the rotation degree of the spinal curvature in volunteers will be assessed with a scoliosis meter (a type of ruler) through the forward bending test while standing. To measure the impact of scoliosis on the quality of life, the SRS-22 questionnaire, consisting of 22 questions, will be used. The level of pain experienced by volunteers as a result of scoliosis will be evaluated using the visual analog scale (VAS), where pain intensity is marked on a 10 centimeter line. Lastly, the volunteers; breathing patterns will be assessed by measuring chest circumference with a tape measure.

Conditions

Adolescent Idiopathic Scoliosis (AIS)

Keywords

rehabilitation; surgery; therapy; Rehabilitation Exercise; Exercise Therapy

Outcome Measures

Primary Outcomes (3)

• Cobb Angel

  The Cobb angle will be measured using standing full-spine X-rays to quantify the degree of spinal curvature in patients with scoliosis.

  8 weeks

• Respiratory Muscle Strength

  Respiratory muscle strength was measured using an electronic mouth pressure measuring device (Cosmed Ponyy Fx, Rome, Italy). Maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) were measured.

  8 weeks

• Angle Trunk Rotation

  The Adams forward bending test, commonly used in scoliosis screening, involves positioning the patient with arms extended forward to assess for asymmetric protrusions and coronal imbalance in the back, while a scoliometer is utilized to measure the degree of spinal rotation and track progression of trunk asymmetry and deformity.

  8 weeks

Secondary Outcomes (2)

• Visual Analog Scale

  8 weeks

• Scoliosis Research Society-22 (SRS-22) Quality of Life Questionnaire

  8 weeks

Study Arms (2)

DNS Group

EXPERIMENTAL

Patients diagnosed with adolescent idiopathic scoliosis participated in sessions twice a week for 8 weeks, with each session lasting 45 minutes. During the sessions, ISST Schroth exercises were combined with dynamic neuromuscular stabilization exercises.

Other: DNS Group

Schroth Group

EXPERIMENTAL

Patients diagnosed with adolescent idiopathic scoliosis participated in sessions twice a week for 8 weeks, with each session lasting 45 minutes. During the sessions, ISST Schroth exercises were performed.

Other: Schroth Group

Interventions

DNS Group OTHER

ISST Schroth exercises are a model of exercise aimed at correcting scoliosis in three dimensions. Dynamic neuromuscular stabilization exercises, on the other hand, are designed to achieve sagittal stabilization by utilizing the stabilizing function of the thoracic diaphragm muscle.

Also known as: Schroth Exercise, Dynamic Neuromuscular Stabilization

DNS Group

Schroth Group OTHER

ISST Schroth exercises are a model of exercise aimed at correcting scoliosis in three dimensions.

Also known as: Schroth Exercise

Schroth Group

Eligibility Criteria

• Age: 10 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Radiologically measured Cobb angle value between 10 degrees and 50 degrees
• Age between 10 and 18
• Being diagnosed with Adolescent Idiopathic Scoliosis by a physician
• Being between 0 and 5 in the radiologically determined Risser sign
• Being between 12-25 kg/m2 according to body mass index measurement

You may not qualify if:

• Having had any surgery related to scoliosis
• Having been diagnosed with any psychiatric disease
• Having been diagnosed with an oncological disease
• Having a neurological disease, vestibular or visual problem
• Having any pathology that will affect motor performance
• Using medication that affects the central nervous system
• Having been diagnosed with a rheumatological disease
• Having been diagnosed with any cardiovascular disease

Sponsors & Collaborators

• Uskudar University: lead

Study Sites (1)

Uskudar University Physiotherapy and Rehabilitation Application and Research Center

Istanbul, Turkey (Türkiye)

Location

Study Officials

• Filiz Eyuboglu, PhD.

  Uskudar University

  STUDY DIRECTOR

• Mert Ilhan, MSc.

  Uskudar University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physiotherapist

Model Details: Model description training and control group

Study Record Dates

• First Submitted: October 22, 2024
• First Posted: November 12, 2024
• Study Start: November 15, 2024
• Primary Completion: January 7, 2025
• Study Completion: March 7, 2025
• Last Updated: March 27, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)