Impact of Spinal Curves on Asymmetric Posture in Idiopathic Scoliosis

NCT06733623 | Active Not Recruiting

• 1 other identifier: 5461_20.11.2024_P_bis
• Study Type: observational
• Target: 490
• Locations: 1 country
• Sites: 1

Brief Summary

Asymmetric postures are often observed in patients with adolescent idiopathic scoliosis (AIS) and are partially associated with instability in sitting and standing positions, as well as with imbalances in gait kinematic parameters in cases of moderate or severe scoliosis. Based on the currently available data, no correlation has been identified between habitual postures in daily life and the presence of scoliosis. However, the asymmetry of preferred postures in relation to the morphological characteristics of the curves, and how this might contribute to the progression of the clinical condition due to prolonged uneven load distribution, has not yet been analyzed. Understanding any preferential direction in postures habitually adopted by patients with idiopathic scoliosis could provide valuable insights for the conservative management of the condition. The aim of this study is to analyze the influence of the morphological characteristics of scoliotic curves (type and laterality) in patients with juvenile and adolescent idiopathic scoliosis on the choice of preferentially maintained asymmetric postures in daily life, using a descriptive questionnaire completed by family members and caregivers, compared to a group of non-scoliotic subjects. Evaluate the effect of curve magnitude, age, sex, and Risser grade on the choice of usual asymmetric postures. Estimate the impact of prolonged maintenance of habitual asymmetric postures on the clinical progression in patients with juvenile and adolescent idiopathic scoliosis

Conditions

Adolescent Idiopathic Scoliosis (AIS); Juvenile Idiopathic Scoliosis

Outcome Measures

Primary Outcomes (1)

• Everyday posture questionnaire

  The types of postures most frequently maintained in daily life by patients with idiopathic scoliosis will be compared with a group of age-matched individuals without scoliosis, and any statistically significant differences will be analyzed using the chi-square test

  At enrollment

Study Arms (2)

Scoliosis patients

Patients aged between 6 and 18 years old with a diagnosis of idiopathic scoliosis are asked to answer a questionnaire investigating the preferred postures adopted daily

Control group

Subjects aged between 6 and 18 years old without a diagnosis of idiopathic scoliosis are asked to answer a questionnaire investigating the preferred postures adopted daily

Eligibility Criteria

• Age: 6 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

The participants of the study are patients of a tertiary referral outpatient clinic specializing in the conservative treatment of spinal deformity

You may qualify if:

• Diagnosis of juvenile or adolescent idiopathic scoliosis;
• Age between 6 and 18 years;
• Full spine X-ray in a standing position with anteroposterior projection performed within the year prior to completing the questionnaire.

You may not qualify if:

• Diagnosis of secondary scoliosis
• Patients with neuromotor control disorders
• Control group:
• Age between 6 and 18 years;
• No diagnosis of sciolisis
• Full spine X-ray in a standing position with anteroposterior projection performed within the year prior to completing the questionnaire.
• \- Patients with neuromotor control disorders

Sponsors & Collaborators

• Istituto Scientifico Italiano Colonna Vertebrale: lead

Study Sites (1)

ISICO

Milan, Italy, 20141, Italy

Location

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 10, 2024
• First Posted: December 13, 2024
• Study Start: December 10, 2024
• Primary Completion: December 1, 2025
• Study Completion (Estimated): June 1, 2026
• Last Updated: December 13, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will share

Locations

IT (1)