The Effect of Core Stability Exercises on Idiopathic Scoliosis in Adolescent Females

NCT06803121 | Completed

• 1 other identifier: P.T.REC/012/004728
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

To evaluate the efficacy of core stability (CS) exercises on curve magnitude, posture, trunk deformity and quality of life in adolescent females with idiopathic scoliosis.

Conditions

Idiopathic Scoliosis

Outcome Measures

Primary Outcomes (2)

• Measurement of Cobb angles

  Cobb angles on anterior and posterior spine radiographs taken in standing position. The Cobb angle is the angle between two lines, drawn perpendicular to the upper endplate of the uppermost vertebra involved and the lower endplate of the lowest vertebra involved. Once a patient's Cobb angle is determined, the condition can be further classified on its severity scale of mild, moderate, or severe. Cobb angles will be assessed for all adolescent females in both groups A \& B before and after treatment.

  3 months

• Measurement of trunk asymmetry in scoliosis

  A scoliometer is an instrument that measures trunk asymmetry in scoliosis, or angle of trunk rotation (ATR). It is a small, non-invasive device (essentially a mini-level) that is placed over the spine while a person is in a forward bending position. The scoliometer reading indicates degree of trunk asymmetry (rotation). Generally, an angle of trunk rotation that is less than 5 degrees is insignificant and may not require follow-up. A measurement of 5 to 9 degrees at least warrants reexamination in six months. A measurement of 10 degrees or greater requires radiologic evaluation for Cobb angle measurement.

  3 months

Secondary Outcomes (2)

• Trunk appearance perception scale (TAPS)

  3 months

• The Scoliosis research society-22 questionnaire (SRS-22)

  3 months

Study Arms (2)

Traditional treatment

ACTIVE COMPARATOR

It will be consisted of thirty adolescent females with idiopathic scoliosis and will be treated by traditional treatment (traditional exercises and bracing), two sessions per week for three months (24 sessions).

Other: Traditional treatment

Traditional treatment + Core stability exercises

EXPERIMENTAL

It will be consisted of thirty adolescent females with idiopathic scoliosis and will be treated by traditional treatment (traditional exercises and bracing) in addition to core stability exercises, two sessions per week for three months (24 sessions).

Other: Traditional treatment; Other: Core stability exercises

Interventions

Traditional treatment OTHER

Traditional exercises for scoliosis include breathing exercises, posture training, spinal flexibility exercises, stretching exercises for the involved muscles (especially for the concave side of the curve), and general strengthening exercises for the main muscle groups of trunk, pelvis, and shoulder girdle muscles (especially for the convex side of the curve).

Traditional treatment; Traditional treatment + Core stability exercises

Core stability exercises OTHER

The CS training program includes local muscle stability training (transverses abdominis, multifidus, and diaphragm), global muscle stability training (oblique abdominal muscles, psoas major, quadratus lumborum, and pelvic floor muscles), global muscle mobility training (rectus abdominis, back extensors, and hamstring muscles), and strength training of the core muscles through the thoracolumbar fascia by maintaining the neutral spine position. Diaphragmatic breathing technique will be used during exercises.

Traditional treatment + Core stability exercises

Eligibility Criteria

• Age: 10 Years - 19 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Their ages will be ranged from 10-19 years.
• All adolescent Females will be diagnosed as idiopathic scoliosis with S shape.
• Cobb angle on anterior-posterior radiograph will be used in the assessment of thoracic and lumbar cure of each patient in this study.
• All adolescent females are not under any other treatment method for idiopathic scoliosis.
• Willingness and ability to comply with the study requirements and give informed consent.

You may not qualify if:

• Patients with a history of rheumatologic, neuromuscular, cardiovascular, pulmonary, or renal diseases.
• Patients with congenital scoliosis or spinal deformity.
• Patients who had undergone surgical correction of the spine.
• Patients with a tumor.
• Enrollment in any other clinical trial during the time of this trial.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Al Azhar University

Cairo, Egypt

Location

Study Officials

• Mohamed Ahmed Mohamed Awad, PhD

  Professor, Cairo university

  STUDY CHAIR

• Afaf Mohamed Mahmoud Botla, PhD

  Assistant Professor, Cairo university

  STUDY DIRECTOR

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: Principal Investigator

Study Record Dates

• First Submitted: January 27, 2025
• First Posted: January 31, 2025
• Study Start: February 1, 2025
• Primary Completion: May 1, 2025
• Study Completion: May 10, 2025
• Last Updated: May 13, 2025

Record last verified: 2025-05

Locations

EG (1)