Effect Of Scientific Exercise Approach For Scoliosis Versus Barcelona Scoliosis Physical Therapy School On Correction Of Adolescent Idiopathic Scoliosis

NCT06806020 | Completed DMC

• 1 other identifier: KFSIRB200-404
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Adolescent idiopathic scoliosis AIS is the usual diagnosis made in healthy children with a spinal curvature of unknown cause of least 10 degrees but less than 50 degrees. The primary aim of scoliosis management is to stop curvature progression. Anecdotally, the American Academy of Orthopedic Surgeons agree that PSSEs are often considered to produce just as successful of a patient outcome as does surgery. SEAS has been described as a scoliosis-specific active self-correction technique performed without any external aids and incorporated into functional exercises, The primary goals of SEAS include enhanced posture control, posture rehabilitation, muscle endurance, spinal stability, self-correction, and development of balance stability. Treatment sessions are conducted at least twice a week for 40 minutes each. Barcelona Scoliosis Physical Therapy School BSPTS method: based on the principles developed by Katharina Schroth, and is mainly used to treat patients with adolescent idiopathic scoliosis, some forms of congenital anteroposterior scoliosis deformities and such other as Scheuermann disease. The predecessor of BSPTS was founded in 1968 in Barcelona, Spain by physiotherapist Elena Salvá. It is a physiotherapy method that includes cognitive, sensory and kinesthetic retraining to improve scoliosis at a three dimensional level. All principles follow a complete posture correction pattern including the trunk, upper and lower limbs. High-intensity forces are applied to the exercises through isometric contractions, stretching and breathing exercises. In summary, the principles of the BSPTS Method as they appear in the international literature are: 3D postural correction, translation, rotation, sagittal expansions, Expansion / Contraction, Stabilization, Integration. Studies have shown that the BSPTS methodology is also effective in stabilizing the progression of scoliosis. In a one-year study by Zapata and co-authors, the BSPTS group showed effective stabilization of the Cobb angle compared to the observation group. There isn't any previous study comparing between effect of SEAS approach and BSPTS in treating AIS.

Conditions

Scoliosis; Idiopathic Scoliosis; Adolescent Scoliosis

Keywords

idiopathic adolescent scoliosis SEAS BSPTS; SEAS approach; BSPTS

Outcome Measures

Primary Outcomes (3)

• change of cobbs angle

  by x-ray assessment of cobbs angle to know the change of the scoliosis curvature

  after 6 months of treatment

• change of sagittal and coronal imbalance

  laser line machine will be used to assess changes of imbalance of sagittal and coronal

  after 6 months of treatment

• changes of angle of trunk rotation

  scoliometer is used to assess angle of trunk rotation

  after 6 months of treatment

Secondary Outcomes (1)

• assess quality of life

  after 6 months of treatment

Study Arms (2)

group (1)

EXPERIMENTAL

SEAS approach

Other: SEAS approach

group (2)

EXPERIMENTAL

BSPTS school

Other: BSPTS school

Interventions

SEAS approach OTHER

The SEAS approach provides a thorough evaluation of the patient before the treatment starts. In addition to the usual measurements for the specific assessment of the scoliosis (Cobb degrees, Bunnel, trunk decompensation, sagittal postural structure and aesthetic parameters), the patient performs a series of tests. The objectives are: assessment of physical conditions (strength and elasticity of certain muscle areas that are more likely 6 influence the structure of the pelvis and the spine), assessment of neuromotor ability related to the alignment of the spine and the pelvis (balance, management of body movements with closed eyes, optical/manual skills) (Romano et al, 2015). The main aim of SEAS is to reverse the Stokes vicious cycle, so, the abnormal loading created by the scoliosis with an asymmetric growth leading to worsening of curves that will lead to further asymmetric growth due to increased asymmetrical loading (ettany et al 2014). The goal of SEAS exercises is to develop an a

group (1)

BSPTS school OTHER

Barcelona scoliosis physical therapy school (BSPTS): Based on the theory that scoliosis posture promotes curve progression, according to the "vicious cycle" model, Barcelona Scoliosis Physical Therapy School (BSPTS) is a physiotherapeutic method that can be defined as a therapy plan of cognitive, sensory-motor, and kinesthetic training to teach the patient to improve their scoliosis 3D posture and shape. The BSTPS method aims to: 1) improve aesthetics and correct scoliotic posture; 2) stabilize the spine and stop the progression of the curve; 3) inform patients and their families about the condition and available treatments; 4) enhance breathing; 5) increase activity, including daily living activities and functional mobility; 6) enhance general self-image and self-esteem; and 7) reduce pain. The initial ideas serve as the foundation for BSPTS correctional Principles (Berdishevsky et al 2016).

group (2)

Eligibility Criteria

• Age: 12 Years - 16 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• angle of scoliosis \< 30,
• Risser sign of 0-3,
• not participating in other treatment during study
• not using braces.

You may not qualify if:

• scoliosis due to congenital, neuromuscular, or syndromic etiology,
• true leg length discrepancy,
• cardiac anomalies, kyphosis, asthma, and other pulmonary diseases.

Sponsors & Collaborators

• Kafrelsheikh University: lead

Study Sites (1)

Huda Mohamed Hashad

Tanta, Gharbia Governorate, Egypt

Location

MeSH Terms

Conditions

Scoliosis

Condition Hierarchy (Ancestors)

Spinal Curvatures; Spinal Diseases; Bone Diseases; Musculoskeletal Diseases

Study Officials

• Mohamed Bedair Ebrahim, professor of physical therapy

  kafr-elsheikh university

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Intervention study model Parallel assignment The study will include 30 idiopathic adolescent scoliosis patients( age 12-16 years old ) subjects meeting the inclusion criteria will be randomly assigned to two experimental groups : First experimental group: children in this group will receive BSPTS school training Second experimental group: children in this group will receive SEAS approach training
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: huda mohamed hashad

Model Details: Intervention study model Parallel assignment The study will include 30 adolescent idiopathic scoliosis patients ( age12-16 years old ) subjects meeting the inclusion criteria will be randomly assigned to two experimental groups : First experimental group: children in this group will receive BSPTS school Second experimental group: children in this group will receive SEAS approach

Study Record Dates

• First Submitted: January 27, 2025
• First Posted: February 3, 2025
• Study Start: May 1, 2025
• Primary Completion: September 1, 2025
• Study Completion: November 1, 2025
• Last Updated: December 3, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)