De Tethering Exercises for Scolisis

NCT06875453 | Active Not Recruiting

• 1 other identifier: De tethering exercises
• Study Type: interventional
• Target: 15
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to investigate the effect of Detethering exercises on muscle tone in patients with adolescent idiopathic scoliosis. H1: Detethering exercises affect muscle tone in patients with adolescent idiopathic scoliosis.

Conditions

Scoliosis Idiopathic; Exercise; Muscle Tone

Keywords

scoliosis; exercise; muscle tone

Outcome Measures

Primary Outcomes (2)

• ATR - Angle of Trunk Rotation

  Measurement of the angle/degree of trunk rotation is the most appropriate method for the clinical evaluation of scoliosis. ATR can be used to monitor the effects of treatment without radiographic evaluation. ATR is measured using a special inclinometer called a scoliometer. The patient is asked to lean forward with arms relaxed. The scoliometer is placed on the back and the degree observed at each point of maximum gibbosity is recorded.

  1 week

• Muscle Tone

  Intramuscular mechanical properties can be measured with the MyotonPRO device (Myoton Ltd., Estonia), a new diagnostic evaluation method, which measures intramuscular tension or resting muscle tone, muscle compliance, and muscle elasticity. In this study, it was shown that in conditions where electromyographic measurements are not possible, MyotonPRO measurements (viscoelastic and biomechanical properties) are used as an alternative to muscle strength and activation. The device is held upright and downward pressure is applied. When the red light on the plexiglass frame of the device probe turns green, the pressure application is stopped and the device is held stationary until 5 strokes are performed. Standard stroke intervals are used in all evaluations. During the application, care is taken to move the device and maintain the correct position. Measurements will be repeated 3 times and averaged.

  1 week

Study Arms (1)

Intervention

EXPERIMENTAL

Detethering exercises will be performed for participants with adolescent idiopathic scoliosis.

Other: Exercise

Interventions

Exercise OTHER

The Schroth Best Practice program, which is widely used in the conservative treatment of scoliosis, consists of 6 modules including physiological exercises to correct the sagittal plane, activities of daily living, 3D correction techniques, powerful Schroth exercises, de-tethering exercises and gait rehabilitation. Detethering exercises in this program will be performed in this study.

Intervention

Eligibility Criteria

• Age: 10 Years - 30 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Be between the ages of 10-30,
• Being diagnosed with IS
• Cobb angle between 20º and 50º,
• To be able to continue the program to be implemented,
• No chronic disease requiring the use of any neurological or psychiatric medication,
• Parents and/or child volunteering to participate in the study.

You may not qualify if:

• The patient has any contra-indication for exercise,
• Previous spine surgery,
• Having a curve with an apex thoracic 6 and above,
• The presence of any mental problem,
• Scoliosis is not idiopathic but has different causes (neurological, congenital, etc...), neurological, psychiatric, muscular, rheumatic or orthopedic diseases are present.

Sponsors & Collaborators

• Burçin Akçay: lead

Study Sites (1)

Bandırma Onyedi Eylül University Faculty of Health Sciences Department of Physiotherapy and Rehabilitation,

Bandırma, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Motor Activity; Scoliosis

Interventions

Exercise

Condition Hierarchy (Ancestors)

Behavior; Spinal Curvatures; Spinal Diseases; Bone Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Associate professor

Study Record Dates

• First Submitted: March 9, 2025
• First Posted: March 13, 2025
• Study Start: July 10, 2024
• Primary Completion: April 30, 2025
• Study Completion: September 30, 2025
• Last Updated: March 13, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)