Clinical and Radiological Correlates of Balance, Pain and Body Image in Adolescents With Scheuermann's Kyphosis

NCT07117448 | Completed

• 1 other identifier: 24/543
• Study Type: observational
• Target: 51
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this observational study is to evaluate the relationship between sagittal and spinopelvic radiological parameters of the spine and clinical outcomes in adolescents with Scheuermann's kyphosis (SK) by assessing dynamic and static balance, pain, quality of life, and body image. The main questions it aims to answer are: Is there a correlation between kyphosis severity, spinopelvic measurements, and balance scores in adolescents with Scheuermann's kyphosis? How do pain, body image, and quality of life relate to radiological parameters and clinical findings in these individuals? Are there significant differences in balance, spinopelvic parameters, body image, and quality of life between adolescents with Scheuermann's kyphosis and healthy controls? Participants will undergo radiological evaluation of sagittal spine and spinopelvic parameters using standing lateral spinal radiographs, static and dynamic balance assessments to evaluate postural stability, pain assessment using validated pain scales, and quality of life and body image assessments through standardized questionnaires. Researchers will compare Scheuermann's kyphosis patients and age-matched healthy controls to determine the impact of kyphosis severity on balance, body image, and quality of life.

Conditions

Scheuermann Disease

Keywords

Kyphosis; Balance; Sagittal balance; Spinopelvic parameters; Scheuermann Disease

Outcome Measures

Primary Outcomes (1)

• Balance Parameters Assessed by Multiple Modalities

  Clinical balance tests will assess static postural control by recording the duration (in seconds) the participant maintains the test position. Stabilometric platform will measure postural sway parameters during quiet stance. Computerized Dynamic Posturography (CDP) will provide composite scores reflecting balance performance under various sensory conditions Each method will be analyzed and reported separately. Additionally, agreement and correlation between clinical balance tests and device-based measurements (stabilometric platform and CDP) will be evaluated.

  At enrollment (Day 0, cross-sectional)

Secondary Outcomes (4)

• Pain Level Assessed by Numeric Rating Scale (NRS)

  At enrollment (Day 0)

• Health-Related Quality of Life Assessed by SRS-22r

  At enrollment (Day 0)

• Body Image Perception Assessed by SAAS

  At enrollment (Day 0)

• Correlation Between Clinical and Radiological Parameters

  At enrollment (Day 0)

Study Arms (2)

Scheuermann's Kyphosis Group

Adolescents diagnosed with Scheuermann's kyphosis according to Sorensen criteria

Healthy Control Group

Age- and sex-matched healthy adolescents with no spinal deformity

Eligibility Criteria

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

Study Population

Adolescents aged 10 to 18 years, including individuals diagnosed with Scheuermann's kyphosis and age- and sex-matched healthy controls. All participants were recruited from the department of physical medicine and rehabilitation

You may qualify if:

• Adolescents aged 10 to 18 years
• Diagnosis of Scheuermann's kyphosis based on Sorensen criteria (for patient group)
• Healthy volunteers matched for age and sex (for control group)
• Ability to understand and comply with study procedures
• Informed consent obtained from participants and/or guardians

You may not qualify if:

• Neuromuscular disorders
• History of spinal surgery or traumatic spinal injury
• Scoliosis \> 15° (Cobb angle)
• Vestibular, visual, or auditory impairments
• Lower extremity musculoskeletal disorders affecting gait or balance
• Cognitive or psychiatric conditions affecting participation
• Use of orthotic devices or braces
• Any other systemic condition affecting postural control

Sponsors & Collaborators

• Fatih Sultan Mehmet Training and Research Hospital: lead

Study Sites (1)

Fatih Sultan Mehmet Training and Research Hospital

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Scheuermann Disease; Kyphosis

Condition Hierarchy (Ancestors)

Spinal Osteochondrosis; Osteochondrosis; Bone Diseases; Musculoskeletal Diseases; Spinal Curvatures; Spinal Diseases

Study Officials

• sılanur güney çamlıca, medical doctor

  Resident University of Health Sciences, FSM Training and Research Hospital, Istanbul

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: CROSS SECTIONAL
• Target Duration: 8 Months
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Medical Doctor

Study Record Dates

• First Submitted: June 18, 2025
• First Posted: August 12, 2025
• Study Start: October 10, 2024
• Primary Completion: March 10, 2025
• Study Completion: May 10, 2025
• Last Updated: August 12, 2025

Record last verified: 2025-08

Locations

TU (1)