Three-Dimensional Correction Methods for Idiopathic Scoliosis in Adolescent

NCT07366996 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/005623
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to compare the effectiveness of "Schroth method" and "Scientific Exercise Approach to Scoliosis" for correcting idiopathic scoliosis in adolescents.

Conditions

Idiopathic Scoliosis

Outcome Measures

Primary Outcomes (2)

• Cobb Angle

  It will be assessed using standard standing posteroanterior spinal radiographs and will be measured before and after the intervention period. This outcome measure will be used to quantify the magnitude of the lateral spinal curvature and to evaluate changes in spinal alignment, allowing determination of the degree of curve correction or progression following the intervention.

  12 weeks

• Angle of Trunk Rotation (ATR)

  It will be measured using a scoliometer during the Adam's forward bend test and will be assessed before and after the intervention period. This outcome measure will be used to evaluate the degree of rotational trunk deformity, reflecting the axial component of the three-dimensional spinal deformity in scoliosis.

  12 weeks

Secondary Outcomes (2)

• Risser Sign

  12 weeks

• Health-Related Quality of Life (HRQOL)

  12 weeks

Study Arms (2)

Schroth treatment

EXPERIMENTAL

Fifteen adolescents will participate in one-hour Schroth treatment sessions, conducted three times per week in center under therapist supervision on non-consecutive days.

Other: Schroth treatment

Scientific Exercise Approach to Scoliosis (SEAS)

EXPERIMENTAL

The home program will consist of fifteen adolescents coming to the center once a month for Scientific Exercise Approach to Scoliosis (SEAS) treatment sessions, each lasting one hour. These sessions will be conducted three days per week, one hour, at home on non-consecutive days.

Other: Scientific Exercise Approach to Scoliosis (SEAS)

Interventions

Scientific Exercise Approach to Scoliosis (SEAS) OTHER

The SEAS exercise program emphasizes active self-correction, core stability, and postural control during functional movements. Key exercises include pelvic tilts, seated forward bends, standing side bends, supine marching, bird-dog, heel slides, chest openers, and supine knee-to-chest stretches, all performed with self-correction to maintain neutral spinal alignment, improve muscular control, flexibility, and long-term postural stability.

Scientific Exercise Approach to Scoliosis (SEAS)

Schroth treatment OTHER

The exercise program targets three-dimensional spinal correction and includes Schroth breathing for rib cage expansion, pelvic tilts for pelvic alignment, side-shift exercises for lateral correction, rotational angular breathing for derotation, seated rotational stretches for lumbar flexibility, trunk elongation with resistance for postural strength, hanging stretches for spinal decompression, and arm-leg lifts to enhance core stability and coordination.

Schroth treatment

Eligibility Criteria

• Age: 13 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Teenagers diagnosed with typical idiopathic scoliosis.
• Teenagers aged 13 to 18 years
• Both genders will be included.
• Participants with a Cobb angle ranging from 10° to 25°, as determined by radiographic analysis.
• Participants with Risser sign of 2 to 3, indicating incomplete skeletal maturity.
• Participants must be able to understand and follow instructions, ensuring effective participation in the treatment protocol.

You may not qualify if:

• Adolescents with significant visual or auditory impairments that could interfere with the ability to participate in or benefit from the rehabilitation programs.
• Adolescents with cognitive, mental, or psychological disorders that hinder understanding or following the instructions necessary for the treatment protocol.
• Adolescents who have previously undergone spinal surgery or any surgical interventions related to scoliosis or other spinal conditions.
• Adolescents with non-idiopathic scoliosis or scoliosis secondary to other underlying conditions (e.g., neuromuscular, congenital, or syndromic scoliosis).
• Adolescents with fixed spinal deformities that are not amenable to correction through non-surgical 3D approach.
• Adolescents with concurrent musculoskeletal conditions that could interfere with the treatment or assessment of scoliosis (e.g., significant hip or knee deformities).
• Adolescents currently participating in other clinical trials or receiving treatments that might confound the study results.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of Physical Therapy - Delta University for Science and Technology

Gamasa, Egypt

Location

Study Officials

• Khaled Olama, PhD

  Professor, Cairo University

  STUDY CHAIR

• Maya Galal Abd El Wahab, PhD

  Ass. Professor, Cairo University

  STUDY DIRECTOR

Central Study Contacts

Mina Reda Rezk Nada, M.Sc

CONTACT

+20 12 80270902; Mina.physicaltherapy@gmail.com

Maya Galal Abd El Wahab, PhD

CONTACT

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: January 17, 2026
• First Posted: January 26, 2026
• Study Start: February 1, 2026
• Primary Completion: May 1, 2026
• Study Completion (Estimated): May 15, 2026
• Last Updated: January 26, 2026

Record last verified: 2026-01

Locations

EG (1)