None listed
Conditions
Brief summary
This study explores whether a specific rehabilitation program can help children and adolescents with idiopathic scoliosis who are wearing a brace. The program combines breathing, posture, and strengthening exercises over three months, with outcomes measured in pain, muscle strength, flexibility, spinal alignment, and quality of life. The study compares patients who followed the program with those who only used the brace. We hypothesize that the rehabilitation protocol will stabilize or improve scoliotic curves and enhance overall well-being compared to brace treatment alone.
Interventions
A quasi-experimental, prospective, and longitudinal study was conducted with 26 patients diagnosed with idiopathic scoliosis (13 in the control group and 13 in the experimental group), aged between 3 and 17 years and undergoing brace treatment. A respiratory, postural, and strengthening rehabilitation protocol was applied over 3 months. Clinical parameters were measured before and after the intervention using a scoliometer, functional scales (VAS, SRS-22), hand dynamometry, and flexibility tests
A quasi-experimental, prospective, and longitudinal study was conducted with 26 patients diagnosed with idiopathic scoliosis (13 in the control group and 13 in the experimental group), aged between 3 and 17 years and undergoing brace treatment. A respiratory, postural, and strengthening rehabilitation protocol was applied over 3 months. Clinical parameters were measured before and after the intervention using a scoliometer, functional scales (VAS, SRS-22), hand dynamometry, and flexibility tests. Intervention Description Supervision/provision of the session: The intervention will be performed and supervised by a physiotherapist. Mode of administration: The initial assessment session will be conducted individually with each patient in the clinic. Subsequently, the treatment will be home-based, carried out by the patient. Intensity level and evaluation: The treatment is considered to be of moderate intensity. Intensity and progression will be assessed using: Dynamometer to measure upper limb strength. Lumbar extensor test to evaluate the strength of the paravertebral muscles. Scoliometer to measure the scoliotic curve. These evaluations will be performed during the pre-intervention session and repeated in the post-intervention session. Frequency and duration of sessions: After the initial assessment and explanation of the exercises, the home-based treatment will consist of three sessions per week, each lasting approximately 30 minutes. Adherence and monitoring strategies: Patients will be provided with a questionnaire in which they will record the frequency of exercise performance, allowing monitoring of adherence to the treatment. Exercise prescribed as part of the intervention: - Klapp Method: Single curves: Klapp walking and quadruped exercises according to the location of the scoliotic curve. Double curves: Klapp walking and quadruped exercises according to the location of the scoliotic curve. - Global postural reeducation positions: Frog pose on the floor and Frog pose in the air. - Strength work for the interscapular region
Sponsors
University of Cordoba
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject)
Eligibility
Sex/Gender
All
Age
3 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
Diagnosis of idiopathic scoliosis Age between 3 and 17 years Currently undergoing brace treatment No prior surgical intervention for scoliosis Signed informed consent from the patient or legal guardian
Exclusion criteria
No diagnosis of idiopathic scoliosis Age under 3 or over 17 years Not undergoing brace treatment History of surgical intervention for scoliosis Presence of neurological disorders Absence of signed informed consent
Outcome results
None listed