Scoliosis
Conditions
Keywords
scoliosis, physical therapy, long term outcome, pulmonary function, physical fitness, health related quality of life, psychopathology
Brief summary
We attempt to investigate the influence of physiotherapy and physical activity education applied in adolescence on physical fitness, curve progression, pulmonary function, physical activity and quality of life in adulthood. Quality of life assessment includes mental and social functioning, body image, self - esteem, depression and anxiety surveillance. The follow - up period ranges from 15 to 26 years. Also a group of shorter follow - up of 9 - 13 years is available. The null hypothesis is that scoliosis specific exercise program applied in adolescence does not influence HRQoL and functioning in adulthood.
Detailed description
Among conservative treatment approaches of adolescent idiopathic scoliosis (AIS), different physiotherapy methods are recommended and popular in some countries (Spain, Germany, Poland), while in others bracing and observation are standard (North America, Australia, the UK, Scandinavia. Neither of the methods have been shown to be definitely effective. Considerable evidence indicates that bracing can lead to psychological stress, poorer body image and self - esteem and reduce overall quality of life in adulthood. As to physiotherapy and physical exercises, such evidence is limited, especially long term follow up studies are not available.
Interventions
None listed
Sponsors
Józef Piłsudski University of Physical Education
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
22 Years to 44 Years
Healthy volunteers
Yes
Inclusion criteria
* clinical diagnosis of scoliosis in adolescence * participation in exercise program in the Centre of Compensatory Gymnastics in Bielsko-Biala in adolescence * medical records available
Exclusion criteria
* contraindications for pulmonary and / or exercise tests * psychiatric disorders * recent trauma * recent traumatic (emotional) event * contraindications for x-ray exposure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| health related quality of life | one time point | generic and condition-specific questionnaires |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pulmonary function | one time point | spirometry, total lung capacity |
| physical fitness | one time point | cycloergometric submaximal physical working capacity test |
| curve progression | two time points: data from medical records (past) and present meausserements | x-ray, Cobb angle, trunk rotation, scoliometer |
Other
| Measure | Time frame | Description |
|---|---|---|
| psychopathology | one time point | questionnaires / inventories of mental heath (e.g. depression, anxiety) |
Countries
Poland
Outcome results
None listed