Adolescent Idiopathic Scoliosis
Conditions
Keywords
Adolescent Idiopathic Scoliosis, Scoliosis, Inspiratory Muscle Training, Exercise Training, Respiratory Exercise Training, Pulmonary Function Test, 6-Minute Walk test, Respiratory Muscle Strength
Brief summary
Scoliosis is the abnormality of the spine with direct effects on the shape and mechanics of the thoracic cage. Adolescent Idiopathic Scoliosis (AIS) is the most common 3-dimensional deformity of the spine which can potentially affect respiratory function, exercise capacity as well as the performance of inspiratory and expiratory muscles. During growth morphological changes of thoracic cage affects the pulmonary tissues and functions. Respiratory functions shows negative changes due to Cobb angle, curve localization, number of vertebra and onset age in patient with scoliosis. Exercise approaches include respiratory training program and aim to improve respiratory functions.It is reported that respiratory muscle weakness is a potent contributor to pulmonary impairment in mild, moderate, and severe forms of scoliosis. Studies showed that exercise training and respiratory exercises may improve respiratory function and exercise capacity in patients with AIS. Thus the aim of this study was to investigate the effect of inspiratory muscle training on respiratory muscle strength, respiratory function and functional capacity in adolescents with idiopathic scoliosis.
Interventions
Program will include deep diaphragmatic breathing exercises, local expansion exercise on the collapsed areas in scoliosis concave sides with elastic exercise bands, dynamic lumber stabilization exercises for core stabilisation, strengthening of interscapular muscles with elastic bands and stretching exercises for lumbar extensor, hip flexor and hamstring muscles. Exercises will be applied 2 sets of 10 repetitions and once a day.
OTHERInspiratory Muscle Training
Threshold IMT device will be used for the training. Training intensity will set at 30% of the maximum inspiratory pressure after assessment of respiratory muscle strength for each patient every week.
Sponsors
Bezmialem Vakif University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
10 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Adolescent Idiopathic Scoliosis diagnosis
Exclusion criteria
* Documented diagnosis any of cardiopulmonary, neurological, orthopedic or mental disorders which may affect the assessment results. * Subjects previously involved in exercise training or physiotherapy programs * Subjects previously undertaken any of spinal surgeries.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from baseline distance covered in six-minute walk test at 8 weeks | Eight weeks |
| Change from baseline Peak Expiratory Flow (PEF) at 8 weeks | Eight weeks |
| Change from baseline Maximum Inspiratory Pressure (MIP) at 8 weeks | Eight weeks |
| Change from baseline Maximum Expiratory Pressure (MEP) at 8 weeks | Eight weeks |
| Change from baseline Forced Vital Capacity (FVC) at 8 weeks | Eight weeks |
| Change from baseline Forced Expiratory Volume in 1 second (FEV1) at 8 weeks | Eight weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline thoracic-lumber junction axial trunk rotation (ATR) | Eight weeks | Measurements will be applied with Bunnell Scoliometer by a qualified physiotherapist. |
| Change from baseline lumber axial trunk rotation (ATR) | Eight weeks | Measurements will be applied with Bunnell Scoliometer by a qualified physiotherapist. |
| Change from baseline thoracic axial trunk rotation (ATR) | Eight weeks | Measurements will be applied with Bunnell Scoliometer by a qualified physiotherapist. |
Countries
Turkey (Türkiye)
Outcome results
None listed