Adolescent Idiopathic Scoliosis
Conditions
Brief summary
Adolescent Idiopathic Scoliosis (AIS) is a rotational deformity of the spine that could be seen 2-3% of population. Conservative treatment of AIS with 20-45 degree lateral flexion angle (Cobb) includes brace and therapeutic exercises. Some gait abnormalities were defined like decreased torsional movements of spine, increased muscular work and energy expenditure in AIS. Additionally wearing a brace limits pelvic motions and affects pendulum-like mechanism of gait. Our aim was to investigate gait energy consumption, pulmonary functions, balance and lower extremity loading symmetry in AIS subjects who are getting conservative treatment.
Interventions
DEVICERigid Thermoplastic Spinal Brace
Custom made rigid thermoplastic brace with 23 hours daily wearing time.
Sponsors
Eastern Mediterranean University
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
10 Years to 16 Years
Healthy volunteers
Yes
Inclusion criteria
* Cobb angle between 20-45 degree, * Prescribed a rigid spinal brace by doctor
Exclusion criteria
* Having leg length discrepancy more than 1 centimeter * Having a lung disease * Having another orthopedic or neurologic disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gait Oxygen Consumption | Assessment will be done at the end of first month of conservative treatment. | Oxygen consumption will be assessed with a mobile metabolic analyzer during walking on treadmill with 4 km/h gait speed. Recordings will be taken for 2 minutes after first 2 minutes of walking. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pulmonary Functions | Assessment will be done at the end of first month of conservative treatment. | Forced vital capacity (FVC), Forced expiratory volume in one second (FEV1), FEV1/FVC ratio, peak expiratory flow (PEF), forced expiratory flow at 25-75 % of the pulmonary volume (FEF 25-75%) will be assessed with spirometer. |
| Balance | Assessment will be done at the end of first month of conservative treatment. | Balance will be assessed with a special equipment that gives deviation that lower values mean better. |
| Lower extremity loading symmetry | Assessment will be done at the end of first month of conservative treatment. | Plantar loading symmetry will be assessed with a pedobarograph located in the middle of a six meters walking way. Loading symmetry will be calculated and compared as percentage of total pressure. |
Countries
Turkey (Türkiye)
Outcome results
None listed