Adolescent Idiopathic Scoliosis
Conditions
Keywords
adolescent idiopathic scoliosis, Global postural re-education, back pain, quality of life, trunk imbalance, inter muscular coherence, respiratory function, functional performance
Brief summary
The aim of this project is to verify the effect of the global postural reeducation (GPR) intervention used in physiotherapy on scoliosis progression (scoliosis angle), back pain, quality of life, respiratory function, trunk posture and trunk muscle functioning and walking endurance. To do so, we will recruit 144 participants at three scoliosis specialized Centers. Participants will be randomly allocated to the standard of care (SC) group (observation or brace plus home video of exercises for 12 months) or to the GPR group (SC plus individual sessions once a week for 6 months and individual sessions alternating with telerehabilitation sessions once per two weeks between 6 and 12 months). At initial, 6, 12- and 24-months evaluation, participants will have x-ray, complete self-report questionnaires to document back pain and quality of life. Thereafter, measurement of trunk posture, electromyography activity of the back muscles, excursion of the diaphragm muscle using echography and respiratory function as well as distance covered using the 6-minute walk test for walking endurance will be done. We believe that GPR intervention may prevent scoliosis progression and improve physical health and quality of life in adolescence.
Interventions
GPR consists of active treatment posture and sensorimotor control exercises to regain back muscle symmetry and correct posture in daily activities
Sponsors
Laval University
Shriners Hospitals for Children
Université de Montréal
CHU de Québec
St. Justine's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
10 Years to 16 Years
Healthy volunteers
No
Inclusion criteria
* aged between 10 and 16 years old, * Cobb angle between 15º and 45º, * Risser sign ≤3 (skeletal growth incomplete), * with a risk of progression index \> 1.3, * having recent x-rays (4-6 weeks), * ability to travel weekly to attend GPR intervention
Exclusion criteria
* patients with diagnosis other than AIS, * patients who are planned for surgery, * have had surgery, * worn a brace for at least three months prior to GPR intervention
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Cobb angle of at least 5 degrees | 6, 12 and 24 months | Angle measured on radiograph for scoliosis progression |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Back pain on the Numerical Pain Rating Scale | 6, 12 and 24 months | Intensity of back pain on the Numerical Pain Rating Scale (0-10, where 0 indicates no pain et 10 the worst imaginable pain) |
| Italian Spine Youth Quality of Life questionnaire | 6, 12 and 24 months | Quality of life: score is between 0 and 100, where 100 represents a higher quality of life |
| Trunk imbalance | 6 and 12 months | The right/left horizontal deviation between the plumb line placed at C7 and S1 calculated in mm |
| Diaphragm excursion | 6 and 12 months | Diaphragm excursion using ultrasound imaging in mm |
Countries
Canada
Outcome results
None listed