Adolescent Idiopathic Scoliosis, Apical Deviation, Scoliosis
Conditions
Brief summary
Introduction: Truncal shift caused by scoliosis can be measured with a Formetric Scanner using the Maximal Thoracic Apical Deviation (MTAD) measurement. It is a well-documented complaint with regards to body-image in patients with idiopathic scoliosis (IS). Furthermore, thoracic apical deviation is an important measure in pre-operative assessment and post-operative outcomes. Objective: The aim of this retrospective cohort study was to determine the long-term effects of an intensive course of Physiotherapy Scoliosis Specific Exercise (PSSE) on MTAD in patients with IS. Methods: Consecutive IS patients with a single right-sided thoracic curvature who completed an intensive 4-week course of PSSE were recruited. Data was collected between April 2019 and December 2021. All patients were routinely scanned using a Formetric Scanner pre-, immediately post-, 12- and 24-months post-treatment. MTAD, measured in millimetres, was documented. Adults (\>17 years old) (group 1) and children (group 2) were analysed separately.
Interventions
Patients completed 120 hours of group based PSSE over a four week time frame. Monday - Friday, 10.00-17.00.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who completed the group treatment program in its entirety. Patients who have measurements obtained from all necessary time points. Patient who have Scoliosis and who have a primary thoracic curvature.
Exclusion criteria
* Patient who did not complete treatment or all measurements obtained. Patients who underwent surgery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Maximal Thoracic Apical Deviation | Pre-Treatment (Day 1 of treatment), Day 20 of treatment after study completion, an average of four weeks later, 12 months after Post-Treatment, and 24 months after Post-Treatment | Maximal Apical Deviation measurement in mm, obtained from the DIERS 4D Formetric Scanner |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Body Image Score | Pre-Treatment (Day 1 of treatment), Day 20 of treatment after study completion, an average of four weeks later, 12 months after Post-Treatment, and 24 months after Post-Treatment | Average Body Image Score. Average score from 5 categories, scored from 1-10. |
Countries
United Kingdom