C-shape, Idiopathic Scoliosis, Rehabilitation, Scoliosis Idiopathic
Conditions
Brief summary
This study aims to compare the effectiveness of mechanical traction and 3D apical vertebral mobilization and active exercises on Cobb's angle, spinal ROM, and function in patients with C-shaped scoliosis.
Detailed description
Scoliosis is a skeletal issue causing asymmetries, leading to functional disruptions. Common symptoms include uneven eye tilt, drop asloped shoulder, and muscle imbalances. These changes can affect the patient's physical appearance and psychological state. Current treatments have shown suboptimal results due to the lack of accepted scientific theories for idiopathic scoliosis. Therefore, a new therapeutic approach is needed to provide novel insights and improve treatment outcomes. This underscores the need for a more comprehensive approach to scoliosis treatment.
Interventions
OTHERtraction and mobilization
The patient undergoes a 15-minute infrared therapy session, followed by flexibility and stretching exercises targeting the trunk and four extremities muscles. Land manipulation techniques are used for cervical, dorsal, and lumbar spine to assess and treat spinal dysfunctions. Deep breathing exercises with rib mobilization are also performed to promote respiratory function and thoracic flexibility. The session aims to improve overall health.
OTHERactive exercise therapy
Patients with adolescent idiopathic scoliosis will receive exercise programs from seven major schools under SOSORT, focusing on realigning the spine, rib cage, shoulders, and pelvis to normal anatomical postures.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 30 Years
Healthy volunteers
No
Inclusion criteria
1. Adult individuals aged 18 to 30 years (after complete ossification and before the start of the ageing process and joint changes) as mentioned in studies. 2. Thoracolumbar scoliosis with Cobb angle between 10 to 30 degrees because a curve below 10 degrees has no effect and above 30 is indicated for surgery.
Exclusion criteria
1. History of orthopaedic surgeries. 2. History of road traffic accidents (RTA). 3. Myopathy. 4. True leg length discrepancy. 5. Neuropathy. 6. Mental disorders. 7. Bone tumor. 8. Heart disease or circulatory problems. 9. Early osteoporosis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| assessment of degree of spinal curvature | at baseline and after 3 months | it will be assessed using the scoliometer which is typically consists of a level or inclinometer attached to a base. The scoliometer is placed along the spine, and the angle of deviation from the vertical is measured to assess the severity of the curvature |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| assessment of the change of the trunk flexion and extension ROM | at baseline and after 3 months | To measure flexion, the patient should bend forward at the waist comfortably without knees, and the examiner should stabilize the goniometer's stationary arm on the midline of the spine. |
| assessment of the change of the trunk lateral flexion ROM | at baseline and after 3 months | To measure lateral flexion, the patient should lean comfortably sideways without bending forward or rotating the trunk, while the goniometer's stationary arm should be stabilized at the appropriate level. |
| assessment of the change of the trunk rotation ROM | at baseline and after 3 months | To measure rotation, the patient rotates their trunk comfortably without moving their hips or feet. The goniometer is placed parallel to the ground, using the scapula's spine as a reference point. The stationary arm remains parallel to the starting position. |
| assessment of the change of the cervical flexion and extension ROM | at baseline and after 3 months | To measure flexion, the patient should comfortably lower their chin towards their chest without bending their upper back or shoulders, maintaining straight-forward eyes. |
| assessment of the change of the weight, height and body mass index | at baseline and after 3 months | This scale (DT-150, Shanghai, China) Figure (3) will be used for the measurement of height and weight for each participant and the results will be used for the calculation of the Body Mass Index |
| assessment of the change of the cervical rotation ROM | at baseline and after 3 months | To measure rotation, the patient should comfortably turn their head left or right without tilting their head or shoulders, maintaining straight eyes during the movement. |
| assessment of the change of fingertips to floor distance | at baseline and after 3 months | The finger-to-floor distance test is a quick and convenient method to assess hamstring and lower back flexibility. It involves standing up straight, bending forward, lowering hands, reaching the endpoint, and measuring the distance between fingers and the floor. |
| assessment of the change of the degree of spinal curvature | at baseline and after 3 months | To measure the Cobb angle on an X-ray, identify the vertebrae with the most tilted endplates, draw lines along the spine's curvature, draw perpendicular lines intersecting at a right angle, and measure the Cobb angle, which represents the degree of spinal curvature. |
| assessment of the change of the cervical lateral flexion ROM | at baseline and after 3 months | To measure lateral flexion, the patient should tilt their head sideways comfortably without rotating their head or shoulders, keeping their chin level during the movement. |
Countries
Egypt
Contacts
Primary Contactkhalid safwat elsayed, assistant lecturer
Outcome results
None listed