Impact of Spinal Curves on Asymmetric Posture in Idiopathic Scoliosis

Does the Presence and Type of Curves Influence the Choice of Asymmetric Postures Adopted in Daily Life by Patients with Juvenile and Adolescent Idiopathic Scoliosis?

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT06733623

Acronym

ISAPIS

Enrollment

490

Registered

2024-12-13

Start date

2024-12-10

Completion date

2026-06-30

Last updated

2024-12-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Adolescent Idiopathic Scoliosis (AIS), Juvenile Idiopathic Scoliosis

Brief summary

Asymmetric postures are often observed in patients with adolescent idiopathic scoliosis (AIS) and are partially associated with instability in sitting and standing positions, as well as with imbalances in gait kinematic parameters in cases of moderate or severe scoliosis. Based on the currently available data, no correlation has been identified between habitual postures in daily life and the presence of scoliosis. However, the asymmetry of preferred postures in relation to the morphological characteristics of the curves, and how this might contribute to the progression of the clinical condition due to prolonged uneven load distribution, has not yet been analyzed. Understanding any preferential direction in postures habitually adopted by patients with idiopathic scoliosis could provide valuable insights for the conservative management of the condition. The aim of this study is to analyze the influence of the morphological characteristics of scoliotic curves (type and laterality) in patients with juvenile and adolescent idiopathic scoliosis on the choice of preferentially maintained asymmetric postures in daily life, using a descriptive questionnaire completed by family members and caregivers, compared to a group of non-scoliotic subjects. Evaluate the effect of curve magnitude, age, sex, and Risser grade on the choice of usual asymmetric postures. Estimate the impact of prolonged maintenance of habitual asymmetric postures on the clinical progression in patients with juvenile and adolescent idiopathic scoliosis

Interventions

None listed

Study design

Observational model

CASE_CONTROL

Time perspective

CROSS_SECTIONAL

Eligibility

Sex/Gender

ALL

Age

6 Years to 18 Years

Healthy volunteers

Yes

Inclusion criteria

Scoliosis group: Inclusion Criteria: * Diagnosis of juvenile or adolescent idiopathic scoliosis; * Age between 6 and 18 years; * Full spine X-ray in a standing position with anteroposterior projection performed within the year prior to completing the questionnaire.

Exclusion criteria

* Diagnosis of secondary scoliosis * Patients with neuromotor control disorders Control group: Inclusion criteria: * Age between 6 and 18 years; * No diagnosis of sciolisis * Full spine X-ray in a standing position with anteroposterior projection performed within the year prior to completing the questionnaire.

Design outcomes

Primary

Measure	Time frame	Description
Everyday posture questionnaire	At enrollment	The types of postures most frequently maintained in daily life by patients with idiopathic scoliosis will be compared with a group of age-matched individuals without scoliosis, and any statistically significant differences will be analyzed using the chi-square test

Countries

Italy

Outcome results