Adolescent Idiopathic Scoliosis
Conditions
Keywords
Exercise, Muscles, Scoliosis, Ultrasound
Brief summary
The study population comprised patients with AIS who had applied to the outpatient clinic between January and June 2022. The patients were divided into two groups. Treatment group(TG) was instructed in specific scoliosis exercises, while the Control group(CG) was given exercises for the lower extremities. Each patient was included in a 12- week exercise program accompanied by a physiotherapist. The patients' quality of life, and paravertebral muscles were evaluated ultrasonographically before and after treatment.
Interventions
OTHERExercise
Patients were expected to attend treatment under the supervision of a physiotherapist. If they missed a day, they were contacted by phone and advised to do their exercises at home. The number of days they missed did not exceed five. Each set included a 30-second rest period to prevent fatigue. A five-minute warm-up and cool-down period was allotted before and after the exercise session. The exercise program was implemented by a physiotherapist with three years of experience in scoliosis management. Before initiating the intervention, the physiotherapist underwent a structured training session, including practical demonstrations, supervised practice, and detailed exercise protocols.
OTHERExercise for Lower Extremities
The control group (CG) was instructed to perform gluteus maximus, hamstring, and quadriceps strengthening exercises.
Sponsors
Sisli Hamidiye Etfal Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
10 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Patients who had been diagnosed with AIS by means of radiographic and clinical examination of the spine were included in the study.
Exclusion criteria
* Cases with a history of surgery to the paravertebral region * Metabolic bone disease * Neuromuscular disease * chromosomal anomaly * Serious autoimmune and endocrine disease * Congenital scoliosis * Skeletal dysplasia and serious cognitive impairment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Paravertebral Muscle Thickness in Ultrasonographic Measurements | 12 weeks | A standard imaging protocol was employed for the transverse imaging of the thoracic and lumbar multifidus muscles. Pre- and post-exercise measurements were performed by the same physician who was blinded to the exercise program the patient received. This evaluator was a PMR physician with 3 years of experience in the field of ultrasound. For each ultrasound image, the examiner positioned the probe over the spinous process and then moved it laterally and proceeded to image the multifidus and deep thoracic paravertebral muscles on both the convex and concave sides of the apex with the patient positioned prone. Two images were obtained for each segment on each side. The mean of the two trials was employed for the purpose of data analysis. |
| The Turkish version of the Spinal Appearance Questionnaire (Tr-SGA) | 12 weeks | The questionnaire comprises two distinct sections: one pertaining to appearance and the other to expectations. Each section contains a series of questions presented on a 5-point Likert scale. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The Short Form-36 Health Status Questionnaire (SF-36) | 12 weeks | The Short Form-36 Health Status Questionnaire (SF-36) was employed for the purpose of assessing quality of life. |
Countries
Turkey (Türkiye)
Outcome results
None listed