Adolescent Idiopathic Scoliosis (AIS)
Conditions
Keywords
Scoliosis, Scoliosis Exercises, Progressive Resistance Exercise, Pulmonary Function, Musculoskeletal Ultrasonography
Brief summary
Adolescent idiopathic scoliosis (AIS) is a common spinal deformity that may affect physical function and pulmonary capacity during adolescence. Exercise-based rehabilitation programs are frequently used in the conservative management of scoliosis. The aim of this study is to investigate the effects of scoliosis-specific exercises combined with upper and lower extremity progressive resistance exercises on anthropometric, clinical, and pulmonary parameters in adolescents with idiopathic scoliosis. Participants diagnosed with adolescent idiopathic scoliosis will participate in an exercise program including scoliosis-specific exercises and progressive resistance exercises targeting upper and lower extremities. Anthropometric measurements, clinical assessments, and pulmonary function parameters will be evaluated before and after the intervention. The results of this study are expected to provide evidence regarding the effectiveness of combined exercise interventions on physical and respiratory outcomes in adolescents with idiopathic scoliosis.
Detailed description
Adolescent idiopathic scoliosis (AIS) is characterized by a three-dimensional spinal deformity that can influence posture, musculoskeletal balance, and respiratory function. Conservative treatment approaches often include physiotherapy-based exercise programs aimed at improving spinal alignment, muscle strength, and overall functional capacity. In this study, adolescents diagnosed with idiopathic scoliosis will undergo an exercise intervention consisting of scoliosis-specific exercises combined with progressive resistance exercises targeting upper and lower extremity muscle groups. The intervention program aims to improve musculoskeletal strength, posture, and respiratory function. Anthropometric measurements, clinical parameters, and pulmonary function values will be assessed before and after the exercise program. These outcomes will help evaluate the effectiveness of the intervention in improving physical and respiratory parameters in adolescents with idiopathic scoliosis. The findings of this study may contribute to the development of effective rehabilitation strategies for adolescents with idiopathic scoliosis and support evidence-based physiotherapy practices.
Interventions
BEHAVIORALScoliosis Exercises
Scoliosis-specific exercise program designed to improve spinal alignment, posture, and respiratory function in adolescents with idiopathic scoliosis. The program includes supervised therapeutic exercises performed under physiotherapist guidance.
BEHAVIORALProgressive Resistance Exercises
Progressive resistance exercise program targeting upper and lower extremity muscle groups including biceps, triceps, pectoral, back, quadriceps, and hamstring muscles.
Sponsors
Ankara City Hospital Bilkent
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Participants are randomly assigned to two exercise interventions in a crossover design. One group performs scoliosis-specific exercises while the other performs progressive resistance exercises. After the first intervention period, the groups switch to the alternate intervention and outcomes are reassessed.
Eligibility
Sex/Gender
ALL
Age
12 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Adolescents aged between 12 and 18 years diagnosed with adolescent idiopathic scoliosis (AIS) * Cobb angle between 10° and 25° confirmed by radiological evaluation * C-type scoliosis curve pattern
Exclusion criteria
* Presence of congenital scoliosis * Presence of chromosomal abnormalities * Presence of skeletal dysplasia * Presence of connective tissue disease * Presence of neuromuscular disease * Presence of metabolic diseases affecting bone metabolism * Calcium metabolism disorders * Severe autoimmune diseases * Severe endocrine diseases * Severe cognitive impairment * Orthopedic conditions preventing participation in exercise * History of spinal surgery * History of excisional procedure or surgery involving paravertebral muscles
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Muscle Thickness Measured by Ultrasonography | Baseline (Week 0), Week 4, and Week 8 | Changes in diaphragm, lumbar multifidus and pectoralis major muscle thickness measured by ultrasonography. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sit and Reach Flexibility Test | Baseline (Week 0), Week 4, and Week 8 | Flexibility assessment using the sit and reach test to evaluate hamstring and lower back flexibility before and after the intervention. |
| Back Scratch Test | Baseline (Week 0), Week 4, and Week 8 | Shoulder flexibility assessment using the back scratch test before and after the intervention. |
| Hand Grip Strength | Baseline (Week 0), Week 4, and Week 8 | Upper extremity muscle strength measured using a hand dynamometer. |
| Pulmonary Function Test | Baseline (Week 0), Week 4, and Week 8 | Pulmonary function parameters including FVC and FEV1 measured using spirometry. |
Countries
Turkey (Türkiye)
Outcome results
None listed