Scoliosis Idiopathic, Exercise, Scroth
Conditions
Keywords
Scoliosis Idiopathic, Cobb angle, quality of life
Brief summary
This randomized controlled trial evaluates the effectiveness of Physiotherapeutic Scoliosis-Specific Exercises (PSSE-Schroth) compared with General Exercises in adolescents with idiopathic scoliosis over a 12-month intervention period. Primary outcomes include Cobb angle progression and brace prescription rate. Secondary outcomes include trunk rotation, quality of life, self-image, and body symmetry.
Detailed description
Adolescent idiopathic scoliosis is a three-dimensional spinal deformity that may progress during growth. Although PSSE is increasingly recommended in conservative scoliosis management, comparative randomized evidence remains limited. This study aims to compare PSSE-Schroth exercises with General Exercises in adolescents with mild idiopathic scoliosis over 12 months. Participants are randomized into intervention or control groups receiving matched exercise dosage and supervision. Outcomes assess radiographic progression, trunk rotation, need for bracing, and patient-reported clinical parameters.
Interventions
OTHERPSSE-Schroth Exercises
Participants performed individualized PSSE-Schroth exercises based on curve pattern, including corrective breathing, postural correction, and ADL training
OTHERGeneral Exercises
Participants performed general strengthening and stretching exercises without scoliosis-specific correction.
Sponsors
Hasan Kalyoncu University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
Outcome assessors and statisticians were blinded to group allocation. Participants and treating therapists were not blinded due to the nature of exercise interventions.
Intervention model description
Participants were randomized in a 1:1 ratio to either PSSE-Schroth or General Exercise intervention.
Eligibility
Sex/Gender
ALL
Age
10 Years to 18 Years
Healthy volunteers
Yes
Inclusion criteria
* Diagnosis of adolescent idiopathic scoliosis * Cobb angle 10°-25° * Risser sign 0-3 ATR \>5° * Less than 1 year post-menarche (for females)
Exclusion criteria
* Previous brace treatment \* Non-idiopathic scoliosis * Previous scoliosis surgery * Neuromuscular or congenital scoliosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Cobb Angle | Baseline to 12 Months | Cobb angle will be measured on standing anteroposterior spinal radiographs using the standard Cobb method. The angle is defined as the intersection of lines drawn parallel to the superior endplate of the upper-end vertebra and the inferior endplate of the lower-end vertebra of the primary curve. Measurements will be performed at baseline and after the intervention period, and the change in Cobb angle (in degrees) will be calculated. Lower values indicate an improvement in spinal curvature. |
| Brace Prescription Rate | 12 Months | The proportion of participants requiring orthotic bracing during the study period will be recorded. Brace prescription will be determined by a specialist according to established clinical criteria (e.g., curve magnitude, skeletal maturity, and risk of progression). The rate will be expressed as the percentage of participants prescribed a brace in each group during the follow-up period. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| SRS-22 Questionnaire Score | Baseline to 12 Months | Health-related quality of life will be assessed using the Scoliosis Research Society-22 Questionnaire (SRS-22). This validated instrument includes five domains: function/activity, pain, self-image/appearance, mental health, and satisfaction with management. Each item is scored on a 5-point Likert scale, with higher scores indicating better health status. Assessments will be performed at baseline and after the intervention period, and changes in domain and total scores will be analyzed. |
| TAPS Score | Baseline to 12 Months | Trunk appearance will be assessed using the Trunk Appearance Perception Scale (TAPS). This patient-reported outcome measure evaluates subjective perception of trunk deformity using a set of standardized drawings viewed from different perspectives. Each item is scored on a Likert scale, with higher scores indicating better perceived trunk appearance (less deformity). Assessments will be conducted at baseline and after the intervention period, and changes in TAPS scores will be analyzed. |
| TRACE Score | Baseline to 12 Months | Clinical trunk deformity will be assessed using the Trunk Aesthetic Clinical Evaluation (TRACE) scale. This clinician-rated tool evaluates visible asymmetries of the shoulders, scapulae, waist, and hemithorax. Each domain is scored based on the severity of asymmetry, and a total score is calculated, with higher scores indicating greater aesthetic deformity. Assessments will be performed at baseline and after the intervention period, and changes in TRACE scores will be analyzed. |
Countries
Turkey (Türkiye)
Outcome results
None listed