Core Stabilization Exercise, Horseback Riding, Postural Balance, Scoliosis Idiopathic Adolescent
Conditions
Brief summary
Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity associated with impaired respiratory muscle strength, balance, postural control, body image, and health-related quality of life. Core stabilization exercises are widely used in the conservative management of AIS. Horse riding simulator training reproduces the multidirectional rhythmic movements of horseback riding while eliminating the potential risks associated with conventional hippotherapy and may provide additional benefits for postural control and trunk muscle activation. The aim of this randomized controlled trial is to investigate the effects of adding horse riding simulator training to a core stabilization exercise program on respiratory muscle strength, balance, health-related quality of life, and perceived cosmetic deformity in adolescents with idiopathic scoliosis. Participants will be randomly assigned to either an experimental group receiving horse riding simulator training combined with core stabilization exercises or a control group receiving core stabilization exercises alone. Outcomes will be assessed before and after the 12-week intervention.
Interventions
DEVICEHorse Riding Simulator
Participants will receive 30-minute horse riding simulator training twice weekly for 12 weeks in addition to supervised core stabilization exercises. Each session consists of 5 minutes of warm-up at low speed, 20 minutes of training at the highest speed tolerated by the participant, and 5 minutes of cool-down at low speed.
BEHAVIORALCore Stabilization Exercises
Participants will perform supervised 60-minute core stabilization exercises twice weekly for 12 weeks. Home-based core stabilization exercises will be prescribed for the remaining days of the week.
Sponsors
Bezmialem Vakif University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
10 Years to 19 Years
Healthy volunteers
No
Inclusion criteria
* Diagnosis of adolescent idiopathic scoliosis * Age between 10 and 19 years * Cobb angle between 10° and 40°, measured on standing spinal radiographs * Willingness of the participant and, when applicable, the parent or legal guardian to participate in the study
Exclusion criteria
* Scoliosis of a non-idiopathic etiology * History of surgery within the previous 3 months * Presence of an orthopedic, neurological, or systemic condition that may prevent participation in the exercise program * Cognitive, communication, or behavioral disorders that may interfere with understanding instructions, answering questions, or performing the exercises * Participation in regular exercise on 3 or more days per week
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Balance | Baseline and after 12 weeks | Balance will be assessed using the Biodex Balance System. |
| Respiratory Muscle Strength | Baseline and after 12 weeks | Respiratory muscle strength will be assessed by measuring maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) using a portable mouth pressure device. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Health-Related Quality of Life | Baseline and after 12 weeks | Health-related quality of life will be evaluated using the Scoliosis Research Society-22 (SRS-22) questionnaire. |
| Perceived Cosmetic Deformity | Baseline and after 12 weeks | Perceived cosmetic deformity will be assessed using the Walter Reed Visual Assessment Scale (WRVAS). |
Countries
Turkey (Türkiye)
Contacts
CONTACTSefa Yıldırım
Outcome results
None listed