Scoliosis Idiopathic Adolescent
Conditions
Keywords
Adolescent Idiopathic Scoliosis, Barcelona Scoliosis Physical Therapy School, Core Stabilization Exercises, Trunk Rotation Angle, Core Muscle Endurance, Dynamic Balance, Postural Awareness
Brief summary
This study aims to investigate the short-term effects of adding core stabilization exercises to Barcelona Scoliosis Physical Therapy School (BSPTS) exercises in adolescents with idiopathic scoliosis. Participants will be randomly assigned to either a BSPTS exercise group or a BSPTS plus core stabilization exercise group. Both groups will participate in supervised exercise sessions twice a week for 6 weeks. The study will evaluate changes in trunk rotation angle and core muscle endurance as the primary outcomes, as well as dynamic balance, spinal appearance perception, postural awareness, and scoliosis-related quality of life.
Interventions
OTHERBSPTS Plus Core Stabilization Exercise
Participants will receive the same BSPTS-based scoliosis-specific exercise program, combined with core stabilization exercises targeting activation of the transversus abdominis, multifidus, and other deep trunk muscles. Sessions will be conducted under the supervision of a physiotherapist for 45 minutes, twice weekly for 6 weeks.
OTHERBSPTS Exercise
Participants will receive a Barcelona Scoliosis Physical Therapy School (BSPTS)-based scoliosis-specific exercise program. The program will include three-dimensional self-correction exercises focusing on spinal elongation, derotation, and sagittal plane alignment. Sessions will be conducted under the supervision of a physiotherapist for 45 minutes, twice weekly for 6 weeks.
Sponsors
Istinye University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
10 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Diagnosis of adolescent idiopathic scoliosis. * Cobb angle between 10° and 40°. * Risser sign between 0 and 3. * Ability to understand and perform the exercise instructions. * Willingness to participate in the study and provision of informed consent.
Exclusion criteria
* Scoliosis associated with congenital, neuromuscular, or syndromic conditions. * Previous spinal surgery. * Presence of significant lower-extremity deformity or neurological disorder affecting balance or exercise performance. * Current participation in another scoliosis-specific exercise program. * Severe cardiopulmonary or systemic disease contraindicating exercise. * Inability to complete the assessment procedures or exercise program.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Trunk Rotation Angle | Baseline and immediately after the 6-week intervention. | Trunk rotation angle measured using a scoliometer during the Adams Forward Bend Test. |
| Core Muscle Endurance | Baseline and immediately after the 6-week intervention. | Core muscle endurance assessed using the McGill Core Endurance Test Battery, including trunk flexor, trunk extensor, and right and left lateral plank tests. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dynamic Balance | Baseline and immediately after the 6-week intervention. | Dynamic balance assessed using the Y-Balance Test. |
| Spinal Appearance Perception | Baseline and immediately after the 6-week intervention. | Spinal appearance perception assessed using the Spinal Appearance Questionnaire (SAQ). |
| Postural Awareness | Baseline and immediately after the 6-week intervention. | Postural awareness assessed using the Postural Awareness Scale (PAS). |
| Scoliosis-Related Quality of Life | Baseline and immediately after the 6-week intervention. | Quality of life, functional status, and psychosocial impact assessed using the Scoliosis Research Society-22 (SRS-22) questionnaire. |
| Global Perceived Change | Immediately after the 6-week intervention. | Perceived change following treatment assessed using the Global Rating of Change Scale. |
Outcome results
None listed