Idiopathic scoliosis Scoliosis Spinal malalignment
Conditions
Interventions
The combined exercise program, incorporating Schroth, core stabilization, and impact-loading components, will be performed for 50-70 minutes per session, three times per week over a 16-week period.,Th
Experimental Other,Active Comparator Other
Schroth exercises, core stabilization, and impact-loading exercises ,Schroth exercises and core stabilization
Sponsors
None listed
Eligibility
Sex/Gender
Female
Age
15 Years to 19 Years
Inclusion criteria
Inclusion criteria: Females aged 15-19 years who have been recently diagnosed with IS by a physician without medical contraindications to physical activity and prior prescription for conservative interventions for IS (e.g., bracing, physical therapy, scoliosis-specific exercise, or surgery). Participants must also have upright standing plain radiographs, either full-length spine or segmental thoracic and lumbar views, taken within the past three months and showing a Cobb angle between 10 and 40 degrees.
Exclusion criteria
Exclusion criteria: Participants will be excluded if they have any cardiovascular, endocrine, or connective tissue disorders affecting musculoskeletal health; gastrointestinal or eating disorders affecting nutrient absorption; current use of medications that influence bone or muscle metabolism; high physical activity levels (IPAQ score more than 3,000 MET-min/week); and high-risk behaviors such as smoking or alcohol consumption.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| whole body bone mineral density (BMD) At baseline and at the end of the 16-week intervention DEXA,Non-dominant leg mineral density (BMD) At baseline and at the end of the 16-week intervention DEXA | — |
Secondary
| Measure | Time frame |
|---|---|
| Spinal flexibility At baseline, and at 4-, 8-, and 12-week follow-ups, and at the end of the 16-week intervention Modified Schober test ,Core muscle endurance At baseline, and at 4-, 8-, and 12-week follow-ups, and at the end of the 16-week intervention Prone plank,Cosmetic deformity At baseline, and at 4-, 8-, and 12-week follow-ups, and at the end of the 16-week intervention Walter Reed Visual Assessment Scale ,Quality of life At baseline, and at 4-, 8-, and 12-week follow-ups, and at the end of the 16-week intervention Scoliosis Research Society-22 questionnaire,Lean body mass At baseline and at the end of the 16-week intervention DEXA,Cobb angle At baseline and at the end of the 16-week intervention DEXA,Exercise adherence Weeks 1-16, cumulative at week 16 Percentage of completed sessions (out of 48), based on online logbook, photo submissions, and monthly clinic visits,Exercise compliance Weeks 1-16, cumulative at week 16 Percentage of sessions completed per protocol, based on online logbook,Exertion monitoring At the end of each exercise session Modified Borg CR10 Scale | — |
Countries
Thailand
Contacts
Public ContactNuanlaor Thawinchai
Faculty of Associated Medical Sciences, Chiang Mai University
Outcome results
None listed