Three-Dimensional Correction Methods for Idiopathic Scoliosis in Adolescent

Official title

Three-Dimensional Correction Methods for Idiopathic Scoliosis in Adolescent: Comparative Study

Overview

This study aims to compare the effectiveness of "Schroth method" and "Scientific Exercise Approach to Scoliosis" for correcting idiopathic scoliosis in adolescents.

Detailed description

The Schroth Method has gained prominence in the treatment of scoliosis due to its individualized approach, focusing on three-dimensional corrections through specific exercises tailored to each patient's spinal curvature. This method emphasizes rotational breathing and postural awareness, aiming to improve posture, reduce pain, and halt curve progression. Studies have shown that the Schroth Method can effectively improve spinal alignment, reduce curve severity, and enhance overall quality of life in patients with scoliosis. As a non-surgical intervention, it offers a valuable option for patients seeking to manage scoliosis conservatively. In contrast, the Scientific Exercise Approach to Scoliosis (SEAS) is another evidence-based method designed to treat scoliosis. SEAS focus on active self-correction, proprioceptive training, and functional exercises to stabilize and support the spine during daily activities. This approach is grounded in the principles of biomechanics and motor control, with an emphasis on developing the patient's ability to maintain correct posture independently. SEAS has been shown to be effective in reducing the risk of scoliosis progression and in some cases, it may reduce the need for bracing or surgery.

Comparing the Schroth Method and Scientific Exercise Approach to Scoliosis reveals significant insights into their respective benefits and limitations. While both approaches aim to address scoliosis through non-invasive means, they differ in their specific techniques and theoretical foundations. The Schroth Method's emphasis on breathing and postural correction contrasts with SEAS's focus on active self-correction and functional integration. Understanding these differences is crucial for clinicians to tailor treatment plans according to individual patient needs and preferences. This comparative study aims to provide deeper insights into the efficacy of these two approaches, potentially guiding more effective treatment strategies for adolescents with idiopathic scoliosis.

Interventions

• Other Schroth treatment
  The exercise program targets three-dimensional spinal correction and includes Schroth breathing for rib cage expansion, pelvic tilts for pelvic alignment, side-shift exercises for lateral correction, rotational angular breathing for derotation, seated rotational stretches for lumbar flexibility, trunk elongation with resistance for postural strength, hanging stretches for spinal decompression, and arm-leg lifts to enhance core stability and coordination.
• Other Scientific Exercise Approach to Scoliosis (SEAS)
  The SEAS exercise program emphasizes active self-correction, core stability, and postural control during functional movements. Key exercises include pelvic tilts, seated forward bends, standing side bends, supine marching, bird-dog, heel slides, chest openers, and supine knee-to-chest stretches, all performed with self-correction to maintain neutral spinal alignment, improve muscular control, flexibility, and long-term postural stability.

Primary outcome measures

• Cobb Angle [Time frame: 12 weeks]
• Angle of Trunk Rotation (ATR) [Time frame: 12 weeks]

Secondary outcome measures (2)

• Risser Sign [Time frame: 12 weeks]
• Health-Related Quality of Life (HRQOL) [Time frame: 12 weeks]

Eligibility criteria

Inclusion criteria

• Teenagers diagnosed with typical idiopathic scoliosis.
• Teenagers aged 13 to 18 years
• Both genders will be included.
• Participants with a Cobb angle ranging from 10° to 25°, as determined by radiographic analysis.
• Participants with Risser sign of 2 to 3, indicating incomplete skeletal maturity.
• Participants must be able to understand and follow instructions, ensuring effective participation in the treatment protocol.

Exclusion criteria

• Adolescents with significant visual or auditory impairments that could interfere with the ability to participate in or benefit from the rehabilitation programs.
• Adolescents with cognitive, mental, or psychological disorders that hinder understanding or following the instructions necessary for the treatment protocol.
• Adolescents who have previously undergone spinal surgery or any surgical interventions related to scoliosis or other spinal conditions.
• Adolescents with non-idiopathic scoliosis or scoliosis secondary to other underlying conditions (e.g., neuromuscular, congenital, or syndromic scoliosis).
• Adolescents with fixed spinal deformities that are not amenable to correction through non-surgical 3D approach.
• Adolescents with concurrent musculoskeletal conditions that could interfere with the treatment or assessment of scoliosis (e.g., significant hip or knee deformities).
• Adolescents currently participating in other clinical trials or receiving treatments that might confound the study results.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation

Randomized

Model

Parallel assignment

Masking

Single blind

Primary purpose

Treatment

Study locations

Egypt · 1 center

• Faculty of Physical Therapy - Delta University for Science and Technology — Gamasa

Identifiers

NCT: NCT07366996 · P.T.REC/012/005623

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗