Exercise Clinical Trial
Official title:
Effect of Physiotherapeutic Scoliosis-Specific Exercises on Spine Joint Reposition Sensation in Adolescent Idiopathic Scoliosis
The main aim of the investigator's study is to investigate the effect of Physiotherapeutic
Scoliosis-Specific Exercises (PSSE) on spine joint reposition sense and also to investigate
the effect of PSSE on vertebral rotation, pain, posture, body image and quality of life in
Adolescent Idiopathic Scoliosis (AIS).
Twenty-six patients with AIS will randomly allocated to two groups. 'Schroth' exercises will
apply to the PSSE group for 8 weeks (16 sessions). The control group wiil teach basic
elements. Patients' spinal pain (Visual Analogue Scale), posture parameters (PostureScreen
Mobile, Posterior Trunk Asymmetry Index (POTSI) and Anterior Trunk Asymmetry Index (ATSI)),
cosmetic perception (Walter Reed Visual Evaluation Scale (WRVAS)), joint reposition
sensations (dual-inclinometer), quality of life (Pediatric Quality of Life Scale and SRS-22)
will assess at the first session and at the end of 8 weeks.
Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity of the spine which is
seen in 1-3% of the adolescent population and mostly in girls. Lateral curvature in the
frontal plane, axial rotation in the horizontal plane, and kyphosis and lordosis in the
sagittal plane are observed. Etiology-related factors of AIS are genetic factors, abnormal
neurophysiological functions occurring in the nervous system, hormones, metabolic
dysfunction, abnormal skeletal development, biomedical factors, environmental and lifestyle
factors.
The vertical position is associated with cortical, subcortical and medullar integration, and
postural control based on bodily input.
Approaches as observation, patient education, scoliosis-specific physiotherapy exercises
(PSSE), inpatient rehabilitation, electrical stimulation, manipulative applications and brace
application are the conservative treatments of scoliosis. PSSE, which includes
three-dimensional correction, daily life activities training, posture stabilization and
patient education, is a method recommended by Society On Scoliosis Orthopaedic and
Rehabilitation Treatment (SOSORT) for the conservative treatment of scoliosis. The Schroth
'method is one of the PSSE methods that use three-dimensional postural correction mechanisms.
The main goal of the Schroth 'exercises is to reduce the asymmetric load on the spine by
using posture variations specific to the patient's curvature. There are no studies i
regarding the effect of PSSE on changing proprioceptive neural mechanisms evaluated in the
etiopathogenesis of scoliosis.
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