Schroth Treatment and Proprioception Pathway

Adolescent Idiopathic Scoliosis Clinical Trial

Official title: Effect of 3D Schroth Treatment on Corticospinal and Proprioception Pathways

Status Recruiting

Clinical Trial Summary

Adolescent idiopathic scoliosis (AIS): It is the type of structural scoliosis whose etiology is unknown and is most common in female individuals between the ages of 10-18. In addition to spinal deformity, postural asymmetry, proprioceptive sense, and dysfunctions in the vestibular and vestibulospinal systems can also be seen in AIS. The Schroth method is a scoliosis-specific exercise approach that uses postural, scoliosis-specific sensorimotor and breathing exercises and is widely used in scoliosis rehabilitation. The treatment program consists of scoliotic posture correction with the help of exteroceptive and proprioceptive stimulation and mirrors, isometrics and other exercises to lengthen or strengthen asymmetric muscles while maintaining a certain breathing pattern. Various studies have shown that the Schroth method improves Cobb angles, slows curve progression, reduces the need for surgery, increases back muscle strength, and increases respiratory function. However, although the Schroth method is widely used in AIS rehabilitation, no studies have been found investigating the effects of Schroth exercises on proprioceptive sense and corticospinal pathways.

The purpose of this study is to examine the effect of the Schroth method on proprioceptive sense and corticospinal pathways in individuals with AIS.

Clinical Trial Description

The purpose of Schroth exercises is to rotate, lengthen and stabilize the spine in a three-dimensional plane. It is aimed to increase the patient's body awareness, to rotate the spine by inflating the deflated parts of the lungs with breathing, and to correct muscle posture asymmetries.

With different stimuli from the environment, some changes occur in the reorganization ability and strength of neurons and the synapses that neurons make with each other. This phenomenon, which is necessary for the adaptation of the organism to the environment, is called neuroplasticity. Thanks to neuroplasticity, some differences in brain structures are observed. Thanks to Schroth exercises, there is an intense proprioception sensory input to the body. At the same time, muscle strengthening occurs with controlled loading. Schroth exercises produce some effects on the brain with these features. In the study, the possible effects of Schroth exercises on the brain will be investigated. ;

Related Conditions & MeSH terms

• Adolescent Idiopathic Scoliosis
• Scoliosis

• NCT number: NCT06410456
• Study type: Interventional
• Source: Hitit University
• Contact: Ahmet Payas, PhD
• Phone: +905343483399
• Email: fizyopayass@gmail.com
• Status: Recruiting
• Phase: N/A
• Start date: December 1, 2023
• Completion date: June 2024