Schroth Treatment and Proprioception Pathway

Adolescent Idiopathic Scoliosis Clinical Trial

Official title:

Effect of 3D Schroth Treatment on Corticospinal and Proprioception Pathways

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06410456
• Other study ID #: AIS
• Status: Recruiting
• Phase: N/A
• Start date: December 1, 2023
• Est. completion date: June 2024

Study information

• Verified date: May 2024
• Source: Hitit University
• Contact: Ahmet Payas, PhD
• Phone: +905343483399
• Email: fizyopayass[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

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.

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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 15
• Est. completion date: June 2024
• Est. primary completion date: May 2024
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 10 Years to 18 Years

Eligibility

Inclusion Criteria:

• Being a female individual between the ages of 10-18

• Being diagnosed with AIS

• Cobb angle should be maximum 25º

• All participants do not have any disease that affects the nervous system.

• All participants must use their right hand as the dominant hand

• All participants do not have any chronic disease requiring the use of any neurological or psychiatric medication.

• Permission to participate in the study is given by the parents of all participants.

Exclusion Criteria:

• MRI of individuals who do not have any mental problems, neurological, psychiatric, muscular, rheumatic or orthopedic diseases will be included in the study.

Related Conditions & MeSH terms

• Adolescent Idiopathic Scoliosis
• Scoliosis

Intervention

Other:
• Exercise therapy
Schroth exercises

Locations

Country	Name	City	State
Turkey	Ahmet Payas	Kayseri

Sponsors (1)

Lead Sponsor	Collaborator
Hitit University

Country where clinical trial is conducted

Turkey, 

References & Publications (3)

Kocaman H, Bek N, Kaya MH, Buyukturan B, Yetis M, Buyukturan O. The effectiveness of two different exercise approaches in adolescent idiopathic scoliosis: A single-blind, randomized-controlled trial. PLoS One. 2021 Apr 15;16(4):e0249492. doi: 10.1371/jour — View Citation

Li P, Legault J, Litcofsky KA. Neuroplasticity as a function of second language learning: anatomical changes in the human brain. Cortex. 2014 Sep;58:301-24. doi: 10.1016/j.cortex.2014.05.001. Epub 2014 May 17. — View Citation

Sagi Y, Tavor I, Hofstetter S, Tzur-Moryosef S, Blumenfeld-Katzir T, Assaf Y. Learning in the fast lane: new insights into neuroplasticity. Neuron. 2012 Mar 22;73(6):1195-203. doi: 10.1016/j.neuron.2012.01.025. Epub 2012 Mar 21. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Tractography	Number of fibers of tractus corticospinalis, lemniscus medialis tracts	Four months
Secondary	DSI Studio	Fiber ratio of tractus corticospinalis, lemniscus medialis tracts	Four months
Secondary	MRI Studio	Fiber volume of tractus corticospinalis and lemniscus medialis	Four months