The Effect of Inspiratory Muscle Training on Postural Stability, Posture Perception and Trunk Rotation in Children With Adolescent Idiopathic Scoliosis.

Adolescent Scoliosis Clinical Trial

Official title:

The Effect of Inspiratory Muscle Training on Postural Stability, Posture Perception and Trunk Rotation in Children With Adolescent Idiopathic Scoliosis.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05381896
• Other study ID #: Bakircaymzeren06
• Status: Completed
• Phase: N/A
• Start date: May 23, 2022
• Est. completion date: December 23, 2022

Study information

• Verified date: February 2023
• Source: Izmir Bakircay University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Trunk rotation and distortion of the rib cage, which are common in patients with adolescent idiopathic scoliosis, result in abnormal configuration of the diaphragm and intercostal muscles. This reduces the capacity of the respiratory muscles to produce force, and results in respiratory muscle weakness. The diaphragm, which is the major respiratory muscle, is also a component of the core muscles responsible for postural stability. Therefore, diaphragm muscle weakness results in deterioration of postural stability. Our aim in this study is to investigate the effect of inspiratory muscle training added to the routine scoliosis exercise program on postural stability and posture perception.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: December 23, 2022
• Est. primary completion date: December 23, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 10 Years to 18 Years

Eligibility

Inclusion Criteria:

• Having adolescent idiopathic scoliosis with a Cobb angle of 20-50° diagnosed by an orthopedic surgeon

Exclusion Criteria:

• Having a documented diagnosis of neurological disorders

• Having a documented diagnosis of mental disorders which may affect cooperation

• Having a documented diagnosis of chronic airway diseases

• Having a documented diagnosis of orthopedic disorders which may affect mobility

Related Conditions & MeSH terms

• Adolescent Scoliosis
• Respiratory Aspiration
• Scoliosis

Intervention

Other:
• Conventional Scoliosis Exercise Program
Program will include breathing exercises, spinal stabilization and strengthening exercises, posture exercises and stretching execises.
• Inspiratory Muscle Training
Threshold IMT device will be used for the training. Training intensity will set at 30% of the maximum inspiratory pressure.

Locations

Country	Name	City	State
Turkey	Bezmialem Vakif University	Istanbul

Sponsors (3)

Lead Sponsor	Collaborator
Izmir Bakircay University	Bezmialem Vakif University, Istanbul Kent University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change from baseline postural stability test score in Biodex Balance System SD at 8 weeks		8 weeks
Primary	Change from baseline limits of stability test score in Biodex Balance System SD at 8 weeks		8 weeks
Secondary	Change from baseline "Walter Reed Visual Assessment Scale" at 8 weeks	Walter Reed Visual Assessment Scale evaluates posture perception. It consists of a visual test including seven items that deal with various aspects of the deformity. Each question has a set of five figures that represent degrees of severity of the deformity: spinal deformity, rib prominence, lumbar prominence, thoracic deformity, trunk imbalance, shoulder asymmetry and scapular asymmetry.	8 weeks
Secondary	Change from baseline maximum inspiratory pressure (MIP) at 8 weeks		8 weeks
Secondary	Change from baseline maximum expiratory pressure (MEP) at 8 weeks		8 weeks
Secondary	Change from baseline angle of trunk rotation at 8 weeks.	Angle of trunk rotation will be evaluated using Bunnell scoliometer in forward bending position	8 weeks