Scoliosis Idiopathic Adolescent Clinical Trial
Official title:
Application Research of Physiotherapeutic Scoliosis Specific Exercises in Adolescent Idiopathic Scoliosis
Adolescent idiopathic scoliosis (AIS) has a relatively high prevalence in adolescents. Exercise is the most common conservative therapy for mild AIS patients. There are increasing evidences suggesting that physiotherapeutic scoliosis specific exercise (PSSE) can halt the curve progression. Nevertheless, the evidence concerning PSSE is inadequate and low quality. The aim of this study is to identify the efficacy of PSSE on Cobb's angle, rotation angle, fall index, pulmonary function, bone quality, and health related quality-of-life (HRQoL) for mild AIS patients, and to promote PSSE's application in Shanghai. Prior to inclusion, all subjects will be examined by the physiatrists. A parent of each subject will be asked to sign an informed consent form before the subject participate in the study. Eligible subjects will be randomized by a 1:1 allocation ratio by computer either to the intervention group, in which they will perform PSSEs; or the control group, in which they will perform generalised physiotherapy exercises. All subjects will be assessed at the initial visit and 6 months. A multidimensional, comprehensive evaluation including aesthetic appearance, radiographic measurement, static balance test, pulmonary function test, bone quality, and HRQoL will be used.
Status | Recruiting |
Enrollment | 42 |
Est. completion date | December 30, 2021 |
Est. primary completion date | December 30, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 10 Years to 16 Years |
Eligibility | Inclusion Criteria: - patients who are consistent with the diagnosis of adolescent idiopathic scoliosis suggested by Scoliosis Research Society - the largest Cobb angle of less than 20 degrees on whole spine posterior-anterior X-ray radiographs in a standing position - 10 to 16 years old - skeletal immaturity with Risser sign of <3 Exclusion Criteria: - previous exercises or brace treatment history - previous operation history of spine or lower extremities - scoliosis caused by neuromuscular disorder, vertebral malformation, trauma, tumor, or other diseases - having contraindications to exercises |
Country | Name | City | State |
---|---|---|---|
China | Xin Hua Hospital affiliated to Shanghai Jiao Tong University School of Medicine | Shanghai | Shanghai |
China | Xinhua Hospital Chongming Branch | Shanghai | Shanghai |
Lead Sponsor | Collaborator |
---|---|
Xinhua Hospital, Shanghai Jiao Tong University School of Medicine | Shanghai First Rehabilitation Hospital, Shanghai Yangpu Daqiao Community Health Service Center, Shanghai Yangzhi Rehabilitation Hospital, Xinhua Hospital Chongming Branch |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change from Baseline Cobb's Angle at 6 months | Cobb's angle is the "gold standard" measurement on the frontal plane. The standing full spine posterior-anterior X-ray radiograph will be taken at the initial visit and 6 months later. | up to 6 months | |
Secondary | Rotation Angle of Apical Vertebral | Rotation angle of apical vertebral will be measured by Nash Moe rotation at the initial visit and 6 months later. | up to 6 months | |
Secondary | Change from Baseline Fall Index at 6 months | Static balance test will be performed at the initial visit and 6 months later. Fall index will be caculated. Fall index scores from 0 to 100. The higher the fall index the higher the risk of fall. | up to 6 months | |
Secondary | Change from Baseline Forced Vital Capacity at 6 months | Pulmonary function test will be tested at the initial visit and 6 months later. Forced vital capacity will be measured. | up to 6 months | |
Secondary | Change from Baseline Forced Expiratory Volume in First Second at 6 months | Pulmonary function test will be tested at the initial visit and 6 months later. Forced expiratory volume in first second will be measured. | up to 6 months | |
Secondary | Change from Baseline Nondominant Radius Speed of Sound at 6 months | Bone quality will be measured using a quantitative ultrasound machine (Omnisense 7000P, Sunlight Medical Inc, Israel) at the initial visit and 6 months later. The quantitative ultrasound method can measure speed of sound (SOS) at the distal 1/3 of the radius by axial transmission. The measurement site is defined as the distal 1/3 of the radius. The mean of three measurements of the radius SOS is used for analysis. | up to 6 months | |
Secondary | Scores of Scoliosis Research Society-22 Questionnaire | Scoliosis Research Society-22 questionnaire (SRS-22) scores will be evaluated using the Chinese version of SRS-22 at the initial visit and 6 months later. All subjects will be required to complete SRS-22 independently. SRS-22 is a simple form of questionnaire to assess the HRQoL of AIS patients. It consists of 22 questions in 5 domains including functional activity, pain, self-image, psychological heath and satisfaction to treatment. Each question scores from 1 point (the lowest) to 5 (the highest). Each domain scores from 5 points to 25 points except for satisfaction to the treatment, which scores from 2 points to 10 points. Each domain is expressed as a mean value: the higher the score the better the outcome. | up to 6 months |
Status | Clinical Trial | Phase | |
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