Effects of Core Stabilization Exercises vs. Schroth's Program on Posture and Quality of Life in Females With Scoliosis.

Scoliosis Idiopathic Clinical Trial

Official title:

Effects of Core Stabilization Exercises Versus Schroth's Program on Posture and Quality of Life in Females With Idiopathic Scoliosis.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05392504
• Other study ID #: REC/RCR & AHS/22/0519
• Status: Completed
• Phase: N/A
• Start date: June 1, 2022
• Est. completion date: September 22, 2022

Study information

• Verified date: March 2023
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The objective of this study is to compare the effects of core stabilization exercises versus schroth's program on posture and quality of life in females with idiopathic scoliosis

Description:

Scoliosis is a 3 dimension condition that effects most of our population specifically females. It is not only a bend in your spine but according to new research, its also twisting it. The curvature effects the effected individual physical and the social anxiety due to appearance and a continues state of lethargy effects their quality of life immensely. The posture is poorly effected along with a visual appearance. Often someone with scoliosis might find good posture difficult. Often someone with scoliosis will lean forwards and to the side either slightly or a lot. They will often try to avoid doing this, which can lead to slightly bent knees and the pelvis tilting backwards. Scoliosis is often defined as spinal curvature in the "coronal" (frontal) plane. While the degree of curvature is measured on the coronal plane, scoliosis is actually a more complex, three-dimensional problem which involves all 3 planes. It is defined by the Cobb's angle of spine curvature in the coronal plane and is often accompanied by vertebral rotation in the transverse plane and hypokyphosis in the sagittal plane. These abnormalities in the spine, costal-vertebral joints, and the rib cage produce a 'convex' and 'concave' hemithorax.

Only females having idiopathic scoliosis with cob's angle 10°-26° with age ranging between 19-30 are included and any subjects with surgical interventions are excluded.

Population will be divided in to two groups. One group will perform scroth exercises for 4 weeks and the other group will perform core straightening exercises for 4 weeks each. Once the time period is complete, the posture will be measured using pelvic and shoulder goniometers to check the level of tilt and for quality of lifestyle, we will be using quality of life (Scoliosis Research Society-22 questionnaire)

Recruitment information / eligibility

• Status: Completed
• Enrollment: 24
• Est. completion date: September 22, 2022
• Est. primary completion date: September 15, 2022
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 19 Years to 30 Years

Eligibility

Inclusion Criteria:

• Females only

• Positive Forward bend test (FBT)

• Idiopathic scoliosis

• Cob's angle 10°-26°

• Age group ranged between 19-30 yrs.

• Normal BMI (18.5-24.9 kg/m2)

• Chronic Scoliosis patients

• Riser Sign 4-5

Exclusion Criteria:

• Subjects with any surgical intervention for scoliosis

• Pregnant women

• Subjects with any serious health condition

Related Conditions & MeSH terms

• Scoliosis
• Scoliosis Idiopathic

Intervention

Other:
• Core stability exercise
The core stability training consist of three phases
• Scroth's Program
The Schroth program include exercises for rotational breathing, spinal elongation, deflexion, stretching, de-rotation, and strengthening

Locations

Country	Name	City	State
Pakistan	New canal medical center	Lahore	Punjab
Pakistan	Pakistan Society for the Rehabilitation of the Disabled	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (16)

Aulisa AG, Guzzanti V, Perisano C, Marzetti E, Specchia A, Galli M, Giordano M, Aulisa L. Determination of quality of life in adolescents with idiopathic scoliosis subjected to conservative treatment. Scoliosis. 2010 Sep 28;5:21. doi: 10.1186/1748-7161-5-21. — View Citation

Beardsley C, Egerton T, Skinner B. Test-re-test reliability and inter-rater reliability of a digital pelvic inclinometer in young, healthy males and females. PeerJ. 2016 Mar 31;4:e1881. doi: 10.7717/peerj.1881. eCollection 2016. — View Citation

Dela Merced P, Vazquez Colon C, Mirzada A, Oke A, Gal Z, Cheng J, Oetgen MM, Martin B, Pestieau SR, Cronin JA. Association between implementation of a coordinated care pathway in idiopathic scoliosis patients and a reduction in perioperative outcome disparities. Paediatr Anaesth. 2022 Apr;32(4):556-562. doi: 10.1111/pan.14330. Epub 2021 Dec 10. — View Citation

Grunwald ATD, Roy S, Alves-Pinto A, Lampe R. Assessment of adolescent idiopathic scoliosis from body scanner image by finite element simulations. PLoS One. 2021 Feb 10;16(2):e0243736. doi: 10.1371/journal.pone.0243736. eCollection 2021. — View Citation

Gur G, Ayhan C, Yakut Y. The effectiveness of core stabilization exercise in adolescent idiopathic scoliosis: A randomized controlled trial. Prosthet Orthot Int. 2017 Jun;41(3):303-310. doi: 10.1177/0309364616664151. Epub 2016 Sep 13. — View Citation

Janicki JA, Alman B. Scoliosis: Review of diagnosis and treatment. Paediatr Child Health. 2007 Nov;12(9):771-6. doi: 10.1093/pch/12.9.771. — View Citation

Ko JY, Suh JH, Kim H, Ryu JS. Proposal of a new exercise protocol for idiopathic scoliosis: A preliminary study. Medicine (Baltimore). 2018 Dec;97(49):e13336. doi: 10.1097/MD.0000000000013336. — View Citation

Korbel K, Kinel E, Janusz P, Kozinoga M, Czaprowski D, Kotwicki T. The measurement of health-related quality of life of patients with idiopathic scoliosis - comparison of ISYQOL versus SRS-22 questionnaire. Stud Health Technol Inform. 2021 Jun 28;280:323. doi: 10.3233/SHTI210529. No abstract available. — View Citation

Liang JQ, Qiu GX, Shen JX, Lee CI, Wang YP, Zhang JG, Zhao H. A retrospective study of echocardiographic cardiac function and structure in adolescents with congenital scoliosis. Chin Med J (Engl). 2009 Apr 20;122(8):906-10. — View Citation

Makino T, Kaito T, Kashii M, Iwasaki M, Yoshikawa H. Low back pain and patient-reported QOL outcomes in patients with adolescent idiopathic scoliosis without corrective surgery. Springerplus. 2015 Aug 7;4:397. doi: 10.1186/s40064-015-1189-y. eCollection 2015. — View Citation

Mesiti BL. Scoliosis: An Overview. Radiol Technol. 2021 Sep;93(1):55-72. — View Citation

Radwan NL, Ibrahim MM, Mahmoud WS. Comparison of two periods of Schroth exercises for improving postural stability indices and Cobb angle in adolescent idiopathic scoliosis. J Back Musculoskelet Rehabil. 2022;35(3):573-582. doi: 10.3233/BMR-200342. — View Citation

Ren J, Liu X, Chen F, Jing X, Cui X. Association Between Vertebral Rotatory Subluxation and the Apical Vertebra in Degenerative Lumbar Scoliosis. World Neurosurg. 2021 Oct;154:e627-e632. doi: 10.1016/j.wneu.2021.07.101. Epub 2021 Jul 28. — View Citation

Sun Y, Xing Y, Zhao Z, Meng X, Xu G, Hai Y. Comparison of manual versus automated measurement of Cobb angle in idiopathic scoliosis based on a deep learning keypoint detection technology. Eur Spine J. 2022 Aug;31(8):1969-1978. doi: 10.1007/s00586-021-07025-6. Epub 2021 Oct 30. — View Citation

Yan B, Lu X, Qiu Q, Nie G, Huang Y. Association Between Incorrect Posture and Adolescent Idiopathic Scoliosis Among Chinese Adolescents: Findings From a Large-Scale Population-Based Study. Front Pediatr. 2020 Sep 15;8:548. doi: 10.3389/fped.2020.00548. eCollection 2020. — View Citation

Zhou Z, Liu F, Li R, Chen X. The effects of exercise therapy on adolescent idiopathic scoliosis: An overview of systematic reviews and meta-analyses. Complement Ther Med. 2021 May;58:102697. doi: 10.1016/j.ctim.2021.102697. Epub 2021 Feb 23. — View Citation

* Note: There are 16 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Scoliosis Research Society-22 questionnaire	It is a standardized questionnaire designed by scoliosis research society to measure the quality of life in scoliosis patients. Each item is scored from 1 (worst) to 5 (best). Each domain has a total sum score ranging from 5 to 25, except for satisfaction, which ranges from 2 to 10. The sum of the first 4 domains gives a maximum subtotal of 100, and when the satisfaction domain is included, the maximum total is 110.	4 week