Predictive Progressive Factors of Adolescent Idiopathic Scoliosis

Scoliosis Clinical Trial

— SCOLEVOL  

Official title:

Predictive Progressive Factors of Adolescent Idiopathic Scoliosis

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT02862392
• Other study ID #: RC-P0047
• Status: Recruiting
• Start date: March 15, 2017
• Est. completion date: June 15, 2025

Study information

• Verified date: November 2022
• Source: Lille Catholic University
• Contact: Amélie Lansiaux, PhD, MD
• Phone: +33 3 20 22 57 41
• Email: Lansiaux.Amelie[@]ghicl.net
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The hypothesis of this study is that progressive AIS is characterized by a disorder of orthostatic postural control. The analysis and the treatment of posturographic signal on computerized integrate force plates, coupled to clinical and radiographic examinations, could highlight predictive and reliable factors at the moment of diagnosis. Thus, it could help the clinician in his therapeutic approach, based on the postural control improvement (individualized prescription in kinesitherapy, better adaptation to orthopedic treatments by corset). This method is non-invasive, without side effects, fast and achievable in routine care at the moment of the diagnosis of AIS.

Description:

Adolescent idiopathic scoliosis (AIS) is a tridimensional spine deformation affecting 2% of subjects between 10 and 16 years-old being predominant among girls. It is a severe, progressive and multifactorial disease, and a genetic origin is currently admitted.

AIS is progressive (in 3 out of 10 cases) when the scoliosis radiographic frontal angle (Cobb angle) strictly increases by 5° between the diagnosis date and the end of growth. This progression can be severe requiring heavy treatments (corset, surgery) and it can generate adverse effects (spine pain, cardio-respiratory and functional consequences on walking). The lack of reliable criteria to predict the evolution of AIS is a real problem for the therapeutic decision and it can impact the socio-economic cost of the disease.

Several studies show orthostatic postural control anomalies in AIS. The orthostatic postural control is elaborated from the central integration of different sensorial signals (visual, somesthesic and vestibular).

Posturography, on computerized integrate force plates, allows to quantify sensorial components of orthostatic postural control. This technique can confirm the disorders of orthostatic postural control in AIS, but the parameters used can not evaluate with precision the progressive potential.

The posturographic signal analysis could lead to the implementation of therapeutic strategies adapted to progressive risk. Moreover, this method could prevent the progression in major scoliosis, limit the use of radiography, the application of a constraining corset (worn 23 hours a day) and the possibility of heavy surgery (extent arthrodesis).

The hypothesis of this study is that progressive AIS is characterized by a disorder of orthostatic postural control. The analysis and the treatment of posturographic signal on computerized integrate force plates, coupled to clinical and radiographic examinations, could highlight predictive and reliable factors at the moment of diagnosis. Thus, it could help the clinician in his therapeutic approach, based on the postural control improvement (individualized prescription in kinesitherapy, better adaptation to orthopedic treatments by corset). This method is non-invasive, without side effects, fast and achievable in routine care at the moment of the diagnosis of AIS.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 140
• Est. completion date: June 15, 2025
• Est. primary completion date: June 15, 2025
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 11 Years to 14 Years

Eligibility

Inclusion Criteria:

• Female aged from 11 to 14 years

• Patient with AIS, associated with a frontal deviation of spine measured by the radiographic frontal angle of Cobb between 15° and 20°, and a spinal rotation attested by the presence of a gibbosity minimum 5° with Bunnell scoliometer.

• Risser test < 2 (evaluation of the spine bone maturity)

• Patient having front and side views radiographies from spine (huge prints) of less than three months (children have a radiographic check-up from total spine every 6 months on average, no additional print is requested)

• Capable of receiving clear informations

• Giving a written consent for their participation via a consent signed by both parents of the patient (or legal tutor)

• Covered by a healthcare insurance

Exclusion Criteria:

• Patient with secondary scoliosis

• AIS with principal cervico-thoracic curve, according to the Scoliosis Research Society (SRS) classification (this patient category only represents 1% of SIA)

• Primary left thoracic topographic AIS, according to the SRS classification (this category of scoliosis is rare and frequently has a secondary origin: neurologic, polymalformative)

• AIS treated by corrective corset

• Length inequality between inferior members more than 20 mm during clinical examination

• Patient with clinical neurological signs

• Pathological ligamentous laxity

• Known vestibular disease

• BMI > 30

• Refusal to sign an informed consent

• Impossibility to receive clear information

Related Conditions & MeSH terms

• Scoliosis

Locations

Country	Name	City	State
France	CHU d'Amiens	Amiens	Picardie
France	Fondation Hopale	Berck	Nord Pas-de-Calais
France	Centre de MPR pour enfants de Bois Larris	Lamorlaye	Nord Pas-de-Calais
France	CHRU de Lille	Lille	Nord Pas-de-Calais
France	Lille Catholic Hospital	Lille	Nord Pas-de-Calais
France	CH Victor Provo	Roubaix	Nord Pas-de-Calais
France	SSR pédiatrique Marc Sautelet	Villeneuve d'Ascq	Nord Pas-de-Calais

Sponsors (2)

Lead Sponsor	Collaborator
Lille Catholic University	Ecole des hautes études d'ingénieur (HEI)

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Measure of the evolution of AIS by Recurrence quantification analysis (RQA)	This parameter allows a posturographic recording of the patient in order to predict the evolution of the disease	Change from baseline at 24 months
Secondary	Questionnaire to determine presence or absence of family background	For statistical analysis categorical variables may be assigned with numeric indices	Change from baseline at 24 months
Secondary	Questionnaire to determine presence or absence of concomitant illnesses	For statistical analysis categorical variables may be assigned with numeric indices	Change from baseline at 24 months
Secondary	Questionnaire to determine presence or absence of clinical tests of equilibration	For statistical analysis categorical variables may be assigned with numeric indices	Change from baseline at 24 months
Secondary	Questionnaire to determine presence or absence of susceptibility to sensorial conflicts	For statistical analysis categorical variables may be assigned with numeric indices	Change from baseline at 24 months
Secondary	Questionnaire to determine presence or absence of visio-manual laterality	For statistical analysis categorical variables may be assigned with numeric indices	Change from baseline at 24 months
Secondary	Questionnaire to determine type of scoliosis	For statistical analysis categorical variables may be assigned with numeric indices	Change from baseline at 24 months
Secondary	Questionnaire to determine presence or absence of deformed body perception	For statistical analysis categorical variables may be assigned with numeric indices	Change from baseline at 24 months
Secondary	Questionnaire to determine date of first periods	Questionnaire to determine date of first periods	Change from baseline at 24 months
Secondary	Quantification of body mass index	Quantification of body mass index	Change from baseline at 24 months
Secondary	Questionnaire to determine presence or absence of socio-demographic variables	For statistical analysis categorical variables may be assigned with numeric indices	at baseline
Secondary	Fukuda stepping test in order to evaluate the vestibular sensory input	The purpose of the Fukuda Stepping Test (FST) is to measure asymmetrical vestibulospinal reflex tone resulting from labyrinthine dysfunction	Change from baseline at 24 months
Secondary	Pearson correlation coefficient to determine the correlation between posturographic and radiographic parameters	Pearson correlation coefficient to determine the correlation between posturographic and radiographic parameters	Change from baseline at 24 months
Secondary	Score of the motion Sickness Susceptibility Questionnaire	Score of the motion Sickness Susceptibility Questionnaire	Change from baseline at 24 months
Secondary	Trunk Appearance Perception Scale	Evaluation of self appearance or image	Change from baseline at 24 months