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| Name | Class |
|---|---|
| Benha University | OTHER |
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PURPOSE: To examine the effect of Physiotherapeutic Scoliosis-Specific Exercise on limb biomechanical parameters in adolescents with idiopathic scoliosis. A randomised controlled trial
BACKGROUND:
Adolescent idiopathic scoliosis is one of the most common orthopaedic diseases affecting the spine during adolescence. The efficacy of exercise treatment is controversial. Although evidence suggests that PSSE, which include auto-correction in 3D, integration in daily life, stabilizing the corrected posture, and patient education, could improve some outcomes, effect of PSSE on related biomechanical alterations in lower limbs have not yet been examined.
HYPOTHESES:
Null hypothesis There are no statistically significant effect of Physiotherapeutic Scoliosis-Specific Exercise on lower limb biomechanics in scoliotic adolescents.
RESEARCH QUESTION:
What are the effect of Physiotherapeutic Scoliosis-Specific Exercise on lower limb biomechanics in scoliotic adolescents.?
procedures: A randomized controlled clinical trial will be conducted
Assessment:
x-ray computed scanogram radiography of the whole spine and both lower limbs in standing will be used.
The following measurements will be taken pre and post the treatment program:
For the lumbar spine coronal alignment:
For both lower limbs:
Treatment:
Patients will be randomly assigned into two groups to receive the prescribed treatment program for 6 months., 1 session per week in addition to a home program of daily exercise .
The control group will receive the standard care composed of trunk muscles strengthening exercises, trunk proprioception exercises .
The experimental group will receive the same standard treatment in addition to Physiotherapeutic Scoliosis-Specific Exercise
Data will be analyzed using 2 way MANOVA.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study group | Experimental | The experimental group will receive the same standard treatment in addition to Physiotherapeutic Scoliosis-Specific Exercise |
|
| Control group | Active Comparator | The control group will receive the standard care composed of trunk muscles strengthening exercises, trunk proprioception exercises . |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Conventional Physical Therapy Program | Other | Conventional Physical Therapy program: trunk muscles strengthening exercises, trunk muscles endurance exercises, trunk proprioception exercises . postural correction exercises. Core exercise Spinal mobility exercises |
| Measure | Description | Time Frame |
|---|---|---|
| Cobb's angle | Cobb's angle for dorso-lumbar scoliosis. The angle of the curve apex from D10 to L4 will be assessed by computed radiograph (X-ray computed scanogram) | From enrollment to the end of treatment at 6 months |
| Coronal balance | Coronal balance estimated by the distance between plumb line and central sacral line from Anetroposterior x-ray view assessed by computed radiograph (X-ray computed scanogram ) | From enrollment to the end of treatment at 6 months |
| length of the the tibia and femur | The length (in centimeter) of the Tibia and femur will be assessed by computed radiograph (X-ray computed scan-gram) | From enrollment to the end of treatment at 6 months |
| tibiofemoral angle | The tibiofemoral angle (TFA), or knee angle, is defined as the angle between the anatomical axis of femur with the anatomical axis of tibia. It will be assessed (in degrees) by computed radiograph (X-ray computed scan-gram) | From enrollment to the end of treatment at 6 months |
| knee joint line convergence angle | The knee joint-line convergence angle (KJLCA) h is the angle made by a tangential line between the femoral condyles and the tibial plateau. It will be assessed (in degrees) by computed radiograph (X-ray computed scan-gram) | From enrollment to the end of treatment at 6 months |
| lower limb mechanical axis; and mechanical axis deviation | The mechanical axis of the lower limb, also called the Mikulicz line, is drawn by connecting a point in the center of the femoral head to a point in the center of the ankle. The value of the deviation is measured in millimeters and is named mechanical axis deviation (MAD). It will be assessed by computed radiograph (X-ray computed scan-gram). |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Delta university for science and technology | Gamasa | Dakahlia Governorate | 7731168 | Egypt |
personal preferences
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| ID | Term |
|---|---|
| D012600 | Scoliosis |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D013121 | Spinal Curvatures |
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
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| Physiotherapeutic Scoliosis-Specific Exercise (Schroth) | Other | It uses exercises customized for each patient to return the curved spine to a more natural position. The spine is addressed in all three anatomical planes - sagittal, frontal and transverse. The purpose of the method is to create spinal balance and stability by improving body mechanics and spinal stabilization to prevent further curve progression |
|
| From enrollment to the end of treatment at 6 months |
| D001519 |
| Behavior |