RecruitingNot ApplicableNCT05819034

Conservative Management for Adolescent Idiopathic Scoliosis

Orthotic Management for Controlling Scoliotic Curve Progression in Adolescent Idiopathic Scoliosis


Sponsor

Umm Al-Qura University

Enrollment

60 participants

Start Date

Feb 1, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

Idiopathic scoliosis is a living problem that resists correction. The underlying cause of the such disorder is unknown but directed more toward muscular disorders. However recent clinical observation showed a possible neuromuscular compromise early in those patients. The main purpose of this study is to develop a treatment procedure to correct the degree of bony curvature in patients with Idiopathic scoliosis through developing a neuromuscular corrective approach that might be a more effective conservative treatment protocol for such disorder.


Eligibility

Min Age: 10 YearsMax Age: 17 Years

Inclusion Criteria6

  • Adolescents of both sexes with an age range between 10-17 years.
  • They were diagnosed with Adolescent idiopathic scoliosis by an orthopedic specialist, confirmed through (loaded) X- rays.
  • They have mild non-structural scoliosis with Cobb's angle measurement of between 10 and 25 degrees
  • They have Single major thoracolumbar curve located between T6-7 to L1-2, apex at T12 or L1.
  • They have good health conditions except for scoliosis.
  • They can understand and communicate with no mental abnormalities.

Exclusion Criteria9

  • Adolescents with cerebral palsy or other degenerative neurological disorders;
  • Participants with nutritional disorders e.g. diabetes or vascular disorders.
  • Participants with a scoliotic curve with angle \> 25° will be excluded.
  • Participants will be excluded from this study if they have inflexible spinal deformities interfering with spinal mobility,
  • Participants who were subjected to any corrective surgery to their spine within the previous two years.
  • Participants will be also excluded if their skin were sensitive or inflamed to any materials used.
  • Participants who have seizures, perceptual disorders, visual problems, and auditory deficits
  • Participants who have leg length discrepancy
  • Participants who have scoliosis developed as a consequence of traumatic scoliosis.

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Interventions

OTHERScoliosis-Specific Exercise Program

Adolescents in the control group will receive a scoliosis-specific exercise program which will be prescribed to control the progression of the scoliotic curve. This exercise program will include frontal plane active or passive correction exercises for scoliotic posture. The exercise program for every participant will be three sessions per week for 12 successive weeks. Every treatment session was applied for one hour.The exercise program for every participant will be three sessions per week for 12 successive weeks. Every treatment session was applied for one hour. The exercise program for every participant will be three sessions per week for 12 successive weeks. Every treatment session was applied for one hour.

OTHERSoft orthoses with external strapping.

Adolescents in the experimental group will receive a scoliosis-specific exercises program which will be prescribed to control the progression of the scoliotic curve in addition to wearing the soft orthoses with external strapping. The wearing schedule of the soft orthosis with the external strapping for every participant in this group will be 12 hours daily for 12 successive weeks.


Locations(1)

Umm Al Qura University

Mecca, Mecca Region, Saudi Arabia

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NCT05819034


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