Schroth and Scapular Muscle Activation in Hyperkyphosis
The Effect of Schroth Exercises on Scapular Muscle Activation in Children With Thoracic Hyperkyphosis
Istanbul University - Cerrahpasa
56 participants
Jun 15, 2025
INTERVENTIONAL
Conditions
Summary
This randomized controlled trial aims to investigate the effects of Schroth exercises on scapular muscle activation in children with thoracic hyperkyphosis. A total of 56 participants will be randomly assigned to either the Schroth exercise group or the control group receiving postural education. The intervention group will complete an 8-week supervised Schroth program focusing on three-dimensional correction, rotational breathing, and postural awareness. Primary outcome is scapular muscle activation measured by surface EMG. Secondary outcomes include muscle strength, scapular endurance, kyphotic appearance, posture, and pain. The results will guide clinical management and preventive strategies for children with postural thoracic hyperkyphosis.
Eligibility
Inclusion Criteria3
- Thoracic kyphosis angle (Cobb) between ≥40° and \<70° on lateral radiographs
- Aged 7-18 years
- Risser stage 0-5, indicating ongoing skeletal development
Exclusion Criteria14
- Congenital or rigid spinal deformities/anomalies
- Major musculoskeletal surgery or trauma, especially involving the spine
- Physiotherapeutic intervention for the spine in the last 6 months
- Current brace use
- BMI ≥ 30
- Regular upper extremity sports involvement (e.g., swimming, volleyball) at least twice a week for one year
- More than 60 minutes of moderate-to-high intensity physical activity per week
- Visual impairments or light sensitivity
- Positive vestibular (Unterberger) test
- Hearing impairments
- Cognitive difficulties affecting comprehension
- Systemic diseases (diabetes, hypothyroidism, infection, malignancy)
- Neurological disorders
- Active rheumatic diseases
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Interventions
The Schroth intervention consists of a structured, three-dimensional exercise program based on scoliosis-specific principles. It incorporates corrective postural alignment, rotational breathing techniques, and targeted activation of spinal and scapular stabilizing muscles. The exercises are designed to improve postural control, enhance muscle endurance, and promote neuromuscular re-education for better functional alignment during daily activities.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06907914