The Adult Degenerative Scoliosis Exercise Trial (Pilot Study) (ADSET)
Degenerative Scoliosis
About this trial
This is an interventional treatment trial for Degenerative Scoliosis focused on measuring Scoliosis, Exercise, Pain, Posture, Quality of life, Disability
Eligibility Criteria
Inclusion Criteria:
- Adults over 50 years old with degenerative scoliosis (n=20) with pain (>2/10). Other inclusion criteria are: (1) curves 15°-45°.
Exclusion Criteria:
- Curves over 50° are surgical candidates, and will be excluded. Patients who have had cortisone or anesthetic injections within the last 3 months, surgery or presenting contra-indications to exercises (fractures, cancer, severe cardio-vascular co-morbidities, or osteopenia) will be excluded.
Sites / Locations
- University of Alberta, Faculty of Rehabilitation Medicine, Dept. Physical TherapyRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Schroth exercise group
Control group
Will attend 5 1-hr long individual sessions to learn Schroth exercises and the home program. A 30-min. daily home program of 3 to 4 exercises will be progressed by the certified Schroth therapist using an algorithm. Patients will attend weekly 1-hr long group therapist-led exercise classes for 3 months. At each group class, adequate exercise performance will be assessed using the checklist. An algorithm guides the prescription of exercises intensity and progression from static to dynamic depending on the participant's ability. Prescription begins with Sitting on a Ball. If performed adequately, a more challenging exercise is attempted. The 3 most challenging exercises performed adequately as per the checklist will be prescribed with a detailed handout.
Observation without treatment or with previously prescribed pain medication is the current standard for adults with degenerative scoliosis not planning surgery.