The Effect of Conservative Treatment on Gait Biomechanics in Adolescent Idiopathic Scoliosis
Adolescent Idiopathic Scoliosis, Gait Disorder, Sensorimotor
About this trial
This is an interventional treatment trial for Adolescent Idiopathic Scoliosis focused on measuring adolescent idiopathic scoliosis, gait analysis, gait biomechanics, kinetic, kinematic
Eligibility Criteria
Inclusion Criteria:
- Patients, diagnosed with AIS and referred to brace center for conservative treatment by the physician
- Cobb angle between of 20-45°
- ages 10 to 18 years
- no treatment before
- Individuals with family consent will be included
Exclusion Criteria:
- Spine surgery
- A history of major lower extremity trauma and associated surgery
- Leg length inequality more than 1 cm
- Other musculoskeletal pathologies that may affect gait
- Presence of transitional vertebrae
- Scoliosis due to other etiology
- Presence of infection, tumor, rheumatic and neurological disease which affected spine
Sites / Locations
- University of Ljubljana
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
No Intervention
Brace group
Brace and Schroth exercise group
Healthy control group
Fifteen patients with AIS will be included in this group. The scoliosis brace, whose characteristics are described below under the "Brace" heading, will be worn by the patient for 12 weeks. Although the daily brace wearing time varies between 20-23 hours, depending on the patient, it will be determined according to the physician's recommendation. Compliance regarding the brace will be monitored from the parent-controlled charts where the daily wearing time is recorded by the patient
Fifteen patients with AIS will be included in this group, they will be treated by brace and exercise during 12 weeks. The same brace treatment protocol as the brace group will be applied for this group. Additionally, Schroth Three-Dimensional Scoliosis Exercise Treatment will be applied to this group by the researcher physiotherapist at the brace center. Exercise therapy will be carried out at the brace center once a week with the researcher physiotherapist, and 45 min a day, 4 days a week in the form of home exercises. The number of exercise sets and repetitions will be determined by the researcher physiotherapist according to the patient, considering deformity severity and flexibility, generalized joint hypermobility, bone maturation, menarche status and the risk of progression. Compliance with the home exercise program (frequency and duration) will be recorded by the patients in a home exercise diary for 12 weeks.
Fifteen healthy volunteers between the ages of 10-18 will be included in this group. No intervention will be applied to this group and they will only be assessed, and their findings obtained from the gait analysis will compare with the patient groups.