Effect of a Postural Re-education Intervention Compared to Standard Care on Scoliosis Progression in Adolescent (RCT-RPG)

St. Justine's Hospital

Status: Active, not recruiting

Conditions: Adolescent Idiopathic Scoliosis

Treatments: Other: Global postural re-education

Study type: Interventional

Funder types: Other

Identifiers

NCT04568759

2021-3065_RCT-RPG

Details and patient eligibility

About

The aim of this project is to verify the effect of the global postural reeducation (GPR) intervention used in physiotherapy on scoliosis progression (scoliosis angle), back pain, quality of life, respiratory function, trunk posture and trunk muscle functioning and walking endurance. To do so, we will recruit 144 participants at three scoliosis specialized Centers. Participants will be randomly allocated to the standard of care (SC) group (observation or brace plus home video of exercises for 12 months) or to the GPR group (SC plus individual sessions once a week for 6 months and individual sessions alternating with telerehabilitation sessions once per two weeks between 6 and 12 months). At initial, 6, 12- and 24-months evaluation, participants will have x-ray, complete self-report questionnaires to document back pain and quality of life. Thereafter, measurement of trunk posture, electromyography activity of the back muscles, excursion of the diaphragm muscle using echography and respiratory function as well as distance covered using the 6-minute walk test for walking endurance will be done. We believe that GPR intervention may prevent scoliosis progression and improve physical health and quality of life in adolescence.

Enrollment: 47 patients

Sex: All

Ages: 10 to 16 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• aged between 10 and 16 years old,
• Cobb angle between 15º and 45º,
• Risser sign ≤3 (skeletal growth incomplete),
• with a risk of progression index > 1.3,
• having recent x-rays (4-6 weeks),
• ability to travel weekly to attend GPR intervention

Exclusion criteria

• patients with diagnosis other than AIS,
• patients who are planned for surgery,
• have had surgery,
• worn a brace for at least three months prior to GPR intervention

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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47 participants in 2 patient groups

Standard care group

Active Comparator group

Description:

Observation or brace plus conventional physiotherapy exercises on video

Treatment:

Other: Global postural re-education

GPR group

Experimental group

Description:

GPR interventions added to standard care (observation or brace)

Treatment:

Other: Global postural re-education