HRQoL and Function of Adults Treated in Adolescence for Scoliosis With Physical Exercises

Józef Piłsudski University of Physical Education

Status: Completed

Conditions: Scoliosis

Study type: Observational

Funder types: Other

Identifiers

NCT01384955

DS.136

Details and patient eligibility

About

We attempt to investigate the influence of physiotherapy and physical activity education applied in adolescence on physical fitness, curve progression, pulmonary function, physical activity and quality of life in adulthood. Quality of life assessment includes mental and social functioning, body image, self - esteem, depression and anxiety surveillance. The follow - up period ranges from 15 to 26 years. Also a group of shorter follow - up of 9 - 13 years is available.

The null hypothesis is that scoliosis specific exercise program applied in adolescence does not influence HRQoL and functioning in adulthood.

Full description

Among conservative treatment approaches of adolescent idiopathic scoliosis (AIS), different physiotherapy methods are recommended and popular in some countries (Spain, Germany, Poland), while in others bracing and observation are standard (North America, Australia, the UK, Scandinavia. Neither of the methods have been shown to be definitely effective. Considerable evidence indicates that bracing can lead to psychological stress, poorer body image and self - esteem and reduce overall quality of life in adulthood. As to physiotherapy and physical exercises, such evidence is limited, especially long term follow up studies are not available.

Enrollment: 143 patients

Sex: All

Ages: 22 to 44 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• clinical diagnosis of scoliosis in adolescence
• participation in exercise program in the Centre of Compensatory Gymnastics in Bielsko-Biala in adolescence
• medical records available

Exclusion criteria

• contraindications for pulmonary and / or exercise tests
• psychiatric disorders
• recent trauma
• recent traumatic (emotional) event
• contraindications for x-ray exposure

Trial design

143 participants in 2 patient groups

exercise

Description:

subjects diagnosed and treated in the Centre of Corrective and Compensatory Gymnastics in Bielsko - Biala, Poland, between 1983 and 1994, with scoliosis - specific exercise program

control

Description:

age and condition - matched subjects, who were diagnosed at the same time, in the same clinic, and by the same physician, and prescribed the same method of physiotherapy, but did not start the exercise treatment