Impact of Spinal Curves on Asymmetric Posture in Idiopathic Scoliosis (ISAPIS)

Istituto Scientifico Italiano Colonna Vertebrale

Status: Active, not recruiting

Conditions: Juvenile Idiopathic Scoliosis; Adolescent Idiopathic Scoliosis (AIS)

Study type: Observational

Funder types: Other

Identifiers

NCT06733623

5461_20.11.2024_P_bis

Details and patient eligibility

About

Asymmetric postures are often observed in patients with adolescent idiopathic scoliosis (AIS) and are partially associated with instability in sitting and standing positions, as well as with imbalances in gait kinematic parameters in cases of moderate or severe scoliosis.

Based on the currently available data, no correlation has been identified between habitual postures in daily life and the presence of scoliosis. However, the asymmetry of preferred postures in relation to the morphological characteristics of the curves, and how this might contribute to the progression of the clinical condition due to prolonged uneven load distribution, has not yet been analyzed.

Understanding any preferential direction in postures habitually adopted by patients with idiopathic scoliosis could provide valuable insights for the conservative management of the condition.

The aim of this study is to analyze the influence of the morphological characteristics of scoliotic curves (type and laterality) in patients with juvenile and adolescent idiopathic scoliosis on the choice of preferentially maintained asymmetric postures in daily life, using a descriptive questionnaire completed by family members and caregivers, compared to a group of non-scoliotic subjects.

Evaluate the effect of curve magnitude, age, sex, and Risser grade on the choice of usual asymmetric postures.

Estimate the impact of prolonged maintenance of habitual asymmetric postures on the clinical progression in patients with juvenile and adolescent idiopathic scoliosis

Enrollment: 490 estimated patients

Sex: All

Ages: 6 to 18 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Scoliosis group:

Inclusion Criteria:

• Diagnosis of juvenile or adolescent idiopathic scoliosis;
• Age between 6 and 18 years;
• Full spine X-ray in a standing position with anteroposterior projection performed within the year prior to completing the questionnaire.

Exclusion Criteria:

• Diagnosis of secondary scoliosis
• Patients with neuromotor control disorders

Control group:

Inclusion criteria:

• Age between 6 and 18 years;
• No diagnosis of sciolisis
• Full spine X-ray in a standing position with anteroposterior projection performed within the year prior to completing the questionnaire.

Exclusion Criteria:

• Patients with neuromotor control disorders

Trial design

490 participants in 2 patient groups

Scoliosis patients

Description:

Patients aged between 6 and 18 years old with a diagnosis of idiopathic scoliosis are asked to answer a questionnaire investigating the preferred postures adopted daily

Control group

Description:

Subjects aged between 6 and 18 years old without a diagnosis of idiopathic scoliosis are asked to answer a questionnaire investigating the preferred postures adopted daily