The Effect of Three-dimensional Exercise (Schroth Exercise) on Diaphragm Thickness in Adolescent Idiopathic Scoliosis Patients

Gaziosmanpasa Research and Education Hospital

Status: Completed

Conditions: Diaphragm Issues; Spine Deformity; Scoliosis; Adolescence; Scoliosis; Scoliosis Idiopathic

Treatments: Diagnostic Test: Scoliosis X-ray (orthorontgenogram); Diagnostic Test: Pulmonary function test; Procedure: Three-dimensional Exercise (BSPTS Schroth Exercise); Diagnostic Test: Scoliosis study form; Procedure: Home Exercise; Diagnostic Test: Ultrasonographic Measurement

Study type: Observational

Funder types: Other

Identifiers

NCT06417944

326

Details and patient eligibility

About

Spinal deformity is common in childhood and adolescence, and can often present as scoliosis or increased thoracic kyphosis deformity with various etiologies.The diaphragm is the main respiratory muscle, and diaphragm contraction is associated with respiratory functions.Any spinal deformity, especially one that affects the thoracic spine, can affect lung function.In the planned thesis study, investigators will measure the diaphragm thickness in adolescent idiopathic scoliosis patients with scoliosis deformities affecting the thoracic region, whether there is any relationship between the impact in the thoracic region and the diaphragm thickness, and the three-dimensional exercise (Schroth exercise-Barcelona Schroth therapy) applied in investigators' clinic for scoliosis, before and after the treatment of the diaphragm. Investigators aimed to show whether there is any change in thickness.

Full description

Spinal deformity is common in childhood and adolescence, and can often present as scoliosis or increased thoracic kyphosis deformity with various etiologies.

Any spinal deformity, especially one that affects the thoracic spine, can affect lung function. If left untreated, the curves may distort over time as skeletal growth accelerates. In some patients, this can lead to restrictive or obstructive lung disease and, rarely, death as a result of cor pulmonale.

The alignment of the skeletal system in the chest and its harmony with the compliance of the chest wall are related to respiratory function; Thoracic kyphosis and the resulting changes in the rib cage lead to a decrease in lung capacity. The diaphragm is the main respiratory muscle, and diaphragm contraction is associated with respiratory functions. In recent years, ultrasonography (USG) has gained increasing utility for visualizing the diaphragm and assessing its function, with several advantages.

In the planned thesis study, investigators will measure the diaphragm thickness in adolescent idiopathic scoliosis patients with scoliosis deformities affecting the thoracic region, whether there is any relationship between the impact in the thoracic region and the diaphragm thickness, and the three-dimensional exercise (Schroth exercise-Barcelona Schroth therapy) applied in investigators' clinic for scoliosis, before and after the treatment of the diaphragm. Investigators aimed to show whether there is any change in thickness.

Enrollment: 64 patients

Sex: All

Ages: 10 to 18 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Having scoliosis affecting the thoracic region according to BSPTS (type 3C, type 4C and its subtypes)
• Being between the ages of 10-18
• Being able to perform a respiratory function test
• Having the mental capacity to answer surveys

Exclusion criteria

• Congenital spinal, costal and diaphragmatic anomalies
• Neuromuscular disease
• Respiratory system diseases that affect lung functions
• Patients who cannot cooperate with spirometry.
• Having surgery to the chest wall or spine

Trial design

64 participants in 2 patient groups

Schroth group (Group 1)

Description:

Patients aged 10-18 years who are diagnosed with scoliosis and given 10 sessions of schroth exercises, either outpatient or inpatient. Scoliosis study forms consisting of clinical and radiological measurements of patients aged 10-18 years who applied to the outpatient clinic with spine deformity will be filled in in detail.

Treatment:

Diagnostic Test: Ultrasonographic Measurement

Diagnostic Test: Scoliosis study form

Procedure: Three-dimensional Exercise (BSPTS Schroth Exercise)

Diagnostic Test: Pulmonary function test

Diagnostic Test: Scoliosis X-ray (orthorontgenogram)

Control group (Group 2)

Description:

Patients aged 10-18 years who are diagnosed with scoliosis and given home exercise Scoliosis study forms consisting of clinical and radiological measurements of patients aged 10-18 years who applied to the outpatient clinic with spine deformity will be filled in in detail.

Treatment:

Diagnostic Test: Ultrasonographic Measurement

Procedure: Home Exercise

Diagnostic Test: Scoliosis study form

Diagnostic Test: Pulmonary function test

Diagnostic Test: Scoliosis X-ray (orthorontgenogram)