Three-Dimensional Correction Methods for Idiopathic Scoliosis in Adolescent

Cairo University (CU)

Status: Not yet enrolling

Conditions: Idiopathic Scoliosis

Treatments: Other: Scientific Exercise Approach to Scoliosis (SEAS); Other: Schroth treatment

Study type: Interventional

Funder types: Other

Identifiers

NCT07366996

P.T.REC/012/005623

Details and patient eligibility

About

This study aims to compare the effectiveness of "Schroth method" and "Scientific Exercise Approach to Scoliosis" for correcting idiopathic scoliosis in adolescents.

Full description

The Schroth Method has gained prominence in the treatment of scoliosis due to its individualized approach, focusing on three-dimensional corrections through specific exercises tailored to each patient's spinal curvature. This method emphasizes rotational breathing and postural awareness, aiming to improve posture, reduce pain, and halt curve progression. Studies have shown that the Schroth Method can effectively improve spinal alignment, reduce curve severity, and enhance overall quality of life in patients with scoliosis. As a non-surgical intervention, it offers a valuable option for patients seeking to manage scoliosis conservatively. In contrast, the Scientific Exercise Approach to Scoliosis (SEAS) is another evidence-based method designed to treat scoliosis. SEAS focus on active self-correction, proprioceptive training, and functional exercises to stabilize and support the spine during daily activities. This approach is grounded in the principles of biomechanics and motor control, with an emphasis on developing the patient's ability to maintain correct posture independently. SEAS has been shown to be effective in reducing the risk of scoliosis progression and in some cases, it may reduce the need for bracing or surgery.

Comparing the Schroth Method and Scientific Exercise Approach to Scoliosis reveals significant insights into their respective benefits and limitations. While both approaches aim to address scoliosis through non-invasive means, they differ in their specific techniques and theoretical foundations. The Schroth Method's emphasis on breathing and postural correction contrasts with SEAS's focus on active self-correction and functional integration. Understanding these differences is crucial for clinicians to tailor treatment plans according to individual patient needs and preferences. This comparative study aims to provide deeper insights into the efficacy of these two approaches, potentially guiding more effective treatment strategies for adolescents with idiopathic scoliosis.

Enrollment: 30 estimated patients

Sex: All

Ages: 13 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Teenagers diagnosed with typical idiopathic scoliosis.
• Teenagers aged 13 to 18 years
• Both genders will be included.
• Participants with a Cobb angle ranging from 10° to 25°, as determined by radiographic analysis.
• Participants with Risser sign of 2 to 3, indicating incomplete skeletal maturity.
• Participants must be able to understand and follow instructions, ensuring effective participation in the treatment protocol.

Exclusion criteria

• Adolescents with significant visual or auditory impairments that could interfere with the ability to participate in or benefit from the rehabilitation programs.
• Adolescents with cognitive, mental, or psychological disorders that hinder understanding or following the instructions necessary for the treatment protocol.
• Adolescents who have previously undergone spinal surgery or any surgical interventions related to scoliosis or other spinal conditions.
• Adolescents with non-idiopathic scoliosis or scoliosis secondary to other underlying conditions (e.g., neuromuscular, congenital, or syndromic scoliosis).
• Adolescents with fixed spinal deformities that are not amenable to correction through non-surgical 3D approach.
• Adolescents with concurrent musculoskeletal conditions that could interfere with the treatment or assessment of scoliosis (e.g., significant hip or knee deformities).
• Adolescents currently participating in other clinical trials or receiving treatments that might confound the study results.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

Schroth treatment

Experimental group

Description:

Fifteen adolescents will participate in one-hour Schroth treatment sessions, conducted three times per week in center under therapist supervision on non-consecutive days.

Treatment:

Other: Schroth treatment

Scientific Exercise Approach to Scoliosis (SEAS)

Experimental group

Description:

The home program will consist of fifteen adolescents coming to the center once a month for Scientific Exercise Approach to Scoliosis (SEAS) treatment sessions, each lasting one hour. These sessions will be conducted three days per week, one hour, at home on non-consecutive days.

Treatment:

Other: Scientific Exercise Approach to Scoliosis (SEAS)