Yoga for Adolescent Idiopathic Scoliosis (AIS) Patients

The University of Texas System (UT)

Status: Not yet enrolling

Conditions: Spinal Fusion; Adolescent Idiopathic Scoliosis

Treatments: Behavioral: Yoga

Study type: Interventional

Funder types: Other

Identifiers

NCT06003010

STUDY00003670

Details and patient eligibility

About

Adolescent Idiopathic Scoliosis (AIS) is defined as a three-dimensional lateral deformity of the spine. It is described with a cobb angle of greater than 10 degrees. There is no known etiology of AIS. Once the degrees of curvature become severe (greater than 45 degrees), surgical intervention (posterior spinal fusion - PSF) is often discussed. Most adolescent patients and their families opt for surgical correction to decrease future complications of severe scoliosis, such as decreased vital capacity of the lungs, potential future activity restrictions, cosmetic appearance, and self-esteem. While the patient and family are eager to undergo PSF, they do have concerns. The major concerns are pain control and their ability to return to activities.

In current literature, there are many studies completed regarding pharmacologic pain control management with the use of IV patient-controlled analgesia (PCA) with opioids, narcotics, non-steroidal anti-inflammatories, muscle relaxers, Tylenol, and gabapentin. However, there is not a well-established multimodal pain management plan for postoperative PSF patients. There is also no current literature discussing nonpharmacologic pain management methods, such as stretching, strengthening and yoga, for patients undergoing PSF. There are multiple studies discussing core stabilization used for helping AIS patients non-operatively. There is no literature discussing the use of nonpharmacologic pain management methods for improved pain control (including decreased use of pharmacologic agents) and quicker return to activities.

The aim of this study is to determine if patients with AIS undergoing PSF require fewer pain medications and have an earlier return to activities if completing a yoga program six weeks prior to their surgery.

Enrollment: 40 estimated patients

Sex: All

Ages: 10 to 18 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Idiopathic Scoliosis patients
• English speaking patient and parents

Exclusion criteria

• Non idiopathic scoliosis diagnosis
• no access to internet or computer
• non-English speaking parents and/or patient

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Study group

No Intervention group

Description:

This group will be given standard pre- and post-surgery movement instructions.

Yoga group

Experimental group

Description:

This group will be asked to do a 6 week series of yoga videos at home pre- and post-surgery.

Treatment:

Behavioral: Yoga