A Suggested Rehabilitation Protocol for the Treatment of C-shape Scoliosis
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-30
SponsorCairo University
About this trial
This study aims to compare the effectiveness of mechanical traction and 3D apical vertebral mobilization and active exercises on Cobb's angle, spinal ROM, and function in patients with C-shaped scoliosis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult individuals aged 18 to 30 years (after complete ossification and before the start of the ageing process and joint changes) as mentioned in studies.
Thoracolumbar scoliosis with Cobb angle between 10 to 30 degrees because a curve below 10 degrees has no effect and above 30 is indicated for surgery.
Disqualifiers
History of orthopaedic surgeries.
History of road traffic accidents (RTA).
Myopathy.
True leg length discrepancy.
Trial design
Design model
Parallel
Treatments tested in this trial
traction and mobilization
Other interventionThe patient undergoes a 15-minute infrared therapy session, followed by flexibility and stretching exercises targeting the trunk and four extremities muscles. Land manipulation techniques are used for cervical, dorsal, and lumbar spine to assess and treat spinal dysfunctions. Deep breathing exercises with rib mobilization are also performed to promote respiratory function and thoracic flexibility. The session aims to improve overall health.
active exercise therapy
Other interventionPatients with adolescent idiopathic scoliosis will receive exercise programs from seven major schools under SOSORT, focusing on realigning the spine, rib cage, shoulders, and pelvis to normal anatomical postures.
Treatment groups
70 Participants
are divided into 2 treatment groupsGroup A: traction with mobilizationExperimental treatment 1 intervention
Group B: active exercise therapy)Active comparator 1 intervention
Trial outcomes
Primary outcomes
1
assessment of degree of spinal curvature
it will be assessed using the scoliometer which is typically consists of a level or inclinometer attached to a base. The scoliometer is placed along the spine, and the angle of deviation from the vertical is measured to assess the severity of the curvature
Time frame
at baseline and after 3 monthsSecondary outcomes
1
assessment of the change of the weight, height and body mass index
This scale (DT-150, Shanghai, China) Figure (3) will be used for the measurement of height and weight for each participant and the results will be used for the calculation of the Body Mass Index
Time frame
at baseline and after 3 months2
assessment of the change of the trunk flexion and extension ROM
To measure flexion, the patient should bend forward at the waist comfortably without knees, and the examiner should stabilize the goniometer's stationary arm on the midline of the spine.
Time frame
at baseline and after 3 months3
assessment of the change of the trunk lateral flexion ROM
To measure lateral flexion, the patient should lean comfortably sideways without bending forward or rotating the trunk, while the goniometer's stationary arm should be stabilized at the appropriate level.
Time frame
at baseline and after 3 months4
assessment of the change of the trunk rotation ROM
To measure rotation, the patient rotates their trunk comfortably without moving their hips or feet. The goniometer is placed parallel to the ground, using the scapula's spine as a reference point. The stationary arm remains parallel to the starting position.
Time frame
at baseline and after 3 monthsSponsors and contacts
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Source ClinicalTrials.gov