this study will be conducted to investigate the difference between specific tailored exercise program and exergaming exercises on Cobb's angle, angle of trunk rotation, pulmonary function and quality of the life in adolescent idiopathic scoliosis.
Thoracic spine region with C-shaped scoliosis
Individuals aged 10-18 years
Cobb's angle from 10 to 25 degrees
Both genders (male and female)
Mental health disorders
Neuromuscular or rheumatic diseases
A history of spinal surgery
Patients been prescribed brace treatment
Parallel
Specific Tailored Exercises Program
Other interventionthe patients will receive a specific tailored exercise program in the form of corrective exercises, positioning, mirror therapy, ADL adaptation, and instructions in addition to traditional physical therapy treatment.
Exergaming Exercises
Other interventionEvery participant in group B will be received an exergaming exercises in form of a series of Kinect training game, sports island freedom game . dance evolution game and Kinect sports games designed for Xbox 360 Kinect console. The games will be projected onto a 24-Inch screen monitor. Each session consisted of playing 1-2 trials in a row of each game for 45-60 minutes in addition to traditional physical therapy
traditional physical therapy
Other interventionthe patients will receive traditional treatment only of the intervention in the form of stretching, strengthening, core stabilization and breathing exercises
Cobb's angle
cobbs angle will be measured by x-ray. This method quantifies the lateral spinal curvature measured on a radiograph in the coronal plane, using anterior-posterior (AP) or posterior-anterior (PA) radiographs.A Cobb angle in the range of 10 to 20 degrees is considered as mild scoliosis. Scoliosis severity is moderate when the Cobb angle ranges from 20 to 40 degrees.
the angle of trunk rotation
Scoliometer mobile applications is a valid and reliable method used to assess the angle of trunk rotation. It is a portable, accessible and easy tracking and follow up. Visual interface and digital readout. Save and track angle trunk rotation values over time
flow rate of inhalation
The flow rate of inhalation in respiratory physiology refers to the rate at which air moves into the lungs during inspiration, i.e., The volume of air that enters the lungs per unit of time during inspiration. (e.g., mL/sec ). In a flow-based incentive spirometer, this flow rate is indicated by rising elements (e.g., balls) in the device that reflect how quickly air is drawn in during inspiration. For proper medication delivery from a Dry Powder Inhaler (DPI), a flow rate of inhalation of greater than 60 L/min is generally considered optimal.
life disability
It will be measured by the Arabic version of the Scoliosis Research Society -22 Questionnaire (SRS-22). The scale consists of 22 questions and 5 subdimensions, namely, pain, self-image, spinal functions, mental health, and treatment satisfaction. All of these sections are evaluated separately or by summing all questions under a total result score. Scores were calculated by assigning a value between 1 and 5 for each question. Accordingly, the lowest total score of the survey was 1, and the highest total score was 5, with higher scores indicating better QoL.
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