This study is a randomised controlled trial designed to compare two adapted physical activity treatments for adolescent idiopathic scoliosis (AIS). The main hypotheses it aims to address are as follows:
* Treatment with a HIIT (High-Intensity Interval Training) type training program via tele-rehabilitation, supervised by an adapted physical activity teacher, is effective in AIS. * A 12-week physical activity program maintains this efficacy over the long term. To test this hypothesis, Two groups of adolescents will be evaluated: a first group made up of non-athletic adolescents suffering from Idiopathic Scoliosis who will benefit from a tele-rehabilitation (physical activity sessions at home supervised by a teacher in adapted physical activities by video). A second group, control, also made up of non-athletic adolescents suffering from Idiopathic Scoliosis who will benefit from a self-program at home consisting of exercises specific to their scoliosis.
Affiliated to a social security system
Having signed the consent after clear and fair information adapted to her age
Obtained signed consent from at least 1 of the 2 parents or holders of parental authority, after clear and fair information
Subject presenting an AIS defined by the existence of a three-dimensional deformity three-dimensional deformity of the spine associating a frontal deviation measured by by the frontal radiographic angle of Cobb which must be at least 15°, but less than 40°, and a vertebral rotation attested by the presence of a presence of at least 5° of gibbosity on Bunnel's scoliometer.
Subject with secondary scoliosis: neurological, orthopedic, malformative...
Placement of a corset or rehabilitation for less than 3 months
BMI ≤15 or ≥ 30
Partial or total medical contraindication of any kind to the sports practice (examples: heart disease, unbalanced diabetes, juvenile polyarthritis, chronic painful joint pathology limiting physical performance, osteochondrosis of growth type Osgood-Schlater, Sever, Sinding-Larsen, osteochondritis, surgical sequelae limiting physical performance...)
Parallel
Home-based adapted physical activity program supervised by an APA teacher via individual video conference.
Other interventionParticipants will follow a 12-week tele-rehabilitation programme involving high-intensity interval training (HIIT) adapted to their AIS. The programme includes three 45-minute individual sessions per week. The exercises are selected from a database designed for AIS patients. The APA teacher will systematically document the patient's presence or absence at each tele-rehabilitation session, thus assessing their adherence to the programme.
First period of the home-based adapted physical activity program with an exercise booklet.
Other interventionParticipants will receive a self-programme in the form of a booklet of specific HIIT-type exercises adapted to their AIS. The programme is to be carried out at home over a 12-week period, with 3 45-minute sessions per week. The exercises are taken from the same database. Each participant in the CONTROL group will be encouraged to keep a follow-up diary, noting the date, start time and end time of each session (in order to assess adherence to the sessions).
Second period of the home-based adapted physical activity program with an exercise booklet.
Other interventionParticipants will receive a self-programme in the form of a booklet containing specific HIIT-type exercises adapted to their AIS. The programme is to be carried out at home over a 12-week period, with 3 45-minute sessions per week. The exercises are taken from the same database. Each participant in the CONTROL group will be encouraged to keep a follow-up diary, noting the date, start time and end time of each session (in order to assess adherence to the sessions).
Evaluation to overall physical performance on an ergometer-rowing machine
Measurement of the time taken to complete 2000m as quickly as possible (in seconds)
Evaluation of overall physical performance on an ergometer-rowing machine
Measurement of the time taken to complete 2000m as quickly as possible (in seconds)
Evaluation of perivertebral muscle performance (Plank)
Maintaining maximum posture in seconds (s) in the Endurance plank test and two-side plank test.
Evaluation of perivertebral muscle performance (Rowing)
Evaluation of maximum strength in kilograms (kg) in the Pull-down and seated row cable.
Indirect assessment of VO2 max
It will be evaluated from the Maximum Aerobic Speed (MAS), during the VAMEVAL test of Cazorla and Light on treadmill
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Association des Paralysees de France (APF)
Lead sponsor
Fondation de France
Collaborator
