Supervised vs. Home Schroth Exercise in AIS

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age10-18
SponsorBitlis Eren University

About this trial

This study aims to compare the effectiveness of supervised Schroth exercises versus a home-based exercise program in adolescents with Adolescent Idiopathic Scoliosis (AIS).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diagnosis of Adolescent Idiopathic Scoliosis (idiopathic etiology)

Age between 10 and 18 years

Cobb angle between 10° and 45°

Able to participate in a 5-day/week exercise program (supervised or home-based)

Disqualifiers

Non-idiopathic scoliosis (neuromuscular, congenital, functional, etc.)

Prior or planned spinal surgery

Neurological, rheumatological, metabolic, or cardiopulmonary disease that would interfere with participation

Brace treatment within the last 6 months or planned during the study

Trial design

Design model

Parallel

Treatments tested in this trial

  • Supervised Schroth Exercise

    Other intervention

    60-minute Schroth exercise sessions, 5 days/week for 12 weeks, delivered under one-on-one physiotherapist supervision. Includes 3D auto-correction, rotational breathing, postural stabilization, and curve-specific exercises (shoulder counter-pull, muscle cylinder, side-lying, sailing, prominent hip, Schroth walking)

  • Home-Based Schroth Exercise

    Other intervention

    Same 60-minute Schroth exercise program, 5 days/week for 12 weeks, performed at home without direct physiotherapist supervision. Participants receive initial instruction and an individualized exercise booklet.

Treatment groups

62 Participants
are divided into 2 treatment groups
Group A: Supervised Schroth Exercise Group (SSEG)Experimental treatment 1 intervention
Group B: Home Exercise Program Group (HEPG)Active comparator 1 intervention

Trial outcomes

Primary outcomes

1

Change in Cobb Angle

Change in the primary curve Cobb angle measured on standing posteroanterior full-spine radiographs, assessed at baseline and 3 months post-intervention.

Time frame
Baseline and 3 months post-intervention

Secondary outcomes

1

Change in Trunk Rotation Angle (ATR)

Change in angle of trunk rotation measured using a scoliometer during the Adam's Forward Bend Test.

Time frame
Baseline and 12 weeks
2

Change in Thoracic Kyphosis

Change in thoracic kyphosis angle measured using an inclinometer at T1-T2 and T12-L1 levels.

Time frame
Baseline and 12 weeks
3

Change in Lumbar Lordosis

Change in lumbar lordosis angle measured using an inclinometer at T12-L1 and S2-S3 levels.

Time frame
Baseline and 12 weeks
4

Respiratory Function assessed by Spirometry (FVC, FEV1, FEV1/FVC, PEF, FEF25-75%)

Respiratory function will be assessed using a spirometry device. The following parameters will be recorded and analyzed: Forced Vital Capacity (FVC), Forced Expiratory Volume in one second (FEV1), the FEV1/FVC ratio, Peak Expiratory Flow (PEF), and Forced Expiratory Flow at 25-75% of FVC (FEF25-75%).

Time frame
Baseline and 12 weeks

Other outcomes

Sponsors and contacts

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