Effect of a Postural Re-education Intervention Compared to Standard Care on Scoliosis Progression in Adolescent

  • End date
    Apr 22, 2025
  • participants needed
  • sponsor
    St. Justine's Hospital
Updated on 22 October 2021


The aim of this project is to verify the effect of the global postural reeducation (GPR) intervention used in physiotherapy on scoliosis progression (scoliosis angle), back pain, quality of life, respiratory function, trunk posture and trunk muscle functioning and walking endurance. To do so, we will recruit 144 participants at three scoliosis specialized Centers. Participants will be randomly allocated to the standard of care (SC) group (observation or brace plus home video of exercises for 12 months) or to the GPR group (SC plus individual sessions once a week for 6 months and individual sessions alternating with telerehabilitation sessions once per two weeks between 6 and 12 months). At initial, 6, 12- and 24-months evaluation, participants will have x-ray, complete self-report questionnaires to document back pain and quality of life. Thereafter, measurement of trunk posture, electromyography activity of the back muscles, excursion of the diaphragm muscle using echography and respiratory function as well as distance covered using the 6-minute walk test for walking endurance will be done. We believe that GPR intervention may prevent scoliosis progression and improve physical health and quality of life in adolescence.

Condition Adolescent Idiopathic Scoliosis
Treatment Global Postural Re-education
Clinical Study IdentifierNCT04568759
SponsorSt. Justine's Hospital
Last Modified on22 October 2021


Yes No Not Sure

Inclusion Criteria

aged between 10 and 16 years old
Cobb angle between 15 and 45
Risser sign 3 (skeletal growth incomplete)
with a risk of progression index > 1.3
having recent x-rays (4-6 weeks)
ability to travel weekly to attend GPR intervention

Exclusion Criteria

patients with diagnosis other than AIS
patients who are planned for surgery
have had surgery
worn a brace for at least three months prior to GPR intervention
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