The Effect of Three-dimensional Exercise (Schroth Exercise) on Diaphragm Thickness in Adolescent Idiopathic Scoliosis Patients

Last updated: January 4, 2025
Sponsor: Gaziosmanpasa Research and Education Hospital
Overall Status: Completed

Phase

N/A

Condition

N/A

Treatment

Home Exercise

Ultrasonographic Measurement

Scoliosis X-ray (orthorontgenogram)

Clinical Study ID

NCT06417944
326
  • Ages 10-18
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

Spinal deformity is common in childhood and adolescence, and can often present as scoliosis or increased thoracic kyphosis deformity with various etiologies.The diaphragm is the main respiratory muscle, and diaphragm contraction is associated with respiratory functions.Any spinal deformity, especially one that affects the thoracic spine, can affect lung function.In the planned thesis study, investigators will measure the diaphragm thickness in adolescent idiopathic scoliosis patients with scoliosis deformities affecting the thoracic region, whether there is any relationship between the impact in the thoracic region and the diaphragm thickness, and the three-dimensional exercise (Schroth exercise-Barcelona Schroth therapy) applied in investigators' clinic for scoliosis, before and after the treatment of the diaphragm. Investigators aimed to show whether there is any change in thickness.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Having scoliosis affecting the thoracic region according to BSPTS (type 3C, type 4Cand its subtypes)

  • Being between the ages of 10-18

  • Being able to perform a respiratory function test

  • Having the mental capacity to answer surveys

Exclusion

Exclusion Criteria:

  • Congenital spinal, costal and diaphragmatic anomalies

  • Neuromuscular disease

  • Respiratory system diseases that affect lung functions

  • Patients who cannot cooperate with spirometry.

  • Having surgery to the chest wall or spine

Study Design

Total Participants: 64
Treatment Group(s): 6
Primary Treatment: Home Exercise
Phase:
Study Start date:
May 14, 2024
Estimated Completion Date:
October 30, 2024

Study Description

Spinal deformity is common in childhood and adolescence, and can often present as scoliosis or increased thoracic kyphosis deformity with various etiologies.

Any spinal deformity, especially one that affects the thoracic spine, can affect lung function. If left untreated, the curves may distort over time as skeletal growth accelerates. In some patients, this can lead to restrictive or obstructive lung disease and, rarely, death as a result of cor pulmonale.

The alignment of the skeletal system in the chest and its harmony with the compliance of the chest wall are related to respiratory function; Thoracic kyphosis and the resulting changes in the rib cage lead to a decrease in lung capacity. The diaphragm is the main respiratory muscle, and diaphragm contraction is associated with respiratory functions. In recent years, ultrasonography (USG) has gained increasing utility for visualizing the diaphragm and assessing its function, with several advantages.

In the planned thesis study, investigators will measure the diaphragm thickness in adolescent idiopathic scoliosis patients with scoliosis deformities affecting the thoracic region, whether there is any relationship between the impact in the thoracic region and the diaphragm thickness, and the three-dimensional exercise (Schroth exercise-Barcelona Schroth therapy) applied in investigators' clinic for scoliosis, before and after the treatment of the diaphragm. Investigators aimed to show whether there is any change in thickness.

Connect with a study center

  • Omer Faruk Alp

    Istanbul, Gaziosmanpasa 34255
    Turkey

    Site Not Available

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