HRQoL and Function of Adults Treated in Adolescence for Scoliosis With Physical Exercises

Sponsor

Józef Piłsudski University of Physical Education (Other)

Overall Status

Completed

CT.gov ID

NCT01384955

Collaborator

(none)

143

Enrollment

Location

Duration (Months)

3.5

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

We attempt to investigate the influence of physiotherapy and physical activity education applied in adolescence on physical fitness, curve progression, pulmonary function, physical activity and quality of life in adulthood. Quality of life assessment includes mental and social functioning, body image, self - esteem, depression and anxiety surveillance. The follow - up period ranges from 15 to 26 years. Also a group of shorter follow - up of 9 - 13 years is available.

The null hypothesis is that scoliosis specific exercise program applied in adolescence does not influence HRQoL and functioning in adulthood.

Condition or Disease	Intervention/Treatment	Phase
Scoliosis

Detailed Description

Among conservative treatment approaches of adolescent idiopathic scoliosis (AIS), different physiotherapy methods are recommended and popular in some countries (Spain, Germany, Poland), while in others bracing and observation are standard (North America, Australia, the UK, Scandinavia. Neither of the methods have been shown to be definitely effective. Considerable evidence indicates that bracing can lead to psychological stress, poorer body image and self

esteem and reduce overall quality of life in adulthood. As to physiotherapy and physical exercises, such evidence is limited, especially long term follow up studies are not available.

Study Design

Study Type:

Observational

Actual Enrollment :

143 participants

Observational Model:

Case-Control

Time Perspective:

Retrospective

Official Title:

THE ASSESSMENT OF QUALITY OF LIFE AND FUNCTION OF ADULTS TREATED IN ADOLESCENCE FOR IDIOPATHIC SCOLIOSIS WITH PHYSICAL EXERCISES

Study Start Date :

Jan 1, 2010

Actual Primary Completion Date :

Apr 1, 2013

Actual Study Completion Date :

Jun 1, 2013

Arms and Interventions

Arm	Intervention/Treatment
exercise subjects diagnosed and treated in the Centre of Corrective and Compensatory Gymnastics in Bielsko - Biala, Poland, between 1983 and 1994, with scoliosis - specific exercise program
control age and condition - matched subjects, who were diagnosed at the same time, in the same clinic, and by the same physician, and prescribed the same method of physiotherapy, but did not start the exercise treatment

Outcome Measures

Primary Outcome Measures

health related quality of life [one time point]
generic and condition-specific questionnaires

Secondary Outcome Measures

pulmonary function [one time point]
spirometry, total lung capacity
physical fitness [one time point]
cycloergometric submaximal physical working capacity test
curve progression [two time points: data from medical records (past) and present meausserements]
x-ray, Cobb angle, trunk rotation, scoliometer

Other Outcome Measures

psychopathology [one time point]
questionnaires / inventories of mental heath (e.g. depression, anxiety)

Eligibility Criteria

Criteria

Ages Eligible for Study:

22 Years to 44 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

clinical diagnosis of scoliosis in adolescence
participation in exercise program in the Centre of Compensatory Gymnastics in Bielsko-Biala in adolescence
medical records available

Exclusion Criteria:

contraindications for pulmonary and / or exercise tests
psychiatric disorders
recent trauma
recent traumatic (emotional) event
contraindications for x-ray exposure

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Faculty of Physiotherapy, WSA	Bielsko-Biala		Poland	43-300

Sponsors and Collaborators

Józef Piłsudski University of Physical Education

Investigators

Study Director: Maciej Plaszewski, PhD, Faculty of Physical Education and Sport in Biala Podlaska, University School of Physical Education, Warsaw, Poland