Oxygen Consumption in Adolescent Idiopathic Scoliosis
Study Details
Study Description
Brief Summary
Adolescent Idiopathic Scoliosis (AIS) is a rotational deformity of the spine that could be seen 2-3% of population. Conservative treatment of AIS with 20-45 degree lateral flexion angle (Cobb) includes brace and therapeutic exercises. Some gait abnormalities were defined like decreased torsional movements of spine, increased muscular work and energy expenditure in AIS. Additionally wearing a brace limits pelvic motions and affects pendulum-like mechanism of gait. Our aim was to investigate gait energy consumption, pulmonary functions, balance and lower extremity loading symmetry in AIS subjects who are getting conservative treatment.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Adolescent Idiopathic Scoliosis Subjects with AIS who are beginning to the conservative treatment. |
Device: Rigid Thermoplastic Spinal Brace
Custom made rigid thermoplastic brace with 23 hours daily wearing time.
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Outcome Measures
Primary Outcome Measures
- Gait Oxygen Consumption [Assessment will be done at the end of first month of conservative treatment.]
Oxygen consumption will be assessed with a mobile metabolic analyzer during walking on treadmill with 4 km/h gait speed. Recordings will be taken for 2 minutes after first 2 minutes of walking.
Secondary Outcome Measures
- Pulmonary Functions [Assessment will be done at the end of first month of conservative treatment.]
Forced vital capacity (FVC), Forced expiratory volume in one second (FEV1), FEV1/FVC ratio, peak expiratory flow (PEF), forced expiratory flow at 25-75 % of the pulmonary volume (FEF 25-75%) will be assessed with spirometer.
- Balance [Assessment will be done at the end of first month of conservative treatment.]
Balance will be assessed with a special equipment that gives deviation that lower values mean better.
- Lower extremity loading symmetry [Assessment will be done at the end of first month of conservative treatment.]
Plantar loading symmetry will be assessed with a pedobarograph located in the middle of a six meters walking way. Loading symmetry will be calculated and compared as percentage of total pressure.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Cobb angle between 20-45 degree,
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Prescribed a rigid spinal brace by doctor
Exclusion Criteria:
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Having leg length discrepancy more than 1 centimeter
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Having a lung disease
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Having another orthopedic or neurologic disorder
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Eastern Mediterranean University | Mersin | Famagusta | Turkey | 99628 |
Sponsors and Collaborators
- Eastern Mediterranean University
Investigators
- Principal Investigator: Yasin Yurt, Asst. Prof., Eastern Mediterranean University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- ETK00-2016-0141