Does Adolescent Idıopathic Scoliosis Cause Pelvic Floor Dysfunction?

Relationship Between the Type and Severity of Scoliosis and Pelvic Floor Dysfunctions in Individiuals With Adolescent Idiopathic Scoliosis

The aim of this study was to investigate relationship between the type and severity of scoliosis and pelvic floor dysfunctions in individuals with adolescent idiopathic scoliosis.

Study Overview

• Status: Completed
• Conditions: Pelvic Floor Disorders; Scoliosis Idiopathic
• Intervention / Treatment: Other: Examination

Detailed Description

While a healthy spine has a flat appearance in the axial line in the frontal plane, individuals with scoliosis have lateral flexion to one side and rotation deformity in the horizantal plane. In other words, it is a 3-dimensional problem that causes severe postural disorder in advanced stages, accompanied by lateral flexion of the spine of 10 degrees or more in the frontal plane, axial rotation in the transverse plane and kyphosis-lordosis deformity in the sagittal plane. Especially the "core" region, which is formed by 4 main muscle groups, stabilizes the pelvic organs by balancing intra-abdominal pressure increases and provides spinal stabilization. Studies showing that pelvic floor functions may be affected in normal spinal physiologic curvature changes are available in the literature. However, the relationship between the angle and severity of scoliosis and pelvic floor dysfunctions due to idiopathic scoliosis has not been clearly clarified.

In this context, the study aims to evaluate and compare scoliosis-related parameters (type of scoliosis, cobb angle, axial rotation angle), pelvic floor dynamics and dysfunctions in individuals with idiopathic scoliosis and healthy individuals with the same age group and characteristics.

• Study Type: Observational
• Enrollment (Actual): 12

Contacts and Locations

Study Locations

• Turkey
  • Lefkosa
    • Mersin, Lefkosa, Turkey, 99258
      • Batuhan Ibrahim

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult
• Accepts Healthy Volunteers: Yes

• Sampling Method: Probability Sample

Study Population

Individuals aged between 11-18 years and followed up in physiotherapy centers that met the inclusion criteria were selected.

Description

Inclusion Criteria:

• Those with adolescent idiopathic scoliosis diagnosed above 10' degree,
• Under 19 years of age diagnosed with AIS,
• Individuals whose consent was obtained from their families to participate in the study

Exclusion Criteria:

• Those with congenital scoliosis,
• Those with a history of neuromuscular disease,
• Diagnosed with any systemic disease other than AIS,
• Those with a history of malignancy and/or ongoing treatment,
• Those with a history of urogenital diseases and surgical history,
• Individuals with previous spinal surgery

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Scoliosis	With X-Ray	10 minutes
Posture Analysis	With Posture Screen Mobile Application	5 minutes
Pelvic Floor Muscle Activity	With Real Time Transabdominal Ultrasound	15 Minutes
Pelvic Floor Dysfunction	With Pelvic Floor Distress Inventory	5 minutes
Dysfunctional Voiding	With Dysfunctional Voiding Scoring System	10 minutes

Collaborators and Investigators

• Sponsor: Cyprus International University
• Collaborators: Near East University, Turkey
• Investigators: Study Chair: Salih Angın, Prof., Cyprus International University

Publications and helpful links

General Publications

• Negrini S, Donzelli S, Aulisa AG, Czaprowski D, Schreiber S, de Mauroy JC, Diers H, Grivas TB, Knott P, Kotwicki T, Lebel A, Marti C, Maruyama T, O'Brien J, Price N, Parent E, Rigo M, Romano M, Stikeleather L, Wynne J, Zaina F. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disord. 2018 Jan 10;13:3. doi: 10.1186/s13013-017-0145-8. eCollection 2018.
• Perkins, J., Boyer, A., Mcleish, A., & Grossnickle, K. (2012). Idiopathic scoliosis and pelvic floor dysfunction. International Journal of Therapy and Rehabilitation, 19(2), 106-110.
• Meyer I, McArthur TA, Tang Y, McKinney JL, Morgan SL, Richter HE. Pelvic Floor Symptoms and Spinal Curvature in Women. Female Pelvic Med Reconstr Surg. 2016 Jul-Aug;22(4):219-23. doi: 10.1097/SPV.0000000000000271.
• Naziri Q, Detolla J, Hayes W, Burekhovich S, Merola A, Akamnanu C, Paulino CB. A Systematic Review of All Smart Phone Applications Specifically Aimed for Use as a Scoliosis Screening Tool. J Long Term Eff Med Implants. 2018;28(1):25-30. doi: 10.1615/JLongTermEffMedImplants.2017020737.
• Ahmed SA., Othman NA., Sabet NA., & Salwa F. (2021). Validity and Reliability of Posture Screen Mobile Application in Adolescent Idiopathic Scoliosis. The Medical Journal of Cairo University, 89(June), 737-743.

Study record dates

Study Major Dates

• Study Start (Actual): May 2, 2023
• Primary Completion (Actual): September 4, 2023
• Study Completion (Actual): September 15, 2023

Study Registration Dates

• First Submitted: September 21, 2023
• First Submitted That Met QC Criteria: September 27, 2023
• First Posted (Actual): October 2, 2023

Study Record Updates

• Last Update Posted (Actual): October 2, 2023
• Last Update Submitted That Met QC Criteria: September 27, 2023
• Last Verified: September 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Spinal Diseases; Bone Diseases; Pregnancy Complications; Spinal Curvatures; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Scoliosis; Pelvic Floor Disorders
• Other Study ID Numbers: 020-6029

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No