- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06410456
Schroth Treatment and Proprioception Pathway
Effect of 3D Schroth Treatment on Corticospinal and Proprioception Pathways
Adolescent idiopathic scoliosis (AIS): It is the type of structural scoliosis whose etiology is unknown and is most common in female individuals between the ages of 10-18. In addition to spinal deformity, postural asymmetry, proprioceptive sense, and dysfunctions in the vestibular and vestibulospinal systems can also be seen in AIS. The Schroth method is a scoliosis-specific exercise approach that uses postural, scoliosis-specific sensorimotor and breathing exercises and is widely used in scoliosis rehabilitation. The treatment program consists of scoliotic posture correction with the help of exteroceptive and proprioceptive stimulation and mirrors, isometrics and other exercises to lengthen or strengthen asymmetric muscles while maintaining a certain breathing pattern. Various studies have shown that the Schroth method improves Cobb angles, slows curve progression, reduces the need for surgery, increases back muscle strength, and increases respiratory function. However, although the Schroth method is widely used in AIS rehabilitation, no studies have been found investigating the effects of Schroth exercises on proprioceptive sense and corticospinal pathways.
The purpose of this study is to examine the effect of the Schroth method on proprioceptive sense and corticospinal pathways in individuals with AIS.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The purpose of Schroth exercises is to rotate, lengthen and stabilize the spine in a three-dimensional plane. It is aimed to increase the patient's body awareness, to rotate the spine by inflating the deflated parts of the lungs with breathing, and to correct muscle posture asymmetries.
With different stimuli from the environment, some changes occur in the reorganization ability and strength of neurons and the synapses that neurons make with each other. This phenomenon, which is necessary for the adaptation of the organism to the environment, is called neuroplasticity. Thanks to neuroplasticity, some differences in brain structures are observed. Thanks to Schroth exercises, there is an intense proprioception sensory input to the body. At the same time, muscle strengthening occurs with controlled loading. Schroth exercises produce some effects on the brain with these features. In the study, the possible effects of Schroth exercises on the brain will be investigated.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Ahmet Payas, PhD
- Phone Number: +905343483399
- Email: fizyopayass@gmail.com
Study Contact Backup
- Name: Ahmet Payas, Ph.D
- Email: fizyopayass@gmail.com
Study Locations
-
-
-
Kayseri, Turkey, 38100
- Recruiting
- Ahmet Payas
-
Contact:
- Ahmet Payas, PhD
- Phone Number: +905343483399
- Email: fizyopayass@gmail.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Being a female individual between the ages of 10-18
- Being diagnosed with AIS
- Cobb angle should be maximum 25º
- All participants do not have any disease that affects the nervous system.
- All participants must use their right hand as the dominant hand
- All participants do not have any chronic disease requiring the use of any neurological or psychiatric medication.
- Permission to participate in the study is given by the parents of all participants.
Exclusion Criteria:
- MRI of individuals who do not have any mental problems, neurological, psychiatric, muscular, rheumatic or orthopedic diseases will be included in the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Schroth group
Effect of Schroth treatment on sensory and motor control
|
Schroth exercises
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Tractography
Time Frame: Four months
|
Number of fibers of tractus corticospinalis, lemniscus medialis tracts
|
Four months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
DSI Studio
Time Frame: Four months
|
Fiber ratio of tractus corticospinalis, lemniscus medialis tracts
|
Four months
|
MRI Studio
Time Frame: Four months
|
Fiber volume of tractus corticospinalis and lemniscus medialis
|
Four months
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Ahmet Payas, Ph.D, Amasya University
Publications and helpful links
General Publications
- Kocaman H, Bek N, Kaya MH, Buyukturan B, Yetis M, Buyukturan O. The effectiveness of two different exercise approaches in adolescent idiopathic scoliosis: A single-blind, randomized-controlled trial. PLoS One. 2021 Apr 15;16(4):e0249492. doi: 10.1371/journal.pone.0249492. eCollection 2021.
- Li P, Legault J, Litcofsky KA. Neuroplasticity as a function of second language learning: anatomical changes in the human brain. Cortex. 2014 Sep;58:301-24. doi: 10.1016/j.cortex.2014.05.001. Epub 2014 May 17.
- Sagi Y, Tavor I, Hofstetter S, Tzur-Moryosef S, Blumenfeld-Katzir T, Assaf Y. Learning in the fast lane: new insights into neuroplasticity. Neuron. 2012 Mar 22;73(6):1195-203. doi: 10.1016/j.neuron.2012.01.025. Epub 2012 Mar 21.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- AIS
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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