De Tethering Exercises for Scolisis

March 9, 2025 updated by: Burçin Akçay

The Effect of De-tethering Exercises on Muscle Tone in Patients with Adolescent Idiopathic Scoliosis

This study aimed to investigate the effect of Detethering exercises on muscle tone in patients with adolescent idiopathic scoliosis.

H1: Detethering exercises affect muscle tone in patients with adolescent idiopathic scoliosis.

Study Overview

Status

Active, not recruiting

Conditions

Intervention / Treatment

Detailed Description

This study is planned to include 15 patients diagnosed with adolescent idiopathic scoliosis.

Muscle tone and trunk rotation degree will be measured before and after the application of detethering exercises.

Study Type

Interventional

Enrollment (Estimated)

15

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey
      • Bandırma, Turkey
        • Bandırma Onyedi Eylül University Faculty of Health Sciences Department of Physiotherapy and Rehabilitation,

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Be between the ages of 10-30,
  • Being diagnosed with IS
  • Cobb angle between 20º and 50º,
  • To be able to continue the program to be implemented,
  • No chronic disease requiring the use of any neurological or psychiatric medication,
  • Parents and/or child volunteering to participate in the study.

Exclusion Criteria:

  • The patient has any contra-indication for exercise,
  • Previous spine surgery,
  • Having a curve with an apex thoracic 6 and above,
  • The presence of any mental problem,
  • Scoliosis is not idiopathic but has different causes (neurological, congenital, etc...), neurological, psychiatric, muscular, rheumatic or orthopedic diseases are present.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

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: Intervention
Detethering exercises will be performed for participants with adolescent idiopathic scoliosis.
Other: Exercise
The Schroth Best Practice program, which is widely used in the conservative treatment of scoliosis, consists of 6 modules including physiological exercises to correct the sagittal plane, activities of daily living, 3D correction techniques, powerful Schroth exercises, de-tethering exercises and gait rehabilitation. Detethering exercises in this program will be performed in this study.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
ATR - Angle of Trunk Rotation
Time Frame: 1 week
Measurement of the angle/degree of trunk rotation is the most appropriate method for the clinical evaluation of scoliosis. ATR can be used to monitor the effects of treatment without radiographic evaluation. ATR is measured using a special inclinometer called a scoliometer. The patient is asked to lean forward with arms relaxed. The scoliometer is placed on the back and the degree observed at each point of maximum gibbosity is recorded.
1 week
Muscle Tone
Time Frame: 1 week
Intramuscular mechanical properties can be measured with the MyotonPRO device (Myoton Ltd., Estonia), a new diagnostic evaluation method, which measures intramuscular tension or resting muscle tone, muscle compliance, and muscle elasticity. In this study, it was shown that in conditions where electromyographic measurements are not possible, MyotonPRO measurements (viscoelastic and biomechanical properties) are used as an alternative to muscle strength and activation. The device is held upright and downward pressure is applied. When the red light on the plexiglass frame of the device probe turns green, the pressure application is stopped and the device is held stationary until 5 strokes are performed. Standard stroke intervals are used in all evaluations. During the application, care is taken to move the device and maintain the correct position. Measurements will be repeated 3 times and averaged.
1 week

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Burçin Akçay

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

July 10, 2024

Primary Completion (Estimated)

April 30, 2025

Study Completion (Estimated)

September 30, 2025

Study Registration Dates

First Submitted

March 9, 2025

First Submitted That Met QC Criteria

March 9, 2025

First Posted (Actual)

March 25, 2025

Study Record Updates

Last Update Posted (Actual)

March 25, 2025

Last Update Submitted That Met QC Criteria

March 9, 2025

Last Verified

March 1, 2025

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • De tethering exercises

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

product manufactured in and exported from the U.S.

No

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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