The Effect of Core Exercises in Postoperative Scoliosis

June 3, 2026 updated by: Feride FEHİM, Hasan Kalyoncu University

The Effect of Core Stabilization Exercises on Scapular and Shoulder Asymmetry in Postoperative Adolescent Idiopathic Scoliosis.

This study aims to investigate the effects of a core stabilization-based rehabilitation program following adolescent idiopathic scoliosis (AIS) surgery on radiological parameters, pain, upper extremity function, range of motion, and scapular assessment. Participants diagnosed with AIS and treated with posterior spinal fusion surgery will undergo a rehabilitation program based on core stabilization exercises. Outcome measures will include Cobb angle, vertebral rotation, Visual Analog Scale (VAS), QuickDASH, Trunk Appearance Perception Scale (TAPS), SRS-22, cervical and shoulder range of motion, and scapular assessment tests. Assessments will be conducted before and after the rehabilitation program.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

This study is designed to investigate the effects of a core stabilization-based rehabilitation program following adolescent idiopathic scoliosis (AIS) surgery on radiological, functional, and scapular parameters. Individuals diagnosed with AIS and treated with posterior spinal fusion surgery will be recruited for participation.

Radiological assessment will include thoracic and lumbar Cobb angles and vertebral rotation measurements. Clinical assessments will include the Visual Analog Scale (VAS) for pain, QuickDASH for upper extremity function, Trunk Appearance Perception Scale (TAPS) for body image perception, and SRS-22 for health-related quality of life. Cervical and shoulder range of motion will also be evaluated.

Scapular assessment will include the Lateral Scapular Slide Test (LSST), Scapular Assistance Test (SAT), and wall push-up test. The study aims to evaluate changes in scapular asymmetry, scapular control, and scapulothoracic mechanics following the rehabilitation program.

Assessments will be performed before and after the intervention to examine potential changes in radiological, functional, and scapular outcomes.

Study Type

Interventional

Enrollment (Actual)

20

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

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:

  • Individuals diagnosed with adolescent idiopathic scoliosis (AIS)
  • Individuals who underwent posterior spinal fusion surgery
  • Age between 10 and 18 years
  • Individuals participating in a core stabilization-based rehabilitation program
  • Individuals who agreed to participate voluntarily

Exclusion Criteria:

  • Presence of neurological, rheumatological, or other orthopedic disorders affecting posture or upper extremity function
  • History of additional spinal surgery
  • Cognitive impairment preventing participation in evaluations
  • Incomplete assessment data
  • Noncompliance with the rehabilitation program

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: Core Stabilization Rehabilitation Group
Participants received a core stabilization-based rehabilitation program after adolescent idiopathic scoliosis surgery. The program included core stabilization, postural control, and scapular stabilization exercises
Behavioral: Core Stabilization-Based Rehabilitation Program
Participants received a core stabilization-based rehabilitation program following adolescent idiopathic scoliosis surgery. The rehabilitation program included core stabilization exercises, postural control training, scapular stabilization exercises, and functional exercise approaches.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Scapular Assessment
Time Frame: 10 weeks
Scapular control and asymmetry were evaluated using the Lateral Scapular Slide Test (LSST), Scapular Assistance Test (SAT), and wall push-up test. LSST measures scapular asymmetry by assessing the distance between the scapula and spinal landmarks at different arm positions. Greater side-to-side differences indicate increased scapular asymmetry. SAT evaluates improvement in symptoms and scapular motion during assisted scapular upward rotation. The wall push-up test was used to assess scapular winging and scapular stability.
10 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Visual Analog Scale (VAS)
Time Frame: 10 weeks
Pain intensity was evaluated using the Visual Analog Scale (VAS). The scale ranges from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Lower scores indicate reduced pain intensity.
10 weeks

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
QuickDASH Score
Time Frame: 10 weeks
Upper extremity function was assessed using the QuickDASH questionnaire. Scores range from 0 to 100, with higher scores indicating greater disability and poorer upper extremity function. Lower scores indicate functional improvement.
10 weeks
TAPS Score
Time Frame: 10 weeks
Body image perception was evaluated using the Trunk Appearance Perception Scale (TAPS). Scores range from 1 to 5, with higher scores indicating better perception of trunk appearance and lower deformity perception.
10 weeks
SRS-22 Quality of Life Score
Time Frame: 10 weeks
Quality of life was assessed using the Scoliosis Research Society-22 questionnaire (SRS-22). The questionnaire evaluates pain, self-image, function, mental health, and satisfaction. Higher scores indicate better quality of life.
10 weeks
Range of Motion
Time Frame: 10 weeks
Cervical and shoulder range of motion measurements were evaluated using goniometric assessment. Higher values indicate greater joint mobility and flexibility.
10 weeks
Radiological Parameters
Time Frame: 10 weeks
Vertebral rotation measurements were evaluated radiologically. Lower rotation values indicate reduced spinal deformity.
10 weeks

Collaborators and Investigators

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

Sponsor

Hasan Kalyoncu University

Investigators

  • Principal Investigator: Yavuz Yakut, Prof. Dr., Hasan Kalyoncu University

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)

May 28, 2025

Primary Completion (Actual)

April 30, 2026

Study Completion (Actual)

April 30, 2026

Study Registration Dates

First Submitted

May 26, 2026

First Submitted That Met QC Criteria

June 3, 2026

First Posted (Actual)

June 8, 2026

Study Record Updates

Last Update Posted (Actual)

June 8, 2026

Last Update Submitted That Met QC Criteria

June 3, 2026

Last Verified

June 1, 2026

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • HasanKU-FTR-FF-01

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

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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