Comparıson Of Dıfferent Exercıse Traınıng Programs In Adolescents Wıth Idıopathıc Scolıosıs Undergoıng Spınal Fusıon Surgery

Summary

This study aimed to comparatively examine the effects of different exercise training programs on kinesiophobia, functional capacity, disability level, neck injury status, balance, body health, and quality of life in adolescent individuals diagnosed with idiopathic scoliosis (AIS) and undergoing spinal fusion planning.

A total of 42 individuals were included in the spinal fusion group and divided into three regular groups (Body Awareness Therapy + Core Stabilization: n=14, Core Stabilization: n=14, Control: n=14). Exercise programs were to be implemented twice a week for 8 weeks under the supervision of a physiotherapist. The classic exercise group received a home exercise program.

Assessments were conducted before and after the examination. The following questionnaires will be used to assess: pain (McGill Short Form Pain Questionnaire), dynamic balance (Y Balance Test), disability (Oswestry Disability Index (ODI)), body care (Body Awareness Questionnaire), functional capacity (6-animal gait test), kinesiophobia (Tampa Kinesiophobia Questionnaire), and quality of life (Scoliosis Research Association-30 (SRS-30) Questionnaire).

Conditions

• Scoliosis Idiopathic Adolescent

Interventions

PROCEDURE

Body Awareness Therapy

Body awareness refers to a holistic approach to human movement, considering the physical, physiological, psychological, and existential aspects of human existence. The educational philosophy based on this holistic perspective includes fundamental functions such as postural stability, natural breathing, and awareness. Body awareness aims to normalize muscle tension experienced and visible in posture, balance, breathing, and movement behavior. The program begins with "journey within the body" exercises in a supine position on a mat, followed by breath focus, muscle contraction and relaxation, combined breathing exercises with sound, and full-body stretching exercises. In a seated position, the program focuses on finding the correct body alignment, stimulating the core through breathing and coordination exercises, and performing trunk movements while maintaining body alignment. In a standing position, the goal is to find the correct body alignment and functional posture.

PROCEDURE

Core Stabilization Exercises

Patients in this group will undergo a classic physiotherapy program including posture and stabilization exercises. Stabilization exercises aim to strengthen trunk muscles, increase spinal stability, support the vertebral column, and improve postural control by increasing kinesthetic awareness. The program will begin with warm-up exercises, followed by supine straight leg raises, supine hip flexion, supine shoulder flexion, supine bridge, hip abduction, cat-camel exercises, stabilization exercises with pelvic tilt while sitting on a Pilates ball, posture training in front of a mirror, upper extremity exercises while sitting on a ball, and upper extremity exercises while standing. During the exercises, movements will be made easier in conjunction with breathing. The exercises will progress from simple exercises and patterns to more complex movement patterns as control improves.

PROCEDURE

Classic Exercise

In the control group, which received classical exercise therapy, the program content consisted primarily of stretching exercises targeting the erector spinae and hamstring muscle groups, as well as strengthening exercises for the abdominal muscles, thoracic and lumbar extensors, pelvis, and shoulder girdle muscles. In addition, training to increase postural awareness and deep breathing exercises were included in the program.

Sponsors & Collaborators

• NURSİMA İNCE

  lead OTHER

Principal Investigators

• YAVUZ YAKUT, PROF · HASAN KALYONCU ÜNİVERSİTESİ

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

10 Months

Max Age

19 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2025-05-04

Primary Completion

2025-09-04

Completion

2025-10-04

Countries

• Turkey (Türkiye)

Study Locations