The study uses a yoga-like isometric posture and botulinum injections to reduce the curves in adolescent idiopathic lumbar scoliosis. Three previous studies show that the yoga pose is effective for reversing scoliotic curves; Botulinum toxin has been approved by the FDA for teenagers. However, no studies using the two of them together have been done until this one.
The randomized control 6-month study employs an isometric yoga-like posture to strengthen the weak side, and one set of botulinum injections to weaken the strong side of adolescent idiopathic lumbar scoliosis between 25 and 60 degrees. It is open to people between 12 and 18 years of age who are willing to do the pose every day for three months. This is a crossover study: After 3 months, every patient who was placebo will be offered the actual proven yoga pose and botulinum toxin injections. Two additional free X-rays at 3 weeks and 3 months following the botulinum injection will also be available to each placebo patient. In this way every patient - placebo or not - will receive the full proper treatment within 3 months.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
42
A position similar to the side-plank (Vasisthasana) held for maximal time at least once daily (usual duration: 30 - 90 seconds).
Extended torso and legs held diagonally by one straight arm, back against wall if necessary
Used as placebo
Manhattan Physical Medicine and Rehabilitation, PLLC
Manhattan, New York, United States
RECRUITINGReduction in lumbar and thoracic scoliotic curve
Measured by the Cobb angle in coronal X-rays
Time frame: At study onset
Reduction in lumbar and thoracic scoliotic curve
Measured by the Cobb angle in coronal X-rays
Time frame: 3 weeks after study onset
Reduction in lumbar and thoracic scoliotic curve
Measured by the Cobb angle in coronal X-rays
Time frame: 3 months after study onset
Reduction in lumbar and thoracic scoliotic curve
Measured by the Cobb angle in coronal X-rays
Time frame: 3 weeks after crossover group injections
Reduction in lumbar and thoracic scoliotic curve
Measured by the Cobb angle in coronal X-rays
Time frame: 3 months after crossover group injections
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