Trunk rotation and distortion of the rib cage, which are common in patients with adolescent idiopathic scoliosis, result in abnormal configuration of the diaphragm and intercostal muscles. This reduces the capacity of the respiratory muscles to produce force, and results in respiratory muscle weakness. The diaphragm, which is the major respiratory muscle, is also a component of the core muscles responsible for postural stability. Therefore, diaphragm muscle weakness results in deterioration of postural stability. Our aim in this study is to investigate the effect of inspiratory muscle training added to the routine scoliosis exercise program on postural stability and posture perception.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
40
Program will include breathing exercises, spinal stabilization and strengthening exercises, posture exercises and stretching execises.
Threshold IMT device will be used for the training. Training intensity will set at 30% of the maximum inspiratory pressure.
Bezmialem Vakif University
Istanbul, Turkey (Türkiye)
Change from baseline postural stability test score in Biodex Balance System SD at 8 weeks
Time frame: 8 weeks
Change from baseline limits of stability test score in Biodex Balance System SD at 8 weeks
Time frame: 8 weeks
Change from baseline "Walter Reed Visual Assessment Scale" at 8 weeks
Walter Reed Visual Assessment Scale evaluates posture perception. It consists of a visual test including seven items that deal with various aspects of the deformity. Each question has a set of five figures that represent degrees of severity of the deformity: spinal deformity, rib prominence, lumbar prominence, thoracic deformity, trunk imbalance, shoulder asymmetry and scapular asymmetry.
Time frame: 8 weeks
Change from baseline maximum inspiratory pressure (MIP) at 8 weeks
Time frame: 8 weeks
Change from baseline maximum expiratory pressure (MEP) at 8 weeks
Time frame: 8 weeks
Change from baseline angle of trunk rotation at 8 weeks.
Angle of trunk rotation will be evaluated using Bunnell scoliometer in forward bending position
Time frame: 8 weeks
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