Purpose of This study to detect if there is correlation between the Cobb's angle and the forward head posture in patients with Adolescent Idiopathic Scoliosis. And if there is correlation between the Cobb's angle and the cervical sagittal curve angle in AIS. And also if there is correlation between the Cobb's angle and deep flexors muscles endurance in AIS
The prevalence of sagittal profile imbalance in adolescent idiopathic scoliosis is not known exactly as little research is available in this context (Nasser et al., 2023) Thought based on previous studies that a forward head corrective exercise program combined with conventional rehabilitation improved three-dimensional scoliotic posture and functional status in patients with adolescent idiopathic scoliosis. (Alia Diab et al., 2012) Up to our knowledge there is no significant evidence that there is correlation between Craniovertebral angle (CVA) and idiopathic scoliosis by Cobb's angle. So we need to make a simple assessment method of the severity of scoliosis and its impact on head position through a simpler method by observing the cervical curvature through photos for CVA, This can help to avoid unnecessary radiological examination. In addition, it also may help in paying the attention to the correction of cervical spines, head position and cervical muscles endurance during conservative treatment of scoliosis. Also studying cervical sagittal alignment deformities will help in surgical operations to maintain or restore sagittal physiological curvature side by side with correction of coronal scoliosis angle in order to prevent adjacent segment degeneration after the fusion operation.
Study Type
OBSERVATIONAL
Enrollment
34
whole spine x ray posterioanterior and lateral views
measure of deep neck flexors muscles endurance
Cairo University
Cairo, Egypt
1- Measurement of Craniovertebral angle CVA
We will measure The Craniovertebral angle by the photogrammetric method
Time frame: within 3 months from enrollment
Measurement of Cobb's angle
Measurement of Cobb's angle from whole spine xray
Time frame: within 3 months from enrollment
Measurement of sagittal cervical curve angle
Measurement of cervical spines sagittal curve from lateral view X-ray
Time frame: within 3 months from enrollment
4- Measurement of deep flexors muscle endurance.
Activation and performance scores will be recorded.
Time frame: within 3 months from enrollment
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