Proprioceptive Neuromuscular Facilitation Combined With Spiral Muscle Chain Training for Pediatric Scoliosis

N/ACompletedNCT07319702

Nie danning189 enrolled

Overview

The goal of this clinical trial is to evaluate the clinical effectiveness of proprioceptive neuromuscular facilitation (PNF) combined with spiral muscle chain (SPS) training in improving spinal function and posture in children with adolescent idiopathic scoliosis. The main questions it aims to answer are: Does PNF combined with SPS training improve trunk alignment and body balance parameters in children with mild adolescent idiopathic scoliosis? Does the combined intervention improve spinal mobility and paraspinal muscle endurance compared with single-intervention approaches? Does the combined intervention lead to favorable changes in surface electromyography (sEMG) indicators of trunk and paraspinal muscles? Researchers will compare a PNF therapy group, an SPS training group, and a combined PNF + SPS group to assess differences in spinal alignment, muscle endurance, and neuromuscular activation outcomes. Participants will: Be assigned to one of three intervention groups: PNF therapy alone, SPS training alone, or combined PNF and SPS training Participate in supervised exercise training sessions three times per week for 12 weeks Undergo pre- and post-intervention assessments, including electronic spinal measurements and surface electromyography testing

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

189

Conditions

Adolescent Idiopathic Scoliosis (AIS)

Interventions

Proprioceptive Neuromuscular Facilitation (PNF) TherapyBEHAVIORAL

Proprioceptive neuromuscular facilitation (PNF) therapy is used as an exercise-based intervention to address abnormal spinal curvature in children with adolescent idiopathic scoliosis. The PNF program includes resisted scapular-pelvic patterns, cervical flexion and extension, trunk diagonal patterns (chopping and lifting), bilateral upper-limb diagonal patterns, and bridge exercises. Training sessions are supervised and conducted three times per week (every other day) for 12 weeks.

Spiral Muscle Chain (SPS) TrainingBEHAVIORAL

Spiral muscle chain (SPS) training is applied as an exercise-based intervention aimed at improving spinal alignment, postural control, and neuromuscular coordination in children with adolescent idiopathic scoliosis. The SPS program consists of spiral stabilization exercises performed with elastic resistance, body positioning control, and stretching components according to a standardized training protocol. Training sessions are supervised and conducted three times per week (every other day) for 12 weeks.

Combined Exercise TherapyBEHAVIORAL

The combined intervention integrates proprioceptive neuromuscular facilitation (PNF) therapy and spiral muscle chain (SPS) training as a comprehensive exercise program for children with adolescent idiopathic scoliosis. Participants perform both PNF and SPS exercise components within each training cycle to target spinal alignment, muscle endurance, and neuromuscular activation. Training sessions are supervised and conducted three times per week (every other day) for 12 weeks.

Eligibility

Sex: ALLMin age: 13 YearsMax age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: \- Age 13 to 18 years Angle of trunk rotation (ATR) 5° ≤ ATR \< 10° No brace treatment and no history of spinal surgery Able to complete PNF therapy and SPS training as required Written informed consent obtained (participants and their parents/guardians) Exclusion Criteria: * Non-idiopathic scoliosis Any exercise-related contraindications History of spinal surgery Any congenital deformity Any trauma within the previous 6 months Any accompanying neurological, rheumatological, or mental problems

Outcomes

Primary Outcomes

Change in Trunk Tilt Angle (ATI)

Trunk tilt angle (Angle of Trunk Rotation, ATI) measured using an electronic spine assessment device to evaluate changes in spinal asymmetry and trunk alignment.