The Effect of Core Exercises in Postoperative Scoliosis

Hasan Kalyoncu University20 enrolled

Overview

This study aims to investigate the effects of a core stabilization-based rehabilitation program following adolescent idiopathic scoliosis (AIS) surgery on radiological parameters, pain, upper extremity function, range of motion, and scapular assessment. Participants diagnosed with AIS and treated with posterior spinal fusion surgery will undergo a rehabilitation program based on core stabilization exercises. Outcome measures will include Cobb angle, vertebral rotation, Visual Analog Scale (VAS), QuickDASH, Trunk Appearance Perception Scale (TAPS), SRS-22, cervical and shoulder range of motion, and scapular assessment tests. Assessments will be conducted before and after the rehabilitation program.

This study is designed to investigate the effects of a core stabilization-based rehabilitation program following adolescent idiopathic scoliosis (AIS) surgery on radiological, functional, and scapular parameters. Individuals diagnosed with AIS and treated with posterior spinal fusion surgery will be recruited for participation. Radiological assessment will include thoracic and lumbar Cobb angles and vertebral rotation measurements. Clinical assessments will include the Visual Analog Scale (VAS) for pain, QuickDASH for upper extremity function, Trunk Appearance Perception Scale (TAPS) for body image perception, and SRS-22 for health-related quality of life. Cervical and shoulder range of motion will also be evaluated. Scapular assessment will include the Lateral Scapular Slide Test (LSST), Scapular Assistance Test (SAT), and wall push-up test. The study aims to evaluate changes in scapular asymmetry, scapular control, and scapulothoracic mechanics following the rehabilitation program. Assessments will be performed before and after the intervention to examine potential changes in radiological, functional, and scapular outcomes.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Eligibility

Sex: ALLMin age: 10 YearsMax age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Individuals diagnosed with adolescent idiopathic scoliosis (AIS) * Individuals who underwent posterior spinal fusion surgery * Age between 10 and 18 years * Individuals participating in a core stabilization-based rehabilitation program * Individuals who agreed to participate voluntarily Exclusion Criteria: * Presence of neurological, rheumatological, or other orthopedic disorders affecting posture or upper extremity function * History of additional spinal surgery * Cognitive impairment preventing participation in evaluations * Incomplete assessment data * Noncompliance with the rehabilitation program

Outcomes

Primary Outcomes

Scapular Assessment

Scapular control and asymmetry were evaluated using the Lateral Scapular Slide Test (LSST), Scapular Assistance Test (SAT), and wall push-up test. LSST measures scapular asymmetry by assessing the distance between the scapula and spinal landmarks at different arm positions. Greater side-to-side differences indicate increased scapular asymmetry. SAT evaluates improvement in symptoms and scapular motion during assisted scapular upward rotation. The wall push-up test was used to assess scapular winging and scapular stability.

Time frame: 10 weeks

Secondary Outcomes

Visual Analog Scale (VAS)

Pain intensity was evaluated using the Visual Analog Scale (VAS). The scale ranges from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Lower scores indicate reduced pain intensity.