Development of Exercise Protocol for Scoliosis Using Surface Electromyography(S-EMG)
Overview
There has been much effort in recent years to better understand the causes of idiopathic scoliosis (IS). Some studies suggested muscle imbalance as a cause of scoliosis based on asymmetric muscular activation. Surface electromyography can evaluate asymmetrical muscular weakness. Therefore, the peak amplitude values can be used to compare the side to side differences in paraspinal muscles. From these findings the investigators improve the exercise method of IS according to muscle weakness and curve pattern.
Study Type
- Study Type: Interventional
- Study Design
- Allocation: N/A
- Intervention Model: Single Group Assignment
- Primary Purpose: Treatment
- Masking: None (Open Label)
- Study Primary Completion Date: November 7, 2017
Detailed Description
Design: Prospective study Setting: hospital rehabilitation department the investigators will check the muscular activation at bilateral paraspinal muscles with surface electromyography and curve type with simple radiography. Intervention: After that the investigators educate asymmetrical stabilization exercise according to muscle weakness and curve pattern. Main outcome measures: Cobb angle
Interventions
- Behavioral: asymmetrical stabilization exercise
- Exercise is combined to form an appropriate combination of motion (Side-lying, Bird-dog, Prone arm lift, Prone leg lift) according to the curve pattern and muscle weakness of each patient’s.
Arms, Groups and Cohorts
- Experimental: asymmetrical stabilization exercise group
- ‘asymmetrical stabilization exercise’ patient learn asymmetrical stabilization exercise according to the asymmetrical paraspinal muscles weakness and curve type
Clinical Trial Outcome Measures
Primary Measures
- Cobb angle
- Time Frame: through study completion, an average of 6 months
- the angle of curvature be measured by drawing lines parallel to the upper border of the upper vertebral body and the lower border of the lowest vertebra of the structural curve on plain radiography
Secondary Measures
- Scoliosis Research Society-22(SRS-22)
- Time Frame: through study completion, an average of 6 months
- questionnaire for evaluating quality of life in patients with idiopathic scoliosis
Participating in This Clinical Trial
Inclusion Criteria
- X-ray shows a cobb angle of 10 degrees or higher. – Patients 8 and older. Exclusion Criteria:
- Patients with spinal surgery – Patients with scoliosis caused by cerebral palsy, muscle paralysis, polio, congenital spinal cord abnormalities, etc. – Cobb angle less than 10 degrees and more than 40 degrees – Patients with acute back pain
Gender Eligibility: All
Minimum Age: 8 Years
Maximum Age: 30 Years
Are Healthy Volunteers Accepted: No
Investigator Details
- Lead Sponsor
- Ju Seok Ryu
- Provider of Information About this Clinical Study
- Sponsor-Investigator: Ju Seok Ryu, associate professor – Seoul National University Hospital
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