Efficacy of three-dimensionally integrated exercise for scoliosis in patients with adolescent idiopathic scoliosis: study protocol for a randomized controlled trial

Abstract

Abstract Background Adolescent idiopathic scoliosis (AIS) is one of the most prevalent spinal deformities that may progress sharply during growth. The aim of this study will be to evaluate the efficacy of three-dimensionally integrated exercise on the Cobb angle, angle of trunk rotation, sagittal profile, and quality of life in patients with AIS. Methods/design The study is designed as a randomized controlled trial. Participants include 42 patients with AIS aged 10–16 years. Randomly assigned patients will follow a 6-month treatment, either in a control group with standard care of observation following the Scoliosis Research Society criteria or in an experimental group with three-dimensionally integrated exercise for scoliosis. Blinded assessments at baseline and immediately after intervention will include the change of Cobb angle, angle of trunk rotation, sagittal index, and quality of life. Discussion If we find that the intervention is effective in improving Cobb angle, angle of trunk rotation, sagittal profile, and quality of life in patients with AIS, this trial will have a positive impact and warrant a change in clinical practice. Trial registration ClinicalTrials.gov, NCT03427970. Registered on February 9, 2018, and revised on July 24, 2018.

Keywords

• Adolescent idiopathic scoliosis
• Three-dimensionally integrated exercise
• Cobb angle
• ATR
• Sagittal profile
• Quality of life