Adolescent idiopathic scoliosis (AIS) is a three-dimensional complex progressive structural deformity of the growing spine. Asymmetric changes in both the anatomical structure and strength of the muscles due to deformity affect weight distribution and joint moments in the trunk and lower extremities. As the spine transfers loads through the pelvis, asymmetry in the spinal alignment creates structural or functional changes involving other parts of the kinetic chain. The deviations caused by the deformity in all three planes and the responses to it affect the kinetics and kinematics of the trunk and extremities. A number of kinetic and kinematic changes such as decreased hip muscle strength, asymmetric lateral stepping, decreased hip and pelvic joint range of motion, especially in the frontal and transverse planes, and ground reaction force asymmetry has been demonstrated in patients with AIS. Understanding the postural changes and correction strategies that affect the displacement of the center of mass, ground reaction force and center of pressure during standing and walking in adolescents with idiopathic scoliosis is fundamental to understanding the nature of the disease, disease management and guiding rehabilitation both conservative treatment and after surgery. Based on this, it was aimed to objectively measure the biomechanical effects of the forces applied to the body in the brace to control deformity and prevent progression during the growth period, to determine postural control strategies, kinetic and kinematic changes in these patients with treatment by applying MOOR-S model brace and Schroth Three-Dimensional Scoliosis Exercise Treatment as a conservative treatment method on patients with AIS. In addition, it was also aimed to determine lower extremity inequality by measuring dynamic leg length with gait analysis in individuals with functional leg length discrepancy due to scoliosis.
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Body center of mass
Timeframe: Change from baseline body center of mass at 3 months
Center of pressure
Timeframe: Change from baseline center of pressure at 3 months
Thorax-pelvis coordination pattern
Timeframe: Change from baseline thorax-pelvis coordination pattern at 3 months
Dynamic leg length
Timeframe: Change from baseline dynamic leg length at 3 months
Trunk, pelvis and lower extremity kinetics
Timeframe: Change from baseline trunk, pelvis and lower extremity kinetics at 3 months
Trunk, pelvis and lower extremity kinematics
Timeframe: Change from baseline trunk, pelvis and lower extremity kinematics at 3 months
Time-distance parameters of gait
Timeframe: Change from baseline time-distance parameters of gait at 3 months