Effect of specific muscle mobilization on the angle of trunk rotation and range of rotation in the trunk-pelvis-hip complex in girls with idiopathic scoliosis

ISRCTN ISRCTN11750900
DOI https://doi.org/10.1186/ISRCTN11750900
Secondary identifying numbers 1/2016
Submission date
28/11/2016
Registration date
06/12/2016
Last edited
19/10/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
The spine is made up of a series of small bones called vertebrae. Scoliosis is a condition that causes the vertebrae to twist or rotate, causing the spine to curve sideways. There are several different types of scoliosis, however the most common type is known as “idiopathic”, which means that the exact cause is not known. Despite years of research, the mechanisms behind disease progression in scoliosis are unknown. In many patients, the only way to effectively treat the condition is surgically. Scientists are looking for the most effective treatment of scoliosis in children to avoid surgery. Physiotherapy is one of important elements of conservative treatment. Proprioceptive Neuromuscular Facilitation (PNF) is one of the techniques used in patients with various structural and motor (movement) problems. Previous studies showed a more limited range of spine rotation on one side of the body in scoliotic girls compared to girls without scoliosis. The differences were observed especially in girls with double, i.e. “S” shaped scoliosis. The aim of this study is to investigate the effectiveness of one-sided PNF rotational mobilisation in girls with double idiopathic scoliosis.

Who can participate?
Girls aged between 10 and 17 who have double idiopathic scoliosis

What does the study involve?
All participants undergo one sided PNF mobilisation. This takes place when the participants are lying down with their lower body turned. Mobilization consists of lower limb movement patterns combined with a relaxation technique and irregular breathing. The mobilization lasts for a total of approximately three minutes. Before and after the mobilisation, participants have the amount they are able to turn their body (trunk rotation) measured as well as their range of movement.

What are the possible benefits and risks of participating?
Participants may benefit from increased range of motion in their spine. There are no notable risks involved with participating.

Where is the study run from?
1. Center of Functional Rehabilitation ORTHOS, Warsaw (Poland)
2. Regional Children’s Hospital, Jastrzębie Zdrój (Poland)
3. Children's Memorial Health Institute, Warsaw (Poland)

When is the study starting and how long is it expected to run for?
December 2014 to March 2016

Who is funding the study?
Investigator initiated and funded (Poland)

Who is the main contact?
Dr Agnieszka Stępień
orthosas@wp.pl

Contact information

Dr Agnieszka Stępień
Scientific

Józef Piłsudski University of Physical Education
Marymoncka 34
Warsaw
00-968
Poland

ORCiD logoORCID ID 0000-0003-3905-8229
Phone +48 (0)60 263 0627
Email orthosas@wp.pl

Study information

Study designMulti-centre non-randomised study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Other
Study typeTreatment
Participant information sheet No participant information sheet available
Scientific titleThe immediate effect of PNF specific mobilization on the angle of trunk rotation and Trunk-Pelvis-Hip Angle range of motion in adolescent girls with idiopathic scoliosis – a pilot study
Study acronymPNF ATR TPHA
Study objectivesSingle unilateral muscle PNF mobilization, using bilateral leg patterns combined with contract – relax technique and asymmetrical breathing, decreases values angle of trunk rotation and increases range of rotation in the trunk- pelvis- hip complex.
Ethics approval(s)The Senate Research Ethics Committee at Józef Piłsudski University of Physical Education, 17/02/2015, ref: SKE 01-04/2015
Health condition(s) or problem(s) studiedIdiopathic scoliosis
InterventionAfter the first assessment of the participant, a unilateral PNF specific mobilization is performed in a supine position with a stable chest, flexed lower limbs and rotated lower trunk. The total duration of mobilization is approximately three minutes. PNF - bilateral lower extremity patterns (flexion to the right and extension to the left) are used in combination with “contract-relax” technique and stimulation of asymmetrical breathing. Three cycles of three isometric contractions against resistance for 5 seconds and active increased range of motion are applied. Next participants perform ten active movements of lower extremities – bilateral flexion to the right with a stable chest. The last phase of mobilization involves asymmetrical breathing, i.e. 5 slow inspirations and expirations. An angle of trunk rotation in the thoracic and lumbar spine and range of rotation in the trunk-pelvis-hip complex are measured as re-assessment.
Intervention typeOther
Primary outcome measureAngle of trunk rotation (ATR) is meausred with a scoliometer at baseline and after mobilization
Secondary outcome measuresActive range of movement in the trunk-pelvis-hip complex in transverse plane is measured with a Rippstein plurimeter at baseline and after mobilization.
Overall study start date01/12/2014
Completion date31/03/2016

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit10 Years
Upper age limit17 Years
SexFemale
Target number of participants83
Key inclusion criteria1. Female
2. Age 10-17 years
3. Double idiopathic scoliosis with a right-sided thoracic curve and a left-sided lumbar/thoracolumbar curve diagnosed on antero-posterior radiogram
4. Absence of systemic diseases
Key exclusion criteria1. Other than idiopathic type of scoliosis
2. A spinal curvature with a Cobb angle of less than 10 degrees
3. Pain
4. A history of traumatic injury
Date of first enrolment15/03/2015
Date of final enrolment15/09/2015

Locations

Countries of recruitment

  • Poland

Study participating centres

Center of Functional Rehabilitation ORTHOS
Modzelewskiego 37
Warsaw
02-679
Poland
Regional Children’s Hospital
ul. Krasickiego 21
Jastrzębie Zdrój
44-335
Poland
Children's Memorial Health Institute
ul. Aleja Dzieci Polskich 20
Warsaw
04-730
Poland

Sponsor information

Józef Piłsudski University of Physical Education
University/education

Marymoncka 34
Warsaw
00-968
Poland

ROR logo "ROR" https://ror.org/043k6re07

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date30/06/2017
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryOther
Publication and dissemination planThe paper will be published in an orthopedic, physical therapy or rehabilitation journal.
IPD sharing planThe datasets generated and/or analysed during the current study during this study will be included in the subsequent results publication.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 06/09/2017 Yes No

Editorial Notes

19/10/2017: Publication reference added.