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Body Structure and Capacity Evaluation of Adults With Scoliosis

Scoliosis

Adults with scoliosis have not been the focus of much research in physical therapy despite their prevalence being very important. Adults with idiopathic scoliosis have a reported prevalence of about 2-11%. This includes adolescents with idiopathic scoliosis who have become adults but still have a scoliosis. They do not get much treatment as the adolescent treatment focuses on preventing worsening of the curvatures and the risk of progression is significantly reduced once a person reaches skeletal maturity. Still some patients experience self-image, function and pain issues which may be amenable to treatment using specific exercises as was recently shown. With ageing population a growing number of adults with de novo degenerative scoliosis is observed. This is a spinal misalignment due to spine degeneration. Adult degenerative scoliosis with pain is thought to affect about 24% of the ageing adults. This population has not been investigated very much.

Before planning conservative treatments for adults with scoliosis it would be important to describe what deficit these adults present that may be targeted by physical therapy. The objective of this study is to compare samples of patients with adults degenerative scoliosis, adult idiopathic scoliosis to matched healthy controls (for age, height and weight). Participants will complete questionnaires and a physical exam to identify which limitations they present that may be amenable to treatment with physical therapy. This information will assist planning trials to address the needs of these two neglected patient populations.

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Participation Requirements

  • Sex:

    ALL
  • Eligible Ages:

    18 and up

Participation Criteria

Inclusion criteria for the idiopathic scoliosis group :

* Diagnosis of idiopathic scoliosis
* Age ⩾18 years old
* Curve severity over 10°
* Fluent in English.

Inclusion criteria for the degenerative scoliosis group :

* Diagnosis of degenerative (De novo) scoliosis
* Age ⩾45 years old
* Curve severity over 10°
* Fluent in English.

Exclusion criteria for the scoliosis groups :

* History of spine surgery or
* History of diseases affecting the torso or lower extremity function
* Surgery or trauma
* Secondary scoliosis
* Unable to fill out the questionnaires or attend the physical examination,
* Pregnant or gave birth between 0 and 2 years ago.

Inclusion criteria for healthy groups:

* Age ⩾ 18 years
* Matched for age/height/weight (+/-5 years; +/- 10 lbs; +/- 10cm) to a scoliosis participant
* Fluent in English

Exclusion criteria for healthy groups:

* Serious systemic pathology
* Spine deformity
* Spine surgery
* Pregnant or gave birth between 0 and 2 years ago
* Unable to fill out the questionnaires or attend the physical examination
* Received treatments for the spine/the lower limbs within the last year

Study Location

University of Alberta, Faculty of Rehabilitation Medicine, Dept. Physical Therapy
University of Alberta, Faculty of Rehabilitation Medicine, Dept. Physical Therapy
Edmonton, Alberta
Canada

Contact Study Team

Primary Contact

Eric C Parent, PhD

[email protected]
780-492-8889
Study Sponsored By
University of Alberta
Participants Required
More Information
Study ID: NCT05538871