Spinal Stabilization Exercises for Low Back Pain in Adolescents With Idiopathic Scoliosis
Spinal Stabilization Exercises for Low Back Pain in Adolescents With Idiopathic Scoliosis
1. Do spinal stabilization exercises demonstrate immediate and long-term effects of weight
 weeks of spinal stabilization exercises as measured by pain intensity and quality of
 life scores?

 2. Does eight weeks of spinal stabilization exercises improve back muscle endurance in
 adolescents with Idiopathic Scoliosis (IS) with low back pain (LBP), compared to a
 one-time treatment (control)?

 Hypotheses:

 The research hypothesis for Question 1 is: Participants who receive eight weeks of spinal
 stabilization exercises will demonstrate significantly improved pain intensity and quality of
 life scores compared to participants who receive a one-time treatment after eight weeks of
 the intervention period and at six-month follow-up.

 The research hypothesis for Question 2 is: Participants who receive eight weeks of the spinal
 stabilization exercises will demonstrate significantly improved back muscle endurance,
 compared to participants who receive a one-time treatment after eight weeks of intervention.
Although idiopathic scoliosis (IS) is the most common type of scoliosis, no studies have
 evaluated the effectiveness of physical therapy exercises for managing low back pain (LBP) in
 this population. Spinal stabilization exercises are of particular importance in adolescents
 with IS due to possible reduced spinal stability from structural deformity. Spinal
 stabilization exercises have been reported to prevent recurrent episodes of LBP in the adult
 population. However, standardized treatment options cannot be recommended for LBP in
 adolescents with IS, because the investigators are not certain if spinal stabilization
 exercises will have the same effect on this patient population. Given the high prevalence of
 LBP in AIS and limited evidence of conservative interventions, researching the effectiveness
 of spinal stabilization exercises is warranted.

 Currently, there are two common practices for managing adolescents with IS who have LBP: 1)
 supervised physical therapy and 2) a one-time treatment with no follow-up. No studies have
 examined which of these two approaches is superior. This study will provide information on
 optimal management of LBP in AIS. If there is no difference in outcomes between these two
 approaches, a one-time visit will be the optimal choice of treatment since it is more
 cost-effective and less burdensome for the family. If the outcomes favor the eight-week
 supervised physical therapy, specifically the spinal stabilization exercises, this treatment
 approach should be recommended for managing LBP in AIS.
Inclusion Criteria:

 -  Adolescents (ages 10-17),

 -  Idiopathic Scoliosis,

 -  Low Back Pain (> 2/10 on Numeric Pain Rating Scale)

 Exclusion Criteria:

 -  other pathology of lumbar spine (like spondylotic lesion),

 -  current treatment (like bracing and chiropractic care),

 -  back pain located beyond the lumbar spine