Effect of a Postural Re-education Intervention Compared to Standard Care on Scoliosis Progression in Adolescent
Effect of a Postural Re-education Intervention Compared to Standard Care on Scoliosis Progression in Adolescent
The aim of this project is to verify the effect of the global postural reeducation (GPR)
 intervention used in physiotherapy on scoliosis progression (scoliosis angle), back pain,
 quality of life, respiratory function, trunk posture and trunk muscle functioning and walking
 endurance. To do so, we will recruit 144 participants at three scoliosis specialized Centers.
 Participants will be randomly allocated to the standard of care (SC) group (observation or
 brace plus home video of exercises for 12 months) or to the GPR group (SC plus individual
 sessions once a week for 6 months and individual sessions alternating with telerehabilitation
 sessions once per two weeks between 6 and 12 months). At initial, 6, 12- and 24-months
 evaluation, participants will have x-ray, complete self-report questionnaires to document
 back pain and quality of life. Thereafter, measurement of trunk posture, electromyography
 activity of the back muscles, excursion of the diaphragm muscle using echography and
 respiratory function as well as distance covered using the 6-minute walk test for walking
 endurance will be done. We believe that GPR intervention may prevent scoliosis progression
 and improve physical health and quality of life in adolescence.
Inclusion Criteria:

 -  aged between 10 and 16 years old,

 -  Cobb angle between 15º and 45º,

 -  Risser sign ≤3 (skeletal growth incomplete),

 -  with a risk of progression index > 1.3,

 -  having recent x-rays (4-6 weeks),

 -  ability to travel weekly to attend GPR intervention

 Exclusion Criteria:

 -  patients with diagnosis other than AIS,

 -  patients who are planned for surgery,

 -  have had surgery,

 -  worn a brace for at least three months prior to GPR intervention