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Resisted Inspiratory Muscle Training Applied in Addition to PSSE-Schroth Exercises

RecruitingNAAges 10 Years - 18 YearsFemaleHacettepe University
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In plain words

What the trial is, and whether it could suit you

This prospective randomized controlled trial will evaluate whether adding resisted inspiratory muscle training (IMT) to Physiotherapeutic Scoliosis-Specific Exercises (PSSE)-Schroth exercises provides additional benefits on clinical outcomes in individuals with adolescent idiopathic scoliosis. Participants will be randomly assigned to either PSSE-Schroth plus IMT or PSSE-Schroth alone. Both groups will receive supervised exercise sessions three times per week for 8 weeks (24 sessions). Outcomes will be assessed before and after the intervention and will include clinical measures (e.g., Cobb angle, angle of trunk rotation, Posterior Trunk Symmetry Index, The Walter Reed Visual Assessment Scale), respiratory muscle performance (maximal inspiratory pressure/maximal expiratory pressure, six-minute walk test) and related physiological parameters, functional performance (balance, 3D kinematics

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📋 Eligibility rules (as published)
Inclusion Criteria: Female adolescents aged 10-18 years. Diagnosis of adolescent idiopathic scoliosis (AIS). Cobb angle between 10° and 45°. Angle trunk rotation (ATR) ≥ 5°. Risser ≤ 3 and Sanders ≤ 4. No scoliosis-related procedure within the last 6 months. No contraindication to exercise. Exclusion Criteria: Non-idiopathic scoliosis (neuromuscular, congenital, syndromic). Inability to achieve ≥80% adherence/compliance. History of spinal surgery or major trauma. Cardiopulmonary diseases contraindicating exercise. Neurological, rheumatological, vestibular, or systemic diseases. Acute musculoskeletal injury or impaired skin integrity. Participation in a regular PSSE-Schroth or IMT program within the last 3 months. Intellectual disability or communication difficulties preventing protocol adherence. Newly initiated brace treatment or high risk of non-compliance with brace management. Lack of informed consent.
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What it tests

  • Physiotherapeutic scoliosis-specific exercises (PSSE-Schroth)
  • PSSE-Schroth + Resistance IMT
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Where

1 site
Kırşehir Ahi Evran University
Kırşehir, Turkey (Türkiye)
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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