Interest of Adapted Physical Activity by Tele-rehabilitation in Chronic Pathology - Idiopathic Scoliosis in Adolescents

Launched by ASSOCIATION DES PARALYSEES DE FRANCE (APF) · Feb 15, 2024

Keywords

ClinConnect Summary

This clinical trial is studying how two different types of exercise programs can help adolescents with Idiopathic Scoliosis, a condition where the spine curves abnormally. The trial will compare a High-Intensity Interval Training (HIIT) program done through tele-rehabilitation, where a teacher guides the exercises via video, to a self-directed exercise program specifically designed for scoliosis. Researchers believe that the tele-rehabilitation program will be more effective, and they will also check if this benefit lasts for 12 weeks after the program ends.

To be eligible for this trial, participants should be female adolescents aged between 12 and 18, who have a specific type of scoliosis (with a spine curvature between 15° and 40°). They should not be involved in any regular physical activities for the past six months and must have a suitable internet connection and space at home for the sessions. If they join, participants can expect to engage in guided exercise sessions from home and will be monitored by a qualified teacher. This trial is a great opportunity for those looking for support in managing scoliosis through physical activity.

Gender

FEMALE

Eligibility criteria

• Inclusion Criteria:
• • Affiliated to a social security system
• • Having signed the consent after clear and fair information adapted to her age
• • Obtained signed consent from at least 1 of the 2 parents or holders of parental authority, after clear and fair information
• • Subject presenting an AIS defined by the existence of a three-dimensional deformity three-dimensional deformity of the spine associating a frontal deviation measured by by the frontal radiographic angle of Cobb which must be at least 15°, but less than 40°, and a vertebral rotation attested by the presence of a presence of at least 5° of gibbosity on Bunnel's scoliometer.
• • Subject with front and side radiographs of the total spine, according to the EOS EOS technique, under load, less than 3 months old
• • Risser test \< 4/5 (EOS radiographs less than 3 months old)
• • Subject not practicing any regular extracurricular physical activity (including regular (regular = at least 1 hour per week), for at least 6 months.
• • Internet connection at home allowing tele-rehabilitation in a dedicated a dedicated room for the time of the session with a free surface of minimum 4m² on the floor, without any obstacle up to the ceiling.
• • Compatibility with the technical requirements: access to a screen screen (computer or laptop, tablet...), with a minimum size of 8 inches (diagonal of 8 inches (diagonal of 20 cm), with an integrated or connected HD webcam connected, and a good quality sound, screen placed on a stable surface surface with a minimum height of 75cm and enough distance to see the to perceive from the camera the whole working area (4m²).
• • Exclusion Criteria: (One criterion is sufficient for non-inclusion)
• • Subject with secondary scoliosis: neurological, orthopedic, malformative...
• • Placement of a corset or rehabilitation for less than 3 months
• • BMI ≤15 or ≥ 30
• • Partial or total medical contraindication of any kind to the sports practice (examples: heart disease, unbalanced diabetes, juvenile polyarthritis, chronic painful joint pathology limiting physical performance, osteochondrosis of growth type Osgood-Schlater, Sever, Sinding-Larsen, osteochondritis, surgical sequelae limiting physical performance...)
• • Inability to undergo the medical follow-up of the trial for psychological social or geographical reasons.