Spinal Stabilization Exercises for Low Back Pain in Adolescents With Idiopathic Scoliosis
| Status: | Completed |
|---|---|
| Conditions: | Back Pain, Orthopedic |
| Therapuetic Areas: | Musculoskeletal, Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | 10 - 17 |
| Updated: | 5/27/2013 |
| Start Date: | March 2012 |
| End Date: | June 2013 |
| Contact: | Karina A Kunder, PT, DPT |
| Email: | karina.kunder@tsrh.org |
| Phone: | 214-559-7790 |
Effectiveness of 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
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