The Effect of Three-Dimensional Exercises (Schroth Method) on Trunk Muscle Endurance, Sleep Quality, and Quality of Life in Adolescents With Hyperkyphosis

What this Trial Is About

Adolescents aged 12 to 18 years with thoracic hyperkyphosis, a spinal condition where the natural forward curve exceeds 45 degrees, are the focus of this study. The research evaluates how a three-dimensional exercise program based on the Schroth Method affects trunk muscle endurance, thoracic kyphosis angle, pain, sleep quality, and overall quality of life in this group. Adolescence is a key period for spinal growth, and untreated hyperkyphosis can lead to pain, muscle weakness, sleep problems, and reduced quality of life. Participants are randomly assigned to one of two groups. One group receives supervised Schroth Method exercises tailored to their spinal deformity, including postural correction, breathing techniques, stabilization, and corrective postures over 10 outpatient sessions. Following these sessions, they continue the exercises at home with adherence monitored. The other group performs a home-based back extensor strengthening exercise program independently, guided by detailed instructions and monitored similarly. Throughout the study, participants undergo assessments at baseline, one month, and three months after starting exercises. These include clinical tests like the Biering-Sorensen Test for back extensor endurance and inclinometer measurements of thoracic kyphosis angle. Additional evaluations cover pain levels, sleep quality using standardized questionnaires, and quality of life assessments. Adherence to exercises is tracked with logs and outpatient follow-up visits, supporting comprehensive monitoring of progress and safety during the study period.

The Effect of Three-Dimensional Exercises ( Schroth Method ) on Trunk Muscle Endurance, Sleep Quality, and Quality of Life in Adolescents With Hyperkyphosis