Clinical trial Recruiting at 1 site Interventional Ages 7 to 18

Schroth exercises to improve shoulder-blade muscle activity in children with thoracic hyperkyphosis

Official title: The Effect of Schroth Exercises on Scapular Muscle Activation in Children With Thoracic Hyperkyphosis

Run by Istanbul University - Cerrahpasa · NCT06907914 · Data updated 2026-11-12

This study tests whether an 8-week supervised Schroth exercise program can improve scapular (shoulder-blade) muscle activation in children aged 7–18 with thoracic hyperkyphosis.

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Quick facts

Study typeInterventional
Ages7 Years to 18 Years
SexAll
Enrollment56 (estimated)
SponsorIstanbul University - Cerrahpasa
Academic / other
Locations1 site (Istanbul, Istanbul)
StatusRecruiting
StartedJune 15, 2025
Main results expectedMay 1, 2026
Study endsAugust 1, 2026
Registry record updatedOctober 1, 2025
Trial IDNCT06907914 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are children aged 7–18 with postural thoracic kyphosis (Cobb angle 40° to <70°) and ongoing skeletal development (Risser 0–5) who can attend supervised therapy and meet the study's exclusion criteria.

Probably not a fit

Children with congenital or rigid spinal deformities, recent major spinal surgery, current brace use, high BMI (≥30), frequent upper-extremity sports, sensory or cognitive impairments, systemic or neurological disease, or other exclusion criteria are unlikely to benefit from this protocol.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

In this randomized controlled trial 56 children with postural thoracic hyperkyphosis (Cobb 40°–<70°) will be assigned to either an 8-week supervised Schroth exercise program or a control group receiving postural education. The Schroth program uses individualized three-dimensional postural correction, rotational breathing, and targeted scapular control during functional activities. Primary outcome is scapular muscle activation measured by surface electromyography (sEMG); secondary outcomes include muscle strength, scapular endurance, kyphotic appearance, posture, and pain. Results aim to inform non‑surgical physiotherapy approaches for improving scapular function and posture in this age group.

Why it matters

Potential benefit: If successful, the program could strengthen scapular stabilizers, improve posture and appearance, reduce pain, and guide preventive and rehabilitation care for children with thoracic hyperkyphosis.

How similar studies have gone: Schroth exercises are commonly used and have shown benefits for spinal alignment and function in scoliosis and kyphosis, but their specific effect on scapular muscle activation is not well studied.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Thoracic kyphosis angle (Cobb) between ≥40° and \<70° on lateral radiographs
* Aged 7-18 years
* Risser stage 0-5, indicating ongoing skeletal development

Exclusion Criteria:

* Congenital or rigid spinal deformities/anomalies
* Major musculoskeletal surgery or trauma, especially involving the spine
* Physiotherapeutic intervention for the spine in the last 6 months
* Current brace use
* BMI ≥ 30
* Regular upper extremity sports involvement (e.g., swimming, volleyball) at least twice a week for one year
* More than 60 minutes of moderate-to-high intensity physical activity per week
* Visual impairments or light sensitivity
* Positive vestibular (Unterberger) test
* Hearing impairments
* Cognitive difficulties affecting comprehension
* Systemic diseases (diabetes, hypothyroidism, infection, malignancy)
* Neurological disorders
* Active rheumatic diseases

Where it's running

  • Istanbul University-Cerrahpasa
    Istanbul, Istanbul, Turkey (Türkiye)
    Recruiting

Study contacts

  • Principal investigator: Ayşe Zengin Alpözgen, Assoc Prof. — Istanbul University - Cerrahpasa
  • Study coordinator: Kübra Kardeş, PhD
  • Email: kubra.koce@istinye.edu.tr
  • Phone: 905387115631

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.