Schroth three-dimensional exercises for adolescents with thoracic hyperkyphosis

Is this trial a fit for you?

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

What this trial studies

Adolescents with thoracic kyphosis (T3–T12 Cobb angle ≥45°) will participate in a three-month Schroth-based three-dimensional exercise program consisting of supervised and home exercise components with education and exercise logs. Outcomes will include radiographic kyphosis angle, inclinometer measures, back extensor endurance using the Biering–Sørensen test, pain, sleep quality, and quality of life using standardized questionnaires. Participants must be able to actively perform the program and attend regular assessments at the treating center, while those with significant coronal scoliosis, prior spinal surgery, or neuromuscular/structural spinal disorders are excluded. Results will compare pre- and post-intervention measures to see if the exercise program produces clinically meaningful change.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Adolescents between 12 and 18 years of age
* Presence of thoracic kyphosis with a T3-T12 Cobb angle ≥45° measured on a lateral thoracic radiograph
* Sufficient physical and cognitive ability to actively participate in the exercise protocol for at least 3 months
* Adequate communication and cognitive capacity to understand the educational materials provided
* Ability and willingness to regularly complete the exercise log throughout the study period

Exclusion Criteria:

* Scoliosis with a Cobb angle \>10° in the coronal plane
* Presence of structural spinal deformities such as vertebral fracture, spondylolisthesis
* History of previous spinal surgery
* Neuromuscular disorders that may affect the spine (e.g., cerebral palsy, muscular dystrophy)
* Structural or functional pathologies involving the spine, pelvic complex, or shoulder girdle
* Balance disorders such as vestibular dysfunction, vertigo, or other conditions affecting postural control
* Inability to comply with the exercise protocol due to intellectual disability, severe behavioral disorders, or significant communication impairments
* Participation in professional-level sports activities that may influence exercise capacity or musculoskeletal function
* Presence of serious cardiopulmonary diseases (e.g., congenital heart disease, pulmonary hypertension)

Where it's running

• Gazisomanpasa Training and Research Hospital
  Istanbul, Turkey (Türkiye) Recruiting

Study contacts

• Study coordinator: Öznur Molla Kocabaş, MD
• Email: oznurmolla@gmail.com
• Phone: +905388837799

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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.