Pre-op Exercise for Scoliosis

This trial explores whether specific exercises before surgery can improve outcomes for teenagers with adolescent idiopathic scoliosis, a spine condition causing side-to-side curvature. Researchers aim to determine if these exercises can prevent the curve from worsening and enhance the surgery's effectiveness, speed, and cost-efficiency. Participants will be divided into two groups: one will continue with usual care, while the other will add a daily exercise routine (Pre-op Exercise Program). This trial suits teens aged 10 to 18 with scoliosis and a curve angle over 40 degrees who are awaiting surgery at the Stollery Hospital. As an unphased trial, it offers a unique opportunity to contribute to innovative research that could enhance surgical outcomes for future patients.

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Research has shown that exercises before scoliosis surgery in teenagers are generally safe and manageable. Studies have found that these exercises can improve recovery after surgery, resulting in less pain and shorter hospital stays. For instance, one study found that participants who exercised before surgery experienced fewer complications, with a rate of 5.2% compared to 18.5% for those who did not exercise. This suggests that pre-surgery exercises might not only be safe but could also aid recovery. No reports of major problems have emerged from performing these exercises before scoliosis surgery. Thus, the evidence suggests these exercises are a safe option for those considering joining the trial.¹²³⁴⁵

Unlike the standard of care for adolescent idiopathic scoliosis (AIS), which typically involves surgical interventions and bracing, the pre-op exercise program offers a proactive approach. This program is designed to enhance spinal flexibility and potentially slow the progression of scoliosis before surgery. Researchers are excited because it could improve surgical outcomes and reduce recovery times, offering a non-invasive way to complement existing treatment strategies.

Research has shown that exercises before surgery can benefit young people with adolescent idiopathic scoliosis. In this trial, participants in the Pre-op Exercise Intervention Group will follow a pre-op exercise program designed to increase spinal flexibility and reduce scoliosis progression, in addition to the standard of care. Studies have found that these exercises can enhance physical ability and stamina. They also suggest that exercise might shorten hospital stays and reduce post-surgery pain. Some evidence indicates that exercise can slow scoliosis progression and might even be as effective as wearing a brace. Overall, pre-surgery exercises could improve outcomes and recovery for adolescents undergoing scoliosis surgery.¹²³⁵⁶