Ignite Creation Date:
2024-10-26 @ 3:42 PM
Last Modification Date:
2024-10-26 @ 3:42 PM
Study NCT ID:
NCT06635083
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-08-26
Brief Title:
Investigation of the Effectiveness of Telerehabilitation Training in Pectus Excavatum Deformity
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Comparison of the Effects of Vacuum Bell Therapy and Additional Telerehabilitation on Physical Fitness Respiratory Functions Posture and Psychosocial Factors in Children with Pectus Excavatum a Single-Blind Randomized Controlled Trial
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The aim of this study is to investigate the effectiveness of telerehabilitation-based exercise training in addition to Vacuum Bell therapy on physical fitness respiratory functions posture and psychosocial factors in boys aged between 10-14 years diagnosed with pectus excavatum
Detailed Description:
Pectus excavatum PE is the most common congenital chest wall deformity It is seen in approximately 1 in 400 live births PE is characterized by varying degrees of depression of the sternum and rib cartilage Although its etiopathogenesis is not fully understood it is thought to be caused by intrauterine pressure on the sternum from an abnormal fetal position sequelae of diseases such as syphilis and rickets muscle imbalances in the anterior diaphragm that pull the xiphoid and sternum backwards and abnormal growth of the costal cartilage junction between the rib and the sternum
In a typical PE the lower 13 of the sternum and adjacent costal cartilages are seen to collapse Children with PE are usually tall and have abnormal posture Scoliosis has been diagnosed in approximately 29 of children with PE Studies have shown that the most common posture disorders in children with PE are head forward posture rounded shoulders thoracic kyphosis winged scapula and anterior rotation of the pelvis In children with PE decreased flexibility of the upper trapezius scalene sternocleidomastoid pectoralis major muscles loss of strength in the back extensors abdominals quadratus lumborum lowermiddle part of the trapezius and rhomboids have been reported In addition to orthopedic problems psychosocial problems related to physical appearance such as body image anxiety social isolation introversion shyness anxiety and depression have also been detected It has been predicted that restriction of activities poor posture and avoidance of sports activities due to deterioration of physical appearance may lead to weakness and other problems in the musculoskeletal system In addition it has been published that the cardiovascular endurance of adolescents with moderate and severe PE is lower than that of healthy controls causing these patients to have reduced physical activity In recent years conservative treatment approaches have been increasing The main conservative treatment methods applied for these patients are vacuum bell treatment orthosis and physiotherapy A rehabilitation program planned according to the needs of the person can help increase the quality of life of the individual with PE Studies have reported that various exercise applications contribute to a decrease in deformity and positive developments in posture Telerehabilitation is defined as a rehabilitation method carried out remotely between the patient and the health professional through telecommunication technologies such as telephone internet and video conference Telerehabilitation methods can be quite effective in terms of high participation and compliance rates behavioral changes in lifestyle the opportunity for the patient to receive rehabilitation in their own environment the chance to benefit from rehabilitation for a longer period of time and cost efficiency In addition the rate at which the rehabilitation program is affected by the low number of specialists in the geography where the patient lives the lack of transportation facilities and physical disabilities is minimized thanks to telerehabilitation Accessibility flexible hours that can adapt to childrens busy school programs and time savings the opportunity for the participation of their families and the interest of children in technology are thought to motivate them to participate in treatment In the literature study no study was found showing the effectiveness of exercise training applied with telerehabilitation in children with pectus excavatum deformity The purpose of this study is to examine the effectiveness of telerehabilitation-based exercise training applied in addition to Vacuum Bell treatment on physical fitness respiratory functions posture and psychosocial factors in boys between the ages of 10-14 diagnosed with pectus excavatum
In a typical PE the lower 13 of the sternum and adjacent costal cartilages are seen to collapse Children with PE are usually tall and have abnormal posture Scoliosis has been diagnosed in approximately 29 of children with PE Studies have shown that the most common posture disorders in children with PE are head forward posture rounded shoulders thoracic kyphosis winged scapula and anterior rotation of the pelvis In children with PE decreased flexibility of the upper trapezius scalene sternocleidomastoid pectoralis major muscles loss of strength in the back extensors abdominals quadratus lumborum lowermiddle part of the trapezius and rhomboids have been reported In addition to orthopedic problems psychosocial problems related to physical appearance such as body image anxiety social isolation introversion shyness anxiety and depression have also been detected It has been predicted that restriction of activities poor posture and avoidance of sports activities due to deterioration of physical appearance may lead to weakness and other problems in the musculoskeletal system In addition it has been published that the cardiovascular endurance of adolescents with moderate and severe PE is lower than that of healthy controls causing these patients to have reduced physical activity In recent years conservative treatment approaches have been increasing The main conservative treatment methods applied for these patients are vacuum bell treatment orthosis and physiotherapy A rehabilitation program planned according to the needs of the person can help increase the quality of life of the individual with PE Studies have reported that various exercise applications contribute to a decrease in deformity and positive developments in posture Telerehabilitation is defined as a rehabilitation method carried out remotely between the patient and the health professional through telecommunication technologies such as telephone internet and video conference Telerehabilitation methods can be quite effective in terms of high participation and compliance rates behavioral changes in lifestyle the opportunity for the patient to receive rehabilitation in their own environment the chance to benefit from rehabilitation for a longer period of time and cost efficiency In addition the rate at which the rehabilitation program is affected by the low number of specialists in the geography where the patient lives the lack of transportation facilities and physical disabilities is minimized thanks to telerehabilitation Accessibility flexible hours that can adapt to childrens busy school programs and time savings the opportunity for the participation of their families and the interest of children in technology are thought to motivate them to participate in treatment In the literature study no study was found showing the effectiveness of exercise training applied with telerehabilitation in children with pectus excavatum deformity The purpose of this study is to examine the effectiveness of telerehabilitation-based exercise training applied in addition to Vacuum Bell treatment on physical fitness respiratory functions posture and psychosocial factors in boys between the ages of 10-14 diagnosed with pectus excavatum
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None