Programme intégré d'évaluation des déformations du rachis; prédiction de la progression des scolioses et traitement précoce de la déformation

 

Carole Fortin

Centre de recherche du CHU Ste-Justine

 

Domaine : appareil locomoteur et arthrite

Programme Chercheurs-boursiers - Junior 1

Concours 2016-2017

My research program aims at developing an innovative rehabilitation program for children and adolescents with idiopathic scoliosis (IS). IS is a growth disorder of the spine and trunk affecting 2-3% of adolescents with girls more severely affected. Scoliosis causes posture abnormalities, which affects posture/appearance and increases the occurrence of back pain (60-78%). Physiotherapy is not commonly offered because of low scientific evidences (interventions and assessment methods). Standard treatment in North America is observation (no exercise) or bracing if the curve exceeds 25°. Surgery is proposed in curves greater than 45°.

My research program is divided in two axes. Axis I objective is to develop key markers for the evaluation of muscle and brain functions associated with posture and balance in adolescents with and without IS. Markers will be developed trough new advanced technologies such as computer-based modeling approach, ultrasound imaging and electroencephalography. Axis II objectives are II.1) to verify if scoliosis specific exercises (global postural re-education (GPR) or Schroth) will improve posture and back pain and stop scoliosis progression (multicentre randomized trial among 258 adolescents girls with IS) and II.2) to verify the impact of GPR treatment on the muscular and cerebral functions using markers developed in Axis I (pilot study among 20 adolescents girls with IS). This new knowledge will help developing an innovative rehabilitation program offering early and personalized interventions in children and adolescents with IS and back pain.