ClinicalTrials.gg
Enrolling by invitationNCT02610855SAMUS SCOLIUpdated Sep 18, 2026

Effect of Treatment on Activity and Muscle Function in Pediatric Patients With Scoliosis

An interventional study of Spinal Fusion Surgery and Bracing in Scoliosis, sponsored by Mayo Clinic. Enrolling by invitation at 1 site in United States. Open to participants aged 9 Years to 16 Years. Per ClinicalTrials.gov, last updated 2026-09-18.

Sponsored by Mayo Clinic · Not applicable, Interventional, and Treatment

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Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Non-randomized
Ages
9 Years to 16 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 153 studies in Scoliosis with a site in United States — 42 open to participants now, 52 under way, 2 of them phase 3. Scoliosis · United States.

Planned enrollment
11th of 91
200 · median 58
Started
2015
with 7 others
No phase
65 of 153
16 open now
Primary completion
2027-08
later than 29 of 51 live
Registered
70th of 153
by date
Lead sponsor
5 of 153
Mayo Clinic

Among the 153 studies in Scoliosis with a site in United States, this one is the 11th largest by planned enrollment of the 91 interventional ones that give a count, is one of 8 that started in 2015, is one of 65 with no phase, reaches primary completion later than 29 of the 51 other live ones, and was the 70th registered.

Scoliosis

660 studies on the registry are indexed under Scoliosis; 186 are open to participants now.

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Open to participants now

42 of the 153 studies in Scoliosis with a site in United States are open now. Recruiting first, the newest first:

37 more — sign in →

All 42 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 117 Scoliosis studies recruiting now, 23 (20%) set no upper age limit and 88 (75%) stop at 75 or younger; 98 take children under 18; 14 take healthy volunteers.

This study: 9 Years to 16 Years · all sexes · no healthy volunteers.

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02

Study summary

This study will explore the relationship between skeletal muscle and physical activity in scoliosis patients to provide insight into both the etiology of scoliosis and potential ways to mitigate the potential harms of treatment.

Read the detailed description

The aims include first, to quantify the posture and physical activity of patients in the community before and after scoliosis treatment and compare to age-matched controls. Patients undergoing bracing or surgery for scoliosis will wear novel low-profile electronic monitors for 4 days prior to and at one year after initiation of treatment. Accelerometer data from the 4 activity monitors are combined for a comprehensive profile of daily activity, above and beyond that of a typical pedometer. Analysis will show a participant's % active time vs. static, % time sitting vs. lying down vs. standing vs. walking, total number of steps taken per day, and cadence of walking during each activity bout. The amount of total daily time spent lying, sitting, standing, walking and running will be quantified using specialized processing algorithms developed at Mayo Clinic. Results will be compared to a group of age- and BMI-matched control patients with healed forearm fractures.

Second, to determine changes in the mechanical properties of the paraspinal skeletal musculature (muscles along the spine) in scoliosis patient before and after treatment with brace or spinal surgery.

Shear Wave Elastography (SWUE) is a technique that uses ultrasound, a non-invasive imaging technique, to detect mechanical properties of tissues. Using SWUE, the stiffness in the paraspinal muscles will be obtained by acquiring Shear modulus measurements, reported in kilo Pascal (kPa) units. 10 measurements will be obtained for each muscle and a region of interest (ROI) will be placed in the displayed elastogram or color map from each measurement to obtain a "kPa" value. A mean shear modulus or stiffness will be obtained by averaging all 10 results. The measurements from each ROI are derived using software built in the ultrasound equipment.

The change in paraspinal skeletal muscle stiffness will be assessed and compared to normal controls to determine characteristics of spinal musculature in scoliosis patients and the impact of treatment with bracing or surgery.

03

Conditions studied

  • Scoliosis

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04

Who can participate

Ages eligible
9 Years to 16 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Males and females between 9 to16 years of age
  • Scoliosis/Surgery group; has severe scoliosis curves requiring posterior spinal fusion surgery
  • Scoliosis/Brace group; has scoliosis curves requiring brace treatment for at least the next year
  • The Control group will be aged matched participants who have healed forearm fractures and will be matched to case patients by age, gender, and (BMI). These children will be considered normal subjects for both the accelerometers and the Shear Wave Elastography (SWUE)

Exclusion criteria

Exclusion Criteria:

- Patients with underlying muscle conditions or neuromuscular scoliosis

Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
200 participants (estimated)

Study arms

  • Active comparator
    Spinal Fusion Surgery

    The surgical participants recruited from the pediatric orthopaedic clinic and have severe scoliosis curves requiring posterior spinal fusion. Physical activity measured using Tri-axial accelerometers and paraspinal muscle stiffness measured by Shear Wave Elastography (SWUE) ultrasound will be quantified before and one year after spinal fusion surgery.

    Procedure: Spinal Fusion Surgery · Device: Tri-axial Accelerometers · Other: Shear Wave Elastography (SWUE)

  • Active comparator
    Brace Treatment

    The bracing participants have scoliosis curves that require treatment with a spinal brace for at least the next year. All braces will have monitors to record hours of brace wear, as is current standard of care. Physical activity measured using Tri-axial accelerometers and paraspinal muscle stiffness measured by Shear Wave Elastography (SWUE) ultrasound will be quantified before bracing and after one year.

    Other: Bracing · Device: Tri-axial Accelerometers · Other: Shear Wave Elastography (SWUE)

  • Other
    Control Arm

    The control group are participants who do not have scoliosis. Physical activity measured using Tri-axial accelerometers and paraspinal muscle stiffness measured by Shear Wave Elastography (SWUE) ultrasound will be quantified at baseline and one year after enrollment.

    Device: Tri-axial Accelerometers · Other: Shear Wave Elastography (SWUE)

Interventions

  • ProcedureSpinal Fusion Surgery

    Participants with severe scoliosis curves requiring spinal fusion surgery.

  • OtherBracing

    Participants with scoliosis curves that require brace treatment for at least the next year. Braces include monitors to record hours of brace wear, as is current standard of care.

  • DeviceTri-axial Accelerometers

    Four monitors are place on the participant (waist, thigh, both ankles), attached with straps. Periods of static and dynamic activity are measured based on accelerations in three orthogonal directions for 4 day's time while participating in regular daily activities.

    Also known as: ActiGraph GT3X+

  • OtherShear Wave Elastography (SWUE)

    SWUE is an ultrasound technique for noninvasively evaluating the mechanical properties (stiffness) of skeletal muscle tissue. A commercial ultrasound scanner (Aixplorer from Supersonic Imagine, France) with 2D real time SWUE will be used. The Aixplorer uses ultrasonic push beams to produce shear waves in tissue. The shear wave propagation speed is inherently related to tissue mechanical properties and is used to create a quantitative 2D elastogram of the tissue.

06

What researchers measure

Primary outcomes

  1. Change in percentage of day with static activity

    Physical activity is measured by 4 wearable Tri-axial Accelerometers, worn for a 4 day period at baseline (prior to surgery or brace placement) and at one year after surgery of brace placement. Each second of data will be classified as static or dynamic. Among static postures, lying, standing and sitting are determined based on the orientation of the waist and thigh accelerometers in relation to the line of gravity. Accelerometer data from the 4 activity monitors are combined to provide a total percentage of time with static activities.

    Time frame: Baseline, 1 year

  2. Change in dynamic physical activity as measured by step counts

    Physical activity is measured by 4 wearable Tri-axial Accelerometers worn for a 4 day period at baseline (prior to surgery or brace placement) and at one year after surgery of brace placement. Each second of data will be classified as static or dynamic. Dynamic movements will be classified as walking, jogging or stair climbing based activity that exceeds the pre-defined accelerometer amplitude threshold. Step counts will be calculated based on detection of peak accelerations of the bilateral ankles using adaptive thresholds during the longest period of walking. Accelerometer data from the 4 activity monitors are combined to provide a total measure of dynamic physical activity.

    Time frame: Baseline, 1 year

Secondary outcomes

  1. Change in mean paraspinal muscle stiffness

    Muscle stiffness is measured by Shear Wave Elastography (SWUE). This measurement evaluates normal muscle's passive and active properties at a variety of angles and tensions, resulting in a shear modulus reading, measured in average kilo Pascal units from 10 images of each muscle region of interest. A transducer is used with ultrasound to produce shear waves in tissue. The wave speed relates to the tissue's mechanical properties and is used to create a quantitative 2D elastogram of the tissue. Multiple shear modulus measurements will be averaged, and obtained: * on control subjects at the left and right sides of the T12 spine segment level * on the scoliosis patients, at the periapical area (apex of curve, where it is most tilted) * at the concave and convex sides as well as at an area remote from the curvature

    Time frame: Baseline, 1 year

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Nov 2015, a primary completion of Aug 2027 and a completion of Aug 2027. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 12, 2015
First posted
Nov 20, 2015
Start
Nov 2015
Primary completionEst.
Aug 2027
CompletionEst.
Aug 2027
Last update
Sep 18, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02610855
Lead sponsor
Mayo Clinic
Responsible party
Todd A. Milbrandt, M.D. (Principal Investigator, Mayo Clinic) — Principal investigator
First posted
Nov 20, 2015
Start date
Nov 2015
Primary completion
Aug 2027 (estimated)
Completion
Aug 2027 (estimated)
Last update
Sep 18, 2026

Study contacts

Todd Milbrandt, MD
principal investigator · Mayo Clinic

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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