Body Awareness in Adolescent Idiopatic Scoliosis

NCT06118814 | Completed

• 1 other identifier: HititUni
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Scoliosis is a three-dimensional deformity of the spine, and Adolescent Idiopathic Scoliosis (AIS) is the most common subtype of scoliosis. There are various scoliosis-specific exercise programs available for the treatment of scoliosis, and core stabilization is one of the methods aimed at maintaining spinal alignment. Virtual reality offers a method to create stimulating and engaging environments using task-oriented techniques to increase individual interest and motivation. In the literature, virtual reality applications have been used in healthcare to facilitate recovery, post-morbid rehabilitation, and to improve performance in athletes. However, there is limited research on the application of virtual reality therapy for scoliosis patients. One study mentioned the use of two scoliosis-specific exercises through video-assisted games, but the limited exercise repertoire did not make a significant difference. Other video-assisted studies have suggested that exercises targeting posture, balance, and gait can be used for scoliosis patients. Therefore, our study aims to apply core stabilization exercises to scoliosis patients using virtual reality applications and investigate their effects on patient development. Although studies examining the effectiveness of core stabilization exercises on body awareness in adolescents with idiopathic scoliosis are limited, they have been reported to be effective in terms of pain, body image, quality of life and functionality. This study aims to benefit from the therapeutic effects and contribute to the literature by using both different treatment methods. There are four groups in the study. Each group will be evaluated before and after ten weeks of treatment. Participants diagnosed with adolescent idiopathic scoliosis will be randomly assigned to three groups for the study. All participants will be evaluated before and after treatment for curvature severity and rotation angle, trunk flexibility, trunk normal joint range of motion, spine pain, Cosmetic Defect Assessment-Walter Reed Visual Assessment Scale (WRVAS), Quality of Life Assessment-"Scoliosis Research Association-22" (SRS-22) and Child Depression Scale (CDI).

Conditions

Scoliosis Idiopathic Adolescent; Body Image

Keywords

Scoliosis Idiopathic Adolescent; Body Awareness; Virtual Reality Exercise

Outcome Measures

Primary Outcomes (1)

• Cobb Angle

  Measurements are made to grade scoliosis using the frontal plane radiography using the Cobb method.

  Up to 3 months

Secondary Outcomes (6)

• Walter Reed Visual Assessment Scale

  Up to 3 months

• Scoliosis Research Society Questionnare

  Change from pre treatment and post treatment.

• Spinal Pain Assessment

  Up to 3 months

• Trunk Muscle Endurance Assessment

  Up to 3 months

• Trunk Muscle Strength Assessment

  Up to 3 months

Study Arms (4)

Body Awareness Therapy Group

EXPERIMENTAL

In addition to the home program, basic body awareness exercises will be applied.

Other: Body Awareness Therapy Exercise; Other: Home Exercise

Virtual Reality Exercise Group

EXPERIMENTAL

In addition to the home program, virtual reality-supported core stabilization exercises will be applied.

Other: Virtual Reality Exercise; Other: Home Exercise

Core Stability Exercise Group

EXPERIMENTAL

In addition to the home program, core stabilization exercises will be performed.

Other: Core Stability Exercise; Other: Home Exercise

Home Exercise Group

ACTIVE COMPARATOR

A home program will be implemented.

Other: Home Exercise

Interventions

Body Awareness Therapy Exercise OTHER

Body awareness therapy exercises were applied to the subjects in this group.

Body Awareness Therapy Group

Virtual Reality Exercise OTHER

Virtual reality exercises were applied to the subjects in this group.

Virtual Reality Exercise Group

Core Stability Exercise OTHER

Core stabilization exercises were applied to the subjects in this group.

Core Stability Exercise Group

Home Exercise OTHER

Subjects in this group implemented a home exercise program.

Body Awareness Therapy Group; Core Stability Exercise Group; Home Exercise Group; Virtual Reality Exercise Group

Eligibility Criteria

• Age: 10 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Between the ages of 10 and 18, having a diagnosis of AIS (Adolescent Idiopathic Scoliosis),
• not using a brace,
• having a Cobb angle between 10º-40º,
• being able to regularly attend the prescribed program,
• not having any pulmonary or thoracic cage-related diseases such as rib fractures, atelectasis, or asthma, not having any neurological or psychiatric disorders, and not having a chronic condition requiring medication, and obtaining parental consent for the child's participation in the program.

You may not qualify if:

• The patient should not have any contraindications for exercise,
• should not have received any scoliosis treatment or undergone spinal surgery within the last year,
• should not be using a brace,
• should not have scoliosis limited only to the cervical region,
• should not have any neuromuscular, cardiovascular, or respiratory function disorder, and should not have cognitive impairment.

Sponsors & Collaborators

• Hitit University: lead

Study Sites (1)

Hitit University

Çorum, 19000, Turkey (Türkiye)

Location

MeSH Terms

Interventions

Exergaming

Intervention Hierarchy (Ancestors)

Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Phd Student

Study Record Dates

• First Submitted: October 29, 2023
• First Posted: November 7, 2023
• Study Start: November 1, 2023
• Primary Completion: November 1, 2024
• Study Completion: August 10, 2025
• Last Updated: August 17, 2025

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)