Effectiveness of Virtual Reality- Based Rehabilitation Program in Individuals With Adolescent Idiopathic Scoliosis After Posterior Fusion Surgery

NCT06753383 | Completed

• 1 other identifier: 2023/2091
• Study Type: interventional
• Target: 28
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this clinical study is to investigate the effect of virtual reality based rehabilitation program on kinesiophobia, respiratory muscle strength, spinal mobility, physical activity, spinopelvic parameters and quality of life after posterior fusion surgery in individuals diagnosed with Adolescent Idiopathic Scoliosis (AIS). The main questions it aims to answer are:

• Does a virtual reality based rehabilitation program after posterior fusion surgery have an effect on kinesiophobia, respiratory muscle strength, spinal mobility, physical activity, spinopelvic parameters and quality of life in individuals diagnosed with AIS?
• Is the virtual reality-based rehabilitation program after posterior fusion surgery more effective for individuals diagnosed with AIS than the routine physiotherapy and rehabilitation program applied in the clinic? They will compare it with the \[routine physiotherapy and rehabilitation program\] to see if the virtual reality-based rehabilitation program is effective in individuals with AIS after posterior fusion. Participants : After being evaluated in terms of kinesiophobia, respiratory muscle strength, spinal mobility, physical activity, spinopelvic parameters and quality of life, the Virtual Reality-Based Exercise Group will be given an exercise program via the games in Kinect Sports Ultimate for 30 minutes a day for a total of 6 weeks, 2 days . At the end of the 6 week, the participants will be re-evaluated and the results will be compared according to the control group.

Conditions

Adolescent Idiopathic Scoliosis (AIS)

Keywords

Adolescent Idiopathic Scoliosis; virtual reality based rehabilitation; Respiratory Muscle Strength; Posterior Fusion Surgery; spinal mobility; kinesiophobia; spinopelvic parameter

Outcome Measures

Primary Outcomes (2)

• Spinal Mobility

  The spinal mobility of the participants will be measured with the modified Schober test before and after 6 weeks of treatment. When the person is in an upright position, the lumbosacral junction and 10 cm above will be marked, and a third marker will be placed 5 cm below the lumbosacral junction. After the anterior flexion, which is performed as far forward as possible, the distance between the top and bottom deceleration will be measured and the test will be terminated.

  6 weeks

• Respiratory Muscle Strength

  The respiratory muscle strength of the participants will be measured according to the criteria of the American Thoracic Society /European Respiratory Society using a portable, electronic intraoral pressure measuring device. After the maximum expiration, the participant will be asked to perform maximal inspiration lasting at least 1.5 seconds in the residual volume. At the total lung capacity after maximum inspiration, the person will be asked to perform a maximum expiration lasting at least 1.5 seconds against the closed system. The tests will be applied in a sitting position with the nose closed with a soft latch. Of at least three measurements that are technically acceptable and do not differ by more than 5 cmH₂O from each other, the highest one will be recorded.

  6 weeks

Secondary Outcomes (4)

• Spinopelvic Parameters

  6 weeks

• Physical Activity

  6 weeks

• Kinesiophobia

  6 weeks

• Scoliosis Quality of Life

  6 weeks

Study Arms (2)

Virtual Reality Based Exercise Group

EXPERIMENTAL

The Virtual Reality Based Exercise Group will be given an exercise program based on the games in Kinect Sports Ultimate (Soccer, Basketball, Skiing, Tennis, Baseball, Volleyball, Boxing, Track \& Field) for 30 minutes a day for a total of 6 weeks, 2 days a week. The games include movements such as lateral flexion, extension and flexion of the torso and upper limb movements, running, short-urea standing on one leg, jumping.

Other: To the Virtual Reality Based Exercise

Control Group

ACTIVE COMPARATOR

The participants who make up the control group will be followed up with a routine physiotherapy and rehabilitation program for 6 weeks.

Other: Routine physiotherapy and rehabilitation program

Interventions

To the Virtual Reality Based Exercise OTHER

After posterior fusion surgery, a rehabilitation program will be applied to individuals with AIS using Kinect Sports Ultimate for 30 minutes per day for a total of 6 weeks, 2 days a week.

Virtual Reality Based Exercise Group

Routine physiotherapy and rehabilitation program OTHER

14 patients with posterior fusion AIS routinely in the postoperative clinic for 6 weeks. the physiotherapy program used will be applied.

Control 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:

• Diagnosed with AIS December 10-18
• Underwent posterior spinal fusion surgery
• Post-operative (post-op) 6.during the week and after
• Absence of vision, speech and hearing problems
• Regular participation in the program to be implemented
• Volunteering of individuals

You may not qualify if:

• Have a history of previous spinal surgery
• Have any contraindications to exercise
• Have a mental problem
• Have a neuromuscular, mesenchymal, rheumatic disease
• Have pulmonary and cardiac complications

Sponsors & Collaborators

• Elif Yagmur Ozger: lead
• Health Institutes of Turkey: collaborator

Study Sites (1)

Istanbul University Faculty of Medicine Department of Orthopedics and Traumatology

Istanbul, Fatih, 34093, Turkey (Türkiye)

Location

Related Publications (3)

• Hawes MC. The use of exercises in the treatment of scoliosis: an evidence-based critical review of the literature. Pediatr Rehabil. 2003 Jul-Dec;6(3-4):171-82. doi: 10.1080/0963828032000159202.

  PMID: 14713583 BACKGROUND

• Negrini S, Donzelli S, Aulisa AG, Czaprowski D, Schreiber S, de Mauroy JC, Diers H, Grivas TB, Knott P, Kotwicki T, Lebel A, Marti C, Maruyama T, O'Brien J, Price N, Parent E, Rigo M, Romano M, Stikeleather L, Wynne J, Zaina F. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disord. 2018 Jan 10;13:3. doi: 10.1186/s13013-017-0145-8. eCollection 2018.

  PMID: 29435499 BACKGROUND

• Dahl-Popolizio S, Loman J, Cordes CC. Comparing Outcomes of Kinect Videogame-Based Occupational/Physical Therapy Versus Usual Care. Games Health J. 2014 Jun;3(3):157-61. doi: 10.1089/g4h.2014.0002. Epub 2014 Apr 17.

  PMID: 26196174 BACKGROUND

MeSH Terms

Conditions

Kinesiophobia

Interventions

Rehabilitation

Condition Hierarchy (Ancestors)

Phobic Disorders; Anxiety Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Berk NIMETOGLU, Medical Doctor

  Istanbul University Faculty of Medicine Department of Orthopedics and Traumatology

  STUDY CHAIR

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: SPONSOR INVESTIGATOR
• PI Title: Sponsor-Investigator

Study Record Dates

• First Submitted: December 16, 2024
• First Posted: December 31, 2024
• Study Start: July 10, 2024
• Primary Completion: January 7, 2025
• Study Completion: February 20, 2025
• Last Updated: March 31, 2026

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)