NCT07739082

Brief Summary

The study aims to:

  1. 1.Investigate the effect of virtual reality on kyphotic angle in adolescents with thoracic hyperkyphosis.
  2. 2.Investigate the effect of virtual reality on quality of life in adolescents with thoracic hyperkyphosis.
  3. 3.Investigate the effect of virtual reality on the enjoyment level in adolescents with thoracic hyperkyphosis.

Trial Health

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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
46

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jan 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2026

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2026

Completed
27 days until next milestone

First Submitted

Initial submission to the registry

July 28, 2026

Completed
2 days until next milestone

Study Completion

Last participant's last visit for all outcomes

July 30, 2026

Completed
1 day until next milestone

First Posted

Study publicly available on registry

July 31, 2026

Completed
Last Updated

July 31, 2026

Status Verified

July 1, 2026

Enrollment Period

6 months

First QC Date

July 28, 2026

Last Update Submit

July 28, 2026

Conditions

Adolescent Postural KyphosisThoracic Kyphosis

Outcome Measures

Primary Outcomes (1)

  • assessment of Kyphotic Angle

    Kyphotic angle assessment using a bubble inclinometer involves the following steps: firstly, zero the inclinometer on a vertical wall. Next, identify the spinous processes of C7, T1, T12, and L1. Place the cephalic foot of the inclinometer on the C7 spinous process, then repeat for the lower thoracic spine with the caudal foot on T12. The kyphosis angle is calculated by adding the angles from both inclinometer placements.

    At baseline and after 12 weeks

Secondary Outcomes (2)

  • assessment of Quality of Life

    At baseline and after 12 weeks

  • assessment of Participant Enjoyment

    At baseline and after 12 weeks

Study Arms (2)

conventional exercise program

ACTIVE COMPARATOR

The control group included 23 patients and received a comprehensive corrective exercise program for thoracic hyperkyphosis

Other: comprehensive corrective exercise program

Virtual reality-based posture training

EXPERIMENTAL

The experimental group will receive the same program as the control group in addition to virtual reality-based posture training using Meta Quest 3 - a virtual reality headset with the Totally Basketball game.

Other: comprehensive corrective exercise programDevice: Virtual reality-based posture training

Interventions

comprehensive corrective exercise programOTHER

treatment will last for 40-50 minutes, 3 days a week for 12 weeks Exercises will include: * Chin tuck * Stretching of neck extensor muscles * Stretching of pectoral muscle groups in standing and supine positions * T, Y, W and I exercises in a prone position. * Postural perception training (PPT) * Thoracic self-mobilization

Virtual reality-based posture trainingconventional exercise program
Virtual reality-based posture trainingDEVICE

Meta Quest 3 is an Mixed Reality headset providing augmented reality and virtual reality capabilities, allowing users to engage in both physical and virtual environments. Participants will play the "Totally Basketball" game, which promotes upper body engagement and postural correction through movements focusing on cervical retraction, scapular stabilization, and thoracic extension. The virtual reality sessions will last 20 minutes, scheduled after 30 to 45 minutes of conventional exercises, three times a week for eight weeks. Each session includes an introduction to the headset, a safety briefing, supervised trials, and active gameplay aimed at addressing thoracic hyperkyphosis with physiotherapist oversight to ensure safety and proper technique.

Virtual reality-based posture training

Eligibility Criteria

Age13 Years - 18 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Participants must meet all the following conditions:
  • Adolescents with a kyphosis angle \>40°.
  • Aged 13 to 18 years.
  • Normal body mass index range

You may not qualify if:

  • Participants who met one of the following criteria will be excluded:
  • Adolescents who cannot understand or follow instructions.
  • Congenital spinal deformities.
  • Developmental disorders.
  • Adolescent athletes.
  • Neurological, musculoskeletal, and cardiopulmonary diseases.
  • Vision or hearing impairments.
  • Medical conditions hindering physical activity

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

out-patient clinic, faculty of physical therapy, Cairo university

Cairo, Egypt

RECRUITING

Central Study Contacts

Yassen Motamed Abd Elwahab, physical therapist

CONTACT

01119322806yassenmotamed@gmail.com

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

July 28, 2026

First Posted

July 31, 2026

Study Start

January 1, 2026

Primary Completion

July 1, 2026

Study Completion

July 30, 2026

Last Updated

July 31, 2026

Record last verified: 2026-07

Locations

EG(1)