Augmented Reality-Assisted Physiotherapy for Adolescents With Idiopathic Scoliosis: A Qualitative Study

NCT ID: NCT07067125

Last Updated: 2025-07-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-06-01

Study Completion Date

2025-07-31

Brief Summary

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This study aims to explore the effects of augmented reality (AR)-supported physiotherapy on body awareness, motivation, and exercise adherence in adolescents diagnosed with Adolescent Idiopathic Scoliosis (AIS). Using a qualitative phenomenological approach, the study will involve semi-structured interviews with adolescents who have completed at least four weeks of AR-based physiotherapeutic scoliosis-specific exercises. The goal is to understand participants' lived experiences with AR-enhanced rehabilitation and to inform the development of adolescent-centered, technology-integrated physiotherapy strategies in conservative scoliosis care.

Detailed Description

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This prospective qualitative study is designed to examine how adolescents with AIS experience AR supported physiotherapeutic scoliosis-specific exercises. A phenomenological design was selected to capture participants' lived experiences, perceptions of body awareness, and motivational responses to the intervention. The study will be conducted in a physiotherapy unit in Türkiye, with ethics approval obtained from the institutional review board. Eligible participants will include adolescents aged 10 to 18 years who are clinically diagnosed with AIS and have completed a minimum of four weeks of AR-based physiotherapy delivered by licensed physiotherapists. The AR intervention incorporates visual feedback, avatar-based motion monitoring, and gamified elements to support postural correction and therapeutic engagement. Data will be collected through face-to-face, semi-structured interviews using an interview guide informed by existing literature and expert consultation. Interviews will explore how participants perceive their postural awareness, exercise motivation, adherence challenges, and psychosocial adjustments within the AR-supported environment. All interviews will be audio-recorded and transcribed verbatim. Collected data will be analyzed using Braun and Clarke's thematic analysis framework, supported by NVivo software. Two independent researchers will code the transcripts to ensure analytical rigor and thematic validity. The study is expected to contribute to the refinement of conservative scoliosis rehabilitation practices by integrating adolescent perspectives and addressing the biopsychosocial dimensions of care enhanced through technology.

Conditions

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Scoliosis Idiopathic Adolescent Scoliosis Idiopathic Adolescent Treatment

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

This study utilizes a single-group interventional design in which all participants will receive augmented reality-supported physiotherapeutic scoliosis-specific exercises for a minimum of four weeks. The intervention will be delivered by licensed physiotherapists using a standardized protocol that includes real-time visual feedback and interactive training components. No control or comparison group is included. This design was selected to qualitatively explore participants' individual experiences, perceptions of body awareness, motivational responses, and adherence behaviors during AR-based rehabilitation. Data will be collected through post-intervention interviews.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

This is an open-label single-group study; no parties will be masked during the intervention or data collection processes.

Study Groups

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AR-Supported Physiotherapy Group

Adolescents in this arm will receive scoliosis-specific physiotherapy supported by AR for a minimum of four weeks. The intervention includes real-time avatar feedback, interactive postural training, and gamified components. Exercises are delivered by licensed physiotherapists using a standardized AR interface. This group is designed to evaluate participants' experiences of body awareness, motivation, and adherence in technology-integrated conservative scoliosis care.

Group Type EXPERIMENTAL

AR-Supported Scoliosis-Specific Physiotherapy

Intervention Type BEHAVIORAL

This intervention consists of scoliosis-specific physiotherapy supported by AR technology. Participants will engage in postural correction exercises delivered by licensed physiotherapists using an AR system that provides real-time avatar feedback, movement guidance, and gamified motivation. The intervention aims to improve body awareness, adherence, and motivation among adolescents diagnosed with AIS. Each participant will complete at least four weeks of structured AR-supported sessions.

Interventions

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AR-Supported Scoliosis-Specific Physiotherapy

This intervention consists of scoliosis-specific physiotherapy supported by AR technology. Participants will engage in postural correction exercises delivered by licensed physiotherapists using an AR system that provides real-time avatar feedback, movement guidance, and gamified motivation. The intervention aims to improve body awareness, adherence, and motivation among adolescents diagnosed with AIS. Each participant will complete at least four weeks of structured AR-supported sessions.

Intervention Type BEHAVIORAL

Other Intervention Names

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AR-Physio

Eligibility Criteria

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Inclusion Criteria

* Aged between 10 and 18 years
* Diagnosed with adolescent idiopathic scoliosis (AIS)
* Completed at least 4 weeks of AR-based physiotherapy
* Sufficient Turkish language proficiency to participate in interviews
* Provided written informed consent (adolescent and guardian)

Exclusion Criteria

* Presence of neurological or cognitive conditions interfering with communication
* Withdrew before completing the intervention program
* Declined audio recording of interviews
Minimum Eligible Age

10 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Scientific and Technological Research Council of Turkey

OTHER

Sponsor Role collaborator

Hasan Kalyoncu University

OTHER

Sponsor Role lead

Responsible Party

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Merve Karatel

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Hasan Kalyoncu University

Gaziantep, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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ADNAN BATUHAN COŞKUN, PhD

Role: CONTACT

+905323901464

MERVE KARATEL, PhD

Role: CONTACT

+905348293531

Facility Contacts

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MERVE KARATEL, PhD

Role: primary

+905348293531

References

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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.

Reference Type RESULT
PMID: 29435499 (View on PubMed)

Related Links

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Other Identifiers

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323s271

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

2025/060

Identifier Type: -

Identifier Source: org_study_id

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