Augmented Reality-Based Exercise Training in Adolescents With Idiopathic Scoliosis

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

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-01-01

Study Completion Date

2025-09-01

Brief Summary

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This randomized controlled trial investigates the effects of augmented reality (AR)-based exercise training in adolescents with idiopathic scoliosis. Participants are randomly assigned to either a control group receiving conventional Physiotherapeutic Scoliosis-Specific Exercises (PSSE-Schroth) or an intervention group receiving AR-assisted PSSE-Schroth exercises. The primary outcomes include body awareness, trunk appearance perception, and exercise adherence. The study aims to evaluate whether AR-assisted training provides additional benefits over conventional therapy in improving postural control, perception, and compliance in scoliosis management.

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Detailed Description

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Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity that may negatively affect posture, body image, and adherence to exercise-based rehabilitation. While Physiotherapeutic Scoliosis-Specific Exercises (PSSE-Schroth) are widely accepted as a conservative treatment method, adherence and perception-related factors remain challenging.

This study is designed as a parallel-group, randomized controlled trial comparing conventional PSSE-Schroth exercises with AR-assisted PSSE-Schroth training. A total of 30 adolescents diagnosed with AIS were enrolled and randomized into two groups:

Control Group: received supervised PSSE-Schroth exercises.

Intervention Group: received supervised AR-assisted PSSE-Schroth exercises.

The intervention lasted 12 weeks, and participants were evaluated at baseline and post-intervention.

Primary outcome measures include body awareness (Awareness-Body-Chart), trunk appearance perception (Walter Reed Visual Assessment Scale, Spinal Appearance Questionnaire), and exercise adherence (Exercise Adherence Rating Scale).

Secondary outcome measures include Cobb angle, vertebral rotation, pain intensity, and treatment satisfaction.

The study hypothesizes that AR-assisted PSSE-Schroth training will enhance body awareness, improve trunk appearance perception, and increase adherence compared to conventional methods. This research may provide new insights into integrating digital technologies into scoliosis rehabilitation and contribute to developing innovative, patient-centered approaches in physiotherapy.

Conditions

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Adolescent Idiopathic Scoliosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants were randomly allocated to either the control group (conventional PSSE-Schroth) or the intervention group (AR-assisted PSSE-Schroth). Both groups received supervised exercise training over 12 weeks.

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Outcome assessors were blinded to group allocation to reduce assessment bias. Participants and care providers were not blinded due to the nature of the intervention.

Study Groups

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Control - Conventional PSSE-Schroth

Participants in this group received supervised conventional Physiotherapeutic Scoliosis-Specific Exercises (PSSE-Schroth) for 4 weeks. The program included one 45-minute supervised session per week, complemented by home exercises. Established scoliosis rehabilitation protocols focusing on posture correction, breathing, and spinal alignment were followed.

Group Type ACTIVE_COMPARATOR

Conventional PSSE-Schroth

Intervention Type BEHAVIORAL

Participants performed conventional Physiotherapeutic Scoliosis-Specific Exercises (PSSE-Schroth) for 4 weeks. The program consisted of one 45-minute supervised session per week complemented by home-based exercises. The exercises focused on posture correction, spinal alignment, and corrective breathing techniques according to standard scoliosis rehabilitation protocols.

Experimental - AR-assisted PSSE-Schroth

Participants in this group received supervised augmented reality (AR)-assisted Physiotherapeutic Scoliosis-Specific Exercises (PSSE-Schroth) for 4 weeks. The intervention included one 45-minute supervised session per week, supplemented with home exercises. Augmented reality technology was used to provide real-time visual and kinesthetic feedback, aiming to enhance posture correction, breathing patterns, and spinal alignment.

Group Type EXPERIMENTAL

AR-Assisted PSSE-Schroth

Intervention Type BEHAVIORAL

Participants performed Physiotherapeutic Scoliosis-Specific Exercises (PSSE-Schroth) enhanced with augmented reality (AR) support for 4 weeks. The intervention included one 45-minute supervised session per week, plus home-based exercises. The AR system provided real-time visual and kinesthetic feedback during exercise sessions to improve body awareness, trunk appearance perception, and adherence.

Interventions

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Conventional PSSE-Schroth

Participants performed conventional Physiotherapeutic Scoliosis-Specific Exercises (PSSE-Schroth) for 4 weeks. The program consisted of one 45-minute supervised session per week complemented by home-based exercises. The exercises focused on posture correction, spinal alignment, and corrective breathing techniques according to standard scoliosis rehabilitation protocols.

Intervention Type BEHAVIORAL

AR-Assisted PSSE-Schroth

Participants performed Physiotherapeutic Scoliosis-Specific Exercises (PSSE-Schroth) enhanced with augmented reality (AR) support for 4 weeks. The intervention included one 45-minute supervised session per week, plus home-based exercises. The AR system provided real-time visual and kinesthetic feedback during exercise sessions to improve body awareness, trunk appearance perception, and adherence.

Intervention Type BEHAVIORAL

Other Intervention Names

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Schroth Method Augmented Reality Exercise Training

Eligibility Criteria

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Inclusion Criteria

Adolescents clinically diagnosed with idiopathic scoliosis (AIS)

Cobb angle between 10° and 30°

Age range: 10-18 years

No history of spinal surgery

Ability to regularly participate in the exercise program

Signed informed consent obtained from both participants and their parents

Exclusion Criteria

Diagnosis of neuromuscular, congenital, or secondary scoliosis

Previous history of spinal surgery

Presence of severe cardiovascular, respiratory, or musculoskeletal conditions preventing participation in exercise

Visual, auditory, or perceptual impairments that would hinder participation in augmented reality-based training

Concurrent participation in another physiotherapy or rehabilitation program during the study period

Minimum Eligible Age

10 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes