Augmented Reality-Based Exercise Training in Adolescents With Idiopathic Scoliosis

N/ACompletedNCT07201103

Hasan Kalyoncu University30 enrolled

Overview

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.

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

Interventions

Conventional PSSE-SchrothBEHAVIORAL

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.

AR-Assisted PSSE-SchrothBEHAVIORAL

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.

Eligibility

Sex: ALLMin age: 10 YearsMax age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

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

Outcomes

Primary Outcomes

Change in Body Awareness (ABC - Vücut Farkındalık Çizelgesi)

Body awareness will be assessed using the standardized Awareness-Body-Chart (ABC). Participants rate awareness of different body regions, and a total score is calculated. The outcome is the change in total ABC score from baseline (T0) to the end of intervention (T4, 4th week). A higher score indicates greater body awareness.

Time frame: Baseline (T0) and 4 weeks after intervention (T4).