Actively Recruiting

Phase Not Applicable
Age: 10Years - 18Years
All Genders
ID06416579

Comparison of the Efficiency of Schroth Method and Schroth Method Based Virtual Reality Exercises in Individuals With Adolescent Idiopathic Scoliosis

Led by Istanbul University - Cerrahpasa · Updated on 2024-06-24

48

Participants Needed

1

Research Sites

21 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are investigating treatments for adolescent idiopathic scoliosis (AIS), a three-dimensional spinal deformity with unknown cause. This study evaluates the effects of Schroth-based virtual reality exercises compared to traditional Schroth exercises on spinal and postural parameters in adolescents with AIS. The study aims to improve spinal curvature, trunk rotation, and spinal mobility, addressing challenges in long-term treatment adherence and motivation among young patients. Participants will be randomly assigned to one of three groups: a Schroth exercise group, a Schroth method-based virtual reality group using Nintendo Wii games, or a control group on a waiting list. Both exercise groups will follow a 24-week program with supervised sessions twice a week for 12 weeks, then once a week for 12 weeks, totaling 36 sessions. The virtual reality program includes warm-up, balance and sports games, and cool-down, with progression by difficulty and positioning. Control participants will continue usual activities without intervention. Participants will be assessed at baseline, 12 weeks, and 24 weeks for spinal parameters, trunk rotation, spinal mobility, muscle strength, endurance, proprioception, posture symmetry, deformity perception, quality of life, and satisfaction. Researchers will monitor adherence via home exercise reporting during sessions. The study measures outcomes to compare the two exercise methods and understand their impact on scoliosis management in adolescents.

CONDITIONS

Brief Title

Comparison of the Efficiency of Schroth Method and Virtual Reality Exercises in Individuals With AIS

Who Can Participate

Age: 10Years - 18Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosed with adolescent idiopathic scoliosis by an orthopedic specialist
  • Aged between 10 and 15 years
  • Risser stage between 0 and 3
  • Cobb angle between 10 and 30 degrees on anteroposterior radiograph
  • Major curvature located in the lumbar region
  • No pulmonary or rib cage diseases such as rib fracture, atelectasis, or asthma
  • Ability to understand and follow instructions
  • Volunteering to participate in the study
Not Eligible

You will not qualify if you...

  • Using a brace
  • Received any scoliosis treatment or spine surgery within the last year
  • Any contraindications to exercise
  • Neuromuscular, orthopedic, or rheumatic diseases, vestibular problems, vision-related diseases, or mental health issues affecting balance
  • Engaged in other exercises or physical activities that affect trunk muscle strength or balance
  • Any problem affecting walking other than scoliosis
  • Inability to understand and follow instructions

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 24 weeks

Participants receive either Schroth exercises or Schroth method-based virtual reality exercises supervised by a physiotherapist, or continue their routine physical activities if assigned to the control group. Exercise sessions occur 2 days a week for 12 weeks and 1 day a week for the next 12 weeks, totaling 36 sessions over 24 weeks. Home exercises are also included on non-session days.

Up to 36 supervised exercise sessions over 24 weeks

Follow-up Evaluations

Duration - 24 weeks concurrent with treatment

Participants undergo evaluations of spinal parameters, trunk rotation, spinal mobility, proprioception, muscle strength and endurance, posture symmetry, deformity perception, quality of life, and satisfaction at baseline, 12 weeks, and 24 weeks.

3 assessment visits (baseline, 12 weeks, 24 weeks)

Trial Site Locations

Total: 1 location

1

İrem Kurt

Istanbul, Turkey (Türkiye), 34147

Actively Recruiting

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Research Team

İ

İrem KURT ULUSOY, PhD(C)

İ

İpek YELDAN

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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