Manual Therapy and Virtual Reality Supported in Patient With Adolescent Idiopathic Scoliosis
Condition: Adolescent Idiopathic Scoliosis
MeSH terms: Scoliosis
Study type: Interventional

Summary: 
      Adolescent Idiopathic Scoliosis is a three-dimensional deformity of the trunk and spine of
      unknown cause seen in adolescents. There are various conservative treatment methods to treat
      scoliosis. Manual therapy and exercises are a few of these treatments. There are studies
      showing that manual therapy reduces the severity of curvature, increases range of motion,
      modulates tissue/muscle extensibility, improves soft tissue movement limitation, relieves
      pain, and increases psychological well-being in scoliosis patients. In order to treat
      scoliosis, there are various exercise applications that are applied specifically to
      scoliosis, from physiotherapy applications. Core stabilization is one of the exercise methods
      that aim to keep the spine in the center.

      Virtual reality, on the other hand, is a three-dimensional simulation model that gives its
      participants the feeling of reality and allows mutual communication with a dynamic
      environment created by computers. Virtual reality is a method that provides the opportunity
      to work with task-based techniques by creating stimulating and entertaining environments,
      using people's interests and motivations. In a study, it was stated that two of the
      scoliosis-specific exercises were done through video-assisted games, but they stated that
      there was no difference because the number of exercises was low. Therefore, in this study, it
      was aimed to apply core stabilization exercises to scoliosis patients with virtual reality
      application and to investigate their effects on recovery in patients. In addition, it is
      planned to investigate whether the severity of the curvature in patients decreases further
      and whether it has an effect on other healing parameters by using the virtual reality
      treatment application together with manual treatment.
    

Detailed description: 
      Male and female volunteer patients who were diagnosed with "Adolescent Idiopathic Scoliosis"
      and referred to physical therapy and met the inclusion criteria will be included in the
      study. Patients whose families and themselves agreed to participate voluntarily in this study
      will be randomly divided into three groups and included in the study. Virtual reality
      supported core stabilization exercises (stability enhancing exercises for the muscles around
      the spine), manual therapy (mobilization for the spine, mobilization and relaxation methods
      for the soft tissues around the spine) techniques for the second group, and both virtual
      reality supported core stabilization exercises and exercises for the third group were given
      to the third group. Manual therapy techniques will also be applied. The treatment program was
      planned as a total of 16 sessions, 2 days a week for 8 weeks. This study was planned as
      single-blind for the purpose of impartiality of the evaluation.
    

Intervention name(s): Manual therapy; Virtual reality
Intervention type(s): Other; Other
Intervention description(s): Mobilization for the spine, mobilization and relaxation methods for the soft tissues around the spine will be performed.; Virtual reality supported core stabilization exercises will be performed.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Care Provider, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Adolescent idiopathic scoliosis; Manual therapy; Virtual reality; Core stabilization exercises