Clinical trial NCT05901792: Effect of VRGs on Changing the Center of Gravity Location in AIS
Official title: The Effect of Virtual Reality Games on Changing the Center of Gravity Location in Children With Adolescent Idiopathic Scoliosis
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Adolescent Idiopathic Scoliosis
Keywords: Body statics
spine
rehabilitation technology
Posture
Virtual Reality Games
Center of gravity
Active video games
Scoliosis
Adolescent Idiopathic Scoliosis
Lead sponsor: Istanbul University - Cerrahpasa
Sponsor class: OTHER
First posted: 2023-06-13
Enrollment: 28
Sex: ALL
Minimum age (years): 11
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: FACTORIAL
Primary purpose: TREATMENT

Brief summary: The purpose of this clinical trial is to examine the effect of virtual reality games (VRG) on changing the location of the center of gravity in children with adolescent idiopathic scoliosis (AIS).

Twenty-four patients with AIS will be randomly allocated to two groups. The intervention group will apply to the virtual reality games and basic correction exercises group for six weeks (18 sessions). The control group will be given the basic correction exercises. Patients' center of gravity (Physiosoft Balance System), posture parameters (PostureScreen Mobile, Posterior Trunk Asymmetry Index (POTSI) and Anterior Trunk Asymmetry Index (ATSI)), cosmetic perception (Walter Reed Visual Evaluation Scale (WRVAS)) will assess at the first session and the end of 6 weeks.

Detailed description: The most common type of scoliosis is adolescent idiopathic Scoliosis (AIS). It affects 1-4% of adolescents. AIS is associated with cosmetic problems, pain, functional limitations, respiratory dysfunction and a decrease in quality of life. Although scoliosis is characterized by lateral spinal deviation, it causes a three-dimensional deformity with geometric and morphological changes in the trunk and rib cage. The main changes are postural changes in the orientation of the head, shoulders, scapula and pelvis in all three planes, but more specifically rotations of body segments in the horizontal plane. Spinal deformity not only changes the shape of the trunk, but also the relationships between body segments. Therefore, it leads to an abnormal change in the center of gravity. While various treatment approaches are recommended in the management of AIS to overcome these and other complications, scoliosis-specific corrective exercises are almost always part of the treatment plan for individuals with AIS. However ,Virtual Reality Games (VRGs) have recently been used in health and rehabilitation research due to recent technological developments and changes. In the literature, VRGs have been shown to have a positive effect on changing the position of the center of gravity in different rehabilitation areas. However, there is no study examining the effect of the use of VRGs on the chaning of the center of gravity Location in the treatment of AIS.

Eligibility criteria: Inclusion Criteria:

* Being diagnosed with Adolescent Idiopathic Scoliosis
* Being the Cobb angle between 10 and 25 degrees on the anteroposterior radiograph
* Being between the ages of 11 and 18
* Volunteering to participate in the study

Exclusion Criteria:

* Having a history of spinal surgery and/or tumors
* Using braces and insoles
* Having a positive result of sharpened Romberg and Unterberger test
* Having orthopedic problems affecting the lower extremities that may affect balance
* Having problems with vision and/or hearing
* Having a communication disability
* Having difficulty with understanding given commands
* Having neurological or cognitive impairments
* Receiving conservative treatment for AIS

Primary outcomes:
measure: Center of gravity
timeFrame: { 6 weeks}
Secondary outcomes:
measure: Frontal-sagittal plan posture evaluation
timeFrame: { 6 weeks}
measure: Body Symmetry-Posterior
timeFrame: { 6 weeks}
measure: Body Symmetry-Anterior
timeFrame: { 6 weeks}
measure: Deformity perception assessment
timeFrame: { 6 weeks}
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Istanbul University-Cerrahpasa
Study officials:
affiliation: Istanbul University - Cerrahpasa
name: Ayse Zengin Alpozgen, Asst. Prof.
role: PRINCIPAL_INVESTIGATOR
References: