Clinical trial NCT06753383: Effectiveness of Virtual Reality- Based Rehabilitation Program in Individuals With Adolescent Idiopathic Scoliosis After Posterior Fusion Surgery
Official title: Effectiveness of Virtual Reality- Based Rehabilitation Program in Individuals With Adolescent Idiopathic Scoliosis After Posterior Fusion Surgery
Study type: INTERVENTIONAL
Overall status: ENROLLING_BY_INVITATION
Phase: NA
Conditions: Adolescent Idiopathic Scoliosis (AIS)
Keywords: Adolescent Idiopathic Scoliosis
virtual reality based rehabilitation
Respiratory Muscle Strength
Posterior Fusion Surgery
spinal mobility
kinesiophobia
spinopelvic parameter
Lead sponsor: Istanbul University - Cerrahpasa
Sponsor class: OTHER
Collaborators: name: Health Institutes of Turkey
First posted: 2024-12-31
Enrollment: 28
Sex: ALL
Minimum age (years): 10
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of this clinical study is to investigate the effect of virtual reality based rehabilitation program on kinesiophobia, respiratory muscle strength, spinal mobility, physical activity, spinopelvic parameters and quality of life after posterior fusion surgery in individuals diagnosed with Adolescent Idiopathic Scoliosis (AIS). The main questions it aims to answer are:

* Does a virtual reality based rehabilitation program after posterior fusion surgery have an effect on kinesiophobia, respiratory muscle strength, spinal mobility, physical activity, spinopelvic parameters and quality of life in individuals diagnosed with AIS?
* Is the virtual reality-based rehabilitation program after posterior fusion surgery more effective for individuals diagnosed with AIS than the routine physiotherapy and rehabilitation program applied in the clinic?

They will compare it with the \[routine physiotherapy and rehabilitation program\] to see if the virtual reality-based rehabilitation program is effective in individuals with AIS after posterior fusion.

Participants :

After being evaluated in terms of kinesiophobia, respiratory muscle strength, spinal mobility, physical activity, spinopelvic parameters and quality of life, the Virtual Reality-Based Exercise Group will be given an exercise program via the games in Kinect Sports Ultimate for 30 minutes a day for a total of 6 weeks, 2 days . At the end of the 6 week, the participants will be re-evaluated and the results will be compared according to the control group.


Eligibility criteria: Inclusion Criteria:

* Diagnosed with AIS December 10-18
* Underwent posterior spinal fusion surgery
* Post-operative (post-op) 6.during the week and after
* Absence of vision, speech and hearing problems
* Regular participation in the program to be implemented
* Volunteering of individuals

Exclusion Criteria:

* Have a history of previous spinal surgery
* Have any contraindications to exercise
* Have a mental problem
* Have a neuromuscular, mesenchymal, rheumatic disease
* Have pulmonary and cardiac complications

Primary outcomes:
measure: Respiratory Muscle Strength
timeFrame: 6 weeks
Secondary outcomes:
measure: Spinopelvic Parameters
timeFrame: 6 weeks
measure: Spinal Mobility
timeFrame: 6 weeks
measure: Kinesiophobia
timeFrame: 6 weeks
measure: Physical Activity
timeFrame: 6 weeks
measure: Quality of Life
timeFrame: 6 weeks
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Istanbul University Faculty of Medicine Department of Orthopedics and Traumatology
state: Fatih
Study officials:
affiliation: Istanbul University Faculty of Medicine Department of Orthopedics and Traumatology
name: Berk NIMETOGLU, Medical Doctor
role: STUDY_CHAIR
References:
citation: Hawes MC. The use of exercises in the treatment of scoliosis: an evidence-based critical review of the literature. Pediatr Rehabil. 2003 Jul-Dec;6(3-4):171-82. doi: 10.1080/0963828032000159202.
citation: Negrini S, Donzelli S, Aulisa AG, Czaprowski D, Schreiber S, de Mauroy JC, Diers H, Grivas TB, Knott P, Kotwicki T, Lebel A, Marti C, Maruyama T, O'Brien J, Price N, Parent E, Rigo M, Romano M, Stikeleather L, Wynne J, Zaina F. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disord. 2018 Jan 10;13:3. doi: 10.1186/s13013-017-0145-8. eCollection 2018.
citation: Dahl-Popolizio S, Loman J, Cordes CC. Comparing Outcomes of Kinect Videogame-Based Occupational/Physical Therapy Versus Usual Care. Games Health J. 2014 Jun;3(3):157-61. doi: 10.1089/g4h.2014.0002. Epub 2014 Apr 17.