Effectiveness of Virtual Reality- Based Rehabilitation Program in Individuals With Adolescent Idiopathic Scoliosis After Posterior Fusion Surgery
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Adolescent Idiopathic Scoliosis (AIS)
- Sponsor
- Elif Yagmur Ozger
- Enrollment
- 28
- Locations
- 1
- Primary Endpoint
- Spinal Mobility
- Status
- Enrolling by Invitation
- Last Updated
- 9 months ago
Overview
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.
Investigators
Elif Yagmur Ozger
Sponsor-Investigator
Istanbul University - Cerrahpasa
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
Outcomes
Primary Outcomes
Spinal Mobility
Time Frame: 6 weeks
The spinal mobility of the participants will be measured with the modified Schober test before and after 6 weeks of treatment. When the person is in an upright position, the lumbosacral junction and 10 cm above will be marked, and a third marker will be placed 5 cm below the lumbosacral junction. After the anterior flexion, which is performed as far forward as possible, the distance between the top and bottom deceleration will be measured and the test will be terminated.
Respiratory Muscle Strength
Time Frame: 6 weeks
The respiratory muscle strength of the participants will be measured according to the criteria of the American Thoracic Society /European Respiratory Society using a portable, electronic intraoral pressure measuring device. After the maximum expiration, the participant will be asked to perform maximal inspiration lasting at least 1.5 seconds in the residual volume. At the total lung capacity after maximum inspiration, the person will be asked to perform a maximum expiration lasting at least 1.5 seconds against the closed system. The tests will be applied in a sitting position with the nose closed with a soft latch. Of at least three measurements that are technically acceptable and do not differ by more than 5 cmH₂O from each other, the highest one will be recorded.
Secondary Outcomes
- Spinopelvic Parameters(6 weeks)
- Physical Activity(6 weeks)
- Kinesiophobia(6 weeks)
- Scoliosis Quality of Life(6 weeks)