Basic Body Awareness Therapy Added to Scoliosis-Specific Exercise in Adolescents With Scoliosis

Официальное название

Effects of Integrating Basic Body Awareness Therapy Into Scoliosis-Specific Exercises on Body Awareness, Quality of Life, and Scoliosis-Related Outcomes in Adolescents With Idiopathic Scoliosis: A Randomized Controlled Trial

Обзор

The goal of this randomised clinical trial is to evaluate whether adding Basic Body Awareness Therapy (BBAT) to scoliosis-specific exercises can improve body awareness, quality of life and scoliosis-speficic outcomes in adolescents aged 10-17 years with adolescent idiopathic scoliosis (AIS). The main questions it aims to answer are: Does the addition of BBAT to scoliosis-specific exercises lead to greater improvements in body awareness compared to scoliosis-specific exercises alone? Does adding BBAT improve trunk proprioception, scoliosis-related parameters, and health-related quality of life in adolescents with AIS? H1: Adolescents with idiopathic scoliosis who receive Basic Body Awareness Therapy in addition to scoliosis-specific exercises will demonstrate greater improvements in body awareness compared to those receiving scoliosis-specific exercises alone. H2: Adolescents receiving Basic Body Awareness Therapy in addition to scoliosis-specific exercises will demonstrate greater improvements in scoliosis-related clinical parameters compared to those receiving scoliosis-specific exercises alone. H3: Adolescents receiving Basic Body Awareness Therapy in addition to scoliosis-specific exercises will demonstrate greater improvements in both general and scoliosis-specific quality of life compared to those receiving scoliosis-specific exercises alone.

Подробное описание

Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity that may affect not only spinal alignment but also postural control and body perception. Recent evidence suggests that, beyond structural deformity, alterations in sensory integration and body awareness may contribute to postural asymmetry in individuals with AIS. These findings highlight the importance of addressing both structural and perceptual components in rehabilitation.

Physiotherapeutic scoliosis-specific exercises (PSSE) are widely used in the conservative management of AIS and aim to improve spinal alignment through active self-correction and functional stabilization. While PSSE has demonstrated positive effects on scoliosis-related clinical outcomes, its effects on perceptual aspects such as body awareness remain less explored. Therefore, integrating interventions that specifically target body awareness may enhance rehabilitation outcomes.

Basic Body Awareness Therapy (BBAT) is a movement-based approach that focuses on posture, movement quality, breathing, and awareness of bodily sensations. By promoting conscious perception of body alignment and movement, BBAT may support improvements in postural control and functional organization in individuals with AIS. For this reason, BBAT was incorporated as a complementary intervention alongside PSSE.

This study is designed as a randomized controlled trial to investigate the effects of adding BBAT to a PSSE-based rehabilitation program. Participants will be randomly assigned to either a control group receiving PSSE alone or an intervention group receiving PSSE combined with BBAT. Both groups will participate in supervised sessions once per week for 6 months and perform home-based exercises on the remaining days.

Outcome measures will include body awareness, health-related quality of life, and scoliosis-specific clinical parameters. Assessments will be conducted at baseline and after 6 months.

This study aims to determine whether the addition of BBAT to conventional exercise-based rehabilitation provides additional benefits in adolescents with AIS.

Вмешательства

• Другое Scoliosis-specific exercises
  This approach aims to improve spinal stabilization and postural control through active self-correction. Exercises are performed in basic positions and progressively advance to more complex functional tasks according to individual ability. The program follows a structured yet individualized approach tailored to each participant's needs. All exercises are administered and supervised by an experienced, certified physiotherapist.
• Другое Awareness therapy
  BBAT sessions include movements performed in basic and functional positions such as lying, sitting, standing, and walking, integrated with breathing and awareness of bodily sensations. The program aims to improve body awareness, movement quality, and postural control through slow, rhythmic, and coordinated movements. Movements emphasize grounding, alignment of body segments, weight transfer, and coordinated breathing. Participants are instructed to perform movements slowly and with attention to

Первичные конечные точки

• Body Awareness Questionnaire (BAQ) [Срок оценки: 6 months]
• Awareness Body Chart (ABC) [Срок оценки: 6 months]
• The Pediatric Quality of Life Inventory (PedsQL) [Срок оценки: 6 months]
• The Japanese Scoliosis Questionnaire-27 (JSQ-27) [Срок оценки: 6 months]

Вторичные конечные точки (5)

• Curve magnitude- Cobb angle method [Срок оценки: 6 months]
• Axial Trunk Rotation (ATR) [Срок оценки: 6 months]
• Posterior Trunk Symmetry Index [Срок оценки: 6 months]
• Anterior Trunk Symmetry Index [Срок оценки: 6 months]
• Exercise Adherence [Срок оценки: 6 months]

Критерии участия

Критерии включения

• Diagnosed of adolescent idiopathic scoliosis
• Age between 10 and 17 years
• Cobb angle ≥15°
• No previous or concurrent scoliosis treatment
• Risser sign between 0 and 4

Критерии исключения

• Evidence of congenital scoliosis or other spinal deformities (e.g., hyperkyphosis, pectus deformities)
• Diagnosis of neuromuscular, rheumatologic, neurological, cardiovascular, pulmonary disorders
• Regular participation in sports
• History of spinal orthosis use or scoliosis surgery.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Двойное слепое

Основная цель

Другое

Центры проведения

Turkey (Türkiye) · 1 центр

• Hacettepe University Faculty of Physical Therapy and Rehabilitation, Orthotics and Biomech — Ankara

Идентификаторы

NCT: NCT07500883 · HU-SNYaylaci-002

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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