Artificial Intelligence-Based Postural Feedback for Scoliosis
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age10-18
SponsorMahidol University
About this trial
Due to advancements in technology, Posture-Analyzing and Virtual Reconstructing (PAViR) systems were developed. They used Red-Green-Blue-Depth camera sensors and artificial intelligence to evaluate human posture alignment, muscle balance, and movement without the use of radiation or physical markers. This technology served as a portable, X-ray-like device that was safe and user-friendly, providing detailed views of bone and muscle models alongside easy-to-understand 3D visualizations. However, how to utilize the data obtained from PAViR to support traditional treatment remained unclear. To fill this gap, this study aimed to investigate the effects of AI-based postural feedback on posture correction in patients with idiopathic scoliosis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of adolescent idiopathic scoliosis (AIS) by a physician.
Aged between 10 and 18 years.
Cobb angle between 10 and 40 degrees.
Disqualifiers
Leg length discrepancy greater than 2 cm, measured from the anterior superior iliac spine (ASIS) to the lateral malleolus.
Previous history of spinal surgery.
Musculoskeletal or neurological injuries that affect balance and gait.
Inability to follow the research procedures.
Trial design
Design model
Parallel
Treatments tested in this trial
Postural feedback
Other interventionThe physical therapist reported the findings from the PAViR system to the participants during a 10-minute session. Data regarding skeletal alignment and muscle imbalances were provided to enhance participants' self-awareness of their specific postural issues. Furthermore, these insights were integrated into the subsequent training sessions for the experimental group.
Physical therapy for scoliosis
Other interventionThe physical therapist conducted 60-minute sessions. These sessions were grounded in the principles of the Schroth Method and Physiotherapeutic Scoliosis-Specific Exercises (PSSE).
Treatment groups
30 Participants
are divided into 2 treatment groupsGroup A: AI-Based Postural Feedback GroupExperimental treatment 2 interventions
Group B: Conventional Postural Feedback GroupActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
REEDCO postural score
The REEDCO Posture Assessment was used to evaluate postural scores during comfortable standing and postural self-correction.
Time frame
before and immediately after intervention2
Angle of trunk rotation
A scoliometer was used to evaluate the angle of trunk rotation during Adam's Forward Bend Test.
Time frame
before and immediately after intervention3
Postural Variables Derived from a 3D Motion Analysis System
A 3D motion analysis system (VICON Motion Systems Ltd., Oxford, UK) was used to evaluate postural variables during comfortable standing, postural self-correction, and the Adam's Forward Bend Test.
Time frame
before and immediately after intervention4
Postural Variables Derived from a PAViR System
A PAViR system (MGsolutions Inc., Seoul, South Korea) was used to evaluate postural variables during comfortable standing, postural self-correction, and the Adam's Forward Bend Test.
Time frame
before and immediately after interventionSecondary outcomes
1
Illness Perception
The Brief Illness Perception Questionnaire (IPQ-B) was an accurate and valid assessment tool to measure and monitor illness perceptions. It consisted of nine items rated on a scale from 0 (minimum) to 10 (maximum). The first five assessed cognitive perceptions such as the effect on life (item 1); duration of illness (item 2); control over illness (item 3); beliefs about the effectiveness of treatment (item 4); and experience of symptoms (item 5). Items 6 and 8 assessed emotional aspects, which included concern about the illness and a multifaceted question about mood. Item 7 assessed the degree of understanding of the illness. The final item was open-ended, asking respondents to rank the three most important factors causing their illness.
Time frame
before and immediately after intervention2
Exercise Motivation
The Behavioral Regulation in Exercise Questionnaire-2 (BREQ-2) was a 19-item questionnaire that measured the stages of the self-determination continuum with respect to motivation to exercise using a 5-point Likert scale (0 = not true for me, 4 = very true for me) and was modified by Markland and Tobin. The version by Markland and Tobin added an amotivation factor to the original external, introjected, identified, and intrinsic regulation factors.
Time frame
before and immediately after interventionSponsors and contacts
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Source ClinicalTrials.gov
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