[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100652563":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":26,"centralContacts":31,"locations":37,"responsibleParty":51,"collaborators":26,"id":55,"slug":56,"hasResults":57,"nctId":58,"briefTitle":59,"officialTitle":60,"acronym":26,"eligibilityCriteria":61,"healthyVolunteers":57,"sex":62,"minAge":63,"maxAge":64,"enrollmentInfo":65,"targetDuration":26,"studyType":68,"phases":69,"briefSummary":71,"conditions":72,"keywords":75,"overallStatus":82,"whyStopped":26,"lastUpdateSubmitDate":83,"lastUpdatePostDateStruct":84,"startDateStruct":87,"completionDateStruct":89,"leadSponsor":91,"locationsCount":92},{"fullName":5,"class":6},"Istanbul University - Cerrahpasa","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Control Group","ACTIVE_COMPARATOR","Participants in the control group will receive a standard exercise program for 8 weeks. The program will be supervised by a physiotherapist twice a week, with each session lasting approximately 45 minutes. The program will include warm-up, spinal mobility exercises, stretching exercises, postural exercises, trunk stabilization exercises, lower extremity strengthening exercises, breathing exercises, and cool-down.",[13],"Behavioral: Standard Exercise Program",{"label":15,"type":16,"description":17,"interventionNames":18},"Postural Biofeedback Group","EXPERIMENTAL","Participants in the intervention group will receive the same standard exercise program as the control group for 8 weeks, supervised by a physiotherapist twice a week for approximately 45 minutes per session. In addition, participants will use a wearable postural biofeedback device (Kodgem Straight™, Türkiye) three days per week for at least 3 hours per day during activities requiring prolonged static posture. The device will provide vibrotactile feedback when a predefined postural threshold is exceeded.",[13,19],"Behavioral: Wearable Postural Biofeedback",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"BEHAVIORAL","Standard Exercise Program","Participants in both study groups will receive a standard exercise program for 8 weeks, with two physiotherapist-supervised sessions per week and approximately 45 minutes per session. The program will include warm-up, spinal mobility exercises, stretching exercises, postural exercises, trunk stabilization exercises, lower extremity strengthening exercises, breathing exercises, and cool-down. Exercises will be performed at moderate intensity according to the participant's clinical condition and exercise tolerance. Set number, repetitions, and resistance will be progressively increased by the physiotherapist according to individual performance.",[9,15],null,{"type":22,"name":28,"description":29,"armGroupLabels":30,"otherNames":26},"Wearable Postural Biofeedback","Participants in the intervention group will additionally use a wearable postural biofeedback device (Kodgem Straight™, Türkiye) for 8 weeks. The device uses inertial sensors to monitor the position of the upper thoracic region in real time and provides vibrotactile feedback when a predefined postural threshold is exceeded. The device will be individually calibrated before use. Participants will be instructed to use the device three days per week for at least 3 hours per day during activities requiring prolonged static posture, such as desk work, computer use, meal preparation, or ironing. Device adherence will be monitored and recorded by the researcher.",[15],[32],{"name":33,"role":34,"phone":35,"phoneExt":26,"email":36},"Melike N Can, PT","CONTACT","+905449051387","melikenrcan@gmail.com",[38],{"facility":39,"status":26,"city":40,"state":40,"zip":41,"country":42,"countryCode":26,"cosmosGeoPoint":43,"geoPoint":48,"contacts":49},"Istanbul University-Cerrahpasa, Faculty of Health Sciences","Istanbul","34500","Turkey (Türkiye)",{"type":44,"coordinates":45},"Point",[46,47],28.94966,41.01384,{"lat":47,"lon":46},[50],{"name":33,"role":34,"phone":35,"phoneExt":26,"email":36},{"type":52,"investigatorFullName":53,"investigatorTitle":54,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"PRINCIPAL_INVESTIGATOR","Melike Nur CAN","Principal Investigator","100652563","the-effect-of-postural-bofeedback-on-dsease-actvty-and-pan-n-indvduals-wth-axal-spondyloarthrts-100652563",false,"NCT07776652","Postural Biofeedback and Exercise in Axial Spondyloarthritis","The Effect of Postural Biofeedback on Disease Activity and Pain in Individuals With Axial Spondyloarthritis","Inclusion Criteria:\n\n* Be between 18 and 65 years of age.\n* Have a diagnosis of ankylosing spondylitis or axial spondyloarthritis according to the modified New York or ASAS classification criteria.\n* Have had stable medical treatment with no changes in medication during the previous 3 months.\n* Have axial\u002Fspinal pain intensity of at least 4 out of 10 on the Numeric Pain Rating Scale during the previous week.\n* Be able to walk independently.\n* Voluntarily agree to participate in the study and provide written informed consent.\n\nExclusion Criteria:\n\n* History of spinal surgery within the previous 6 months.\n* Any change in medical treatment, including biological agents or analgesic treatment, within the previous 3 months.\n* Presence of fibromyalgia or another secondary chronic pain syndrome that may substantially affect pain perception.\n* Serious cardiopulmonary, neurological, or orthopedic conditions that prevent participation in exercise.\n* Pregnancy.\n* Dermatological or allergic skin reactions or other skin conditions that prevent the use of the wearable device.\n* Regular participation in a structured exercise or rehabilitation program supervised by a physiotherapist for axial spondyloarthritis within the previous 3 months.","ALL","18 Years","65 Years",{"count":66,"type":67},38,"ESTIMATED","INTERVENTIONAL",[70],"NA","The goal of this clinical trial is to learn whether adding a wearable postural biofeedback device to a standard exercise program affects disease activity, pain, and functional parameters in individuals with axial spondyloarthritis. The main questions it aims to answer are:\n\nDoes adding postural biofeedback to a standard exercise program improve disease activity? Does adding postural biofeedback to a standard exercise program reduce pain? Does adding postural biofeedback improve functional parameters, including spinal mobility, quality of life, posture, and functional exercise capacity?\n\nResearchers will compare a standard exercise program with the same exercise program combined with a wearable postural biofeedback device to determine whether the addition of postural biofeedback provides greater benefits.\n\nParticipants will:\n\nParticipate in a physiotherapist-supervised standard exercise program twice a week for 8 weeks Use the wearable postural biofeedback device three days per week for at least 3 hours per day during prolonged static posture activities if assigned to the intervention group Complete assessments before and after the 8-week intervention, including measures of disease activity, pain, physical function, spinal mobility, quality of life, posture, and functional exercise capacity",[73,74],"Axial Spondyloarthritis (AxSpA)","Ankylosing Spondylitis (AS)",[76,77,78,79,80,81],"Axial Spondyloarthritis","Biofeedback","Postural Biofeedback","Exercise Therapy","Posture","Disease Activity","NOT_YET_RECRUITING","2026-08-19",{"date":85,"type":86},"2026-08-21","ACTUAL",{"date":88,"type":67},"2026-10-01",{"date":90,"type":67},"2027-06-30",{"name":5,"class":6},1]