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Virtual Reality-based Schroth Exercise Versus Traditional Schroth Exercise on Trunk Kinematics in Scoliosis

ConditionsScoliosisScoliosis Idiopathic
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age10-19
SponsorCairo University

About this trial

The study will be conducted to compare three-dimensional trunk kinematics (rotation, tilt, and flexion/extension) and quality of life among adolescents with idiopathic scoliosis receiving traditional Schroth physiotherapeutic scoliosis-specific exercises, Schroth exercises combined with immersive virtual reality using Meta Quest 2 (OhShape), and Schroth exercises combined with low-cost mobile virtual reality using Google Cardboard with a gaze-controlled game.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age: 10-19 years.

Diagnosed adolescent idiopathic scoliosis (AIS) confirmed by spinal radiography .

Cobb angle between 20° and 35° (moderate curve, below surgical threshold).

No prior spinal surgery.

Disqualifiers

Secondary scoliosis (neuromuscular or post-surgical scoliosis).

Severe structural deformity (Cobb angle >50° or severe vertebral rotation).

Neurological or neuromuscular disorders affecting balance or proprioception.

Active orthopedic injury or recent surgery (<2 years) involving the spine or lower extremities.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Traditional schroth supervised exercise

    Other intervention

    participants will perform traditional supervised Schroth physiotherapeutic scoliosis-specific exercises. The intervention consists of two supervised sessions per week, 45 minutes each, for 12 weeks

  • OhShape virtual reality gameplay environment

    Other intervention

    OhShape is a posture-matching rhythm-based VR game that requires users to perform precise trunk and body movements in response to visual and auditory cues, thereby promoting postural awareness, motor coordination, and movement accuracy. The Meta Quest 2 headset provides a fully immersive virtual reality experience with six degrees of freedom (6DOF) head and body tracking, allowing real-time spatial interaction and posture-based feedback during exercise execution.

  • Google Cardboard Mobile Virtual reality Zombie Shooter

    Other intervention

    It is a low-cost mobile virtual reality (VR) intervention delivered via Google Cardboard. A custom Unity-based zombie-shooting VR game will be used, in which participants are required to maintain the corrected Schroth posture while engaging in a gaze-controlled shooting task, using head and trunk alignment to aim and interact with virtual targets. Mobile VR platforms such as Google Cardboard provide three degrees of freedom (3DOF) tracking and represent an accessible, low-cost alternative to high-end immersive VR systems.

Treatment groups

54 Participants
are divided into 3 treatment groups
Group A: Traditional supervised exercise groupActive comparator 1 intervention
Group B: Schroth scoliosis-specific exercises and OhShape virtual reality groupExperimental treatment 2 interventions
Group C: Schroth scoliosis specific exercise and Google Cardboard Mobile virtual reality Zombie ShooterExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Trunk kinematics: Trunk rotation angle (Yaw)

Derived from gyroscope data(gyroZ) using wearable inertial measurement units (IMUs) to measure dynamic rotation toward midline during exercise execution.

Time frame
16 weeks

Secondary outcomes

1

Trunk kinematics: trunk tilt angle (roll/ pitch)

derived from accelerometer data (accX, accY) using IMUs to assess frontal plane trunk asymmetry correction during exercise execution.

Time frame
16 weeks
2

Trunk Kinematics: Trunk flexion/ extension angle

Derived from accelerometer data relative to gravity using wearable inertial measurement unit (IMUs) to monitor sagittal plane alignment during exercise execution.

Time frame
16 weeks
3

Corrected posture holding time

The cumulative duration (seconds ) and percentage of session time during which participants maintain the predefined curve specific corrected trunk posture within acceptable angular deviation threshold, quantified via real-time 50 Hz.

Time frame
16 weeks
4

Health related quality of life (SRS-22r)

Assessed using the scoliosis research society-22r questionnaire mean domain scores evaluating pain, self image, function, mental health and satisfaction. The score is graded from 1 to 5; 1 means the worst and 5 means the best quality of life.

Time frame
16 weeks

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Cairo University

Lead sponsor

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: