Idiopathic Adolescent Scoliosis, Postural Alignment
Conditions
Keywords
artificial Intelligence, posture, scoliosis, three-dimensional imaging
Brief summary
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.
Interventions
OTHERPostural feedback
The 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.
OTHERPhysical therapy for scoliosis
The physical therapist conducted 60-minute sessions. These sessions were grounded in the principles of the Schroth Method and Physiotherapeutic Scoliosis-Specific Exercises (PSSE).
Sponsors
Mahidol University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
The assessor was blinded to the participant groups and operated independently from the intervention provider.
Intervention model description
The study was a single-blind randomized controlled trial with a 1:1 parallel-group design.
Eligibility
Sex/Gender
ALL
Age
10 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Diagnosis of adolescent idiopathic scoliosis (AIS) by a physician. * Aged between 10 and 18 years. * Cobb angle between 10 and 40 degrees.
Exclusion criteria
* 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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| REEDCO postural score | before and immediately after intervention | The REEDCO Posture Assessment was used to evaluate postural scores during comfortable standing and postural self-correction. |
| Angle of trunk rotation | before and immediately after intervention | A scoliometer was used to evaluate the angle of trunk rotation during Adam's Forward Bend Test. |
| Postural Variables Derived from a 3D Motion Analysis System | before and immediately after intervention | 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. |
| Postural Variables Derived from a PAViR System | before and immediately after intervention | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Illness Perception | before and immediately after intervention | 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. |
| Exercise Motivation | before and immediately after intervention | 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. |
Countries
Thailand
Contacts
CONTACTRommanee Rojasavastera, M.Sc.
Outcome results
None listed