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Effect of Virtual Reality in Adolescents With Thoracic Hyperkyphosis

28 juli 2026 uppdaterad av: Yassen Motamed Abd El Wahab, Cairo University

Effect of Virtual Reality on Kyphotic Angle and Quality of Life in Adolescents With Thoracic Hyperkyphosis

The study aims to:

  1. Investigate the effect of virtual reality on kyphotic angle in adolescents with thoracic hyperkyphosis.
  2. Investigate the effect of virtual reality on quality of life in adolescents with thoracic hyperkyphosis.
  3. Investigate the effect of virtual reality on the enjoyment level in adolescents with thoracic hyperkyphosis.

Studieöversikt

Detaljerad beskrivning

The adolescent period is marked by rapid physical changes that increase vulnerability to poor posture, potentially leading to chronic pain and spinal deformities in adulthood. High prevalence rates of incorrect posture (65%) necessitate early diagnosis and intervention, including suitable treatment and rehabilitation programs. Traditional physiotherapy techniques often struggle with adolescent engagement, prompting exploration of VR-based exercise therapy, which has demonstrated improved user adherence and effectiveness in addressing postural disorders. This study aims to evaluate the effectiveness of VR training on the kyphotic angle in adolescents with thoracic hyperkyphosis, presenting a novel therapeutic strategy that enhances adherence among those resistant to conventional methods.

Studietyp

Interventionell

Inskrivning (Beräknad)

46

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studieorter

      • Cairo, Egypten
        • Rekrytering
        • out-patient clinic, faculty of physical therapy, Cairo university
        • Kontakt:

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Barn
  • Vuxen

Tar emot friska volontärer

Nej

Beskrivning

Inclusion Criteria:

Participants must meet all the following conditions:

  • Adolescents with a kyphosis angle >40°.
  • Aged 13 to 18 years.
  • Normal body mass index range

Exclusion Criteria:

Participants who met one of the following criteria will be excluded:

  • Adolescents who cannot understand or follow instructions.
  • Congenital spinal deformities.
  • Developmental disorders.
  • Adolescent athletes.
  • Neurological, musculoskeletal, and cardiopulmonary diseases.
  • Vision or hearing impairments.
  • Medical conditions hindering physical activity

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Enda

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Aktiv komparator: conventional exercise program
The control group included 23 patients and received a comprehensive corrective exercise program for thoracic hyperkyphosis

treatment will last for 40-50 minutes, 3 days a week for 12 weeks

Exercises will include:

  • Chin tuck
  • Stretching of neck extensor muscles
  • Stretching of pectoral muscle groups in standing and supine positions
  • T, Y, W and I exercises in a prone position.
  • Postural perception training (PPT)
  • Thoracic self-mobilization
Experimentell: Virtual reality-based posture training
The experimental group will receive the same program as the control group in addition to virtual reality-based posture training using Meta Quest 3 - a virtual reality headset with the Totally Basketball game.

treatment will last for 40-50 minutes, 3 days a week for 12 weeks

Exercises will include:

  • Chin tuck
  • Stretching of neck extensor muscles
  • Stretching of pectoral muscle groups in standing and supine positions
  • T, Y, W and I exercises in a prone position.
  • Postural perception training (PPT)
  • Thoracic self-mobilization
Meta Quest 3 is an Mixed Reality headset providing augmented reality and virtual reality capabilities, allowing users to engage in both physical and virtual environments. Participants will play the "Totally Basketball" game, which promotes upper body engagement and postural correction through movements focusing on cervical retraction, scapular stabilization, and thoracic extension. The virtual reality sessions will last 20 minutes, scheduled after 30 to 45 minutes of conventional exercises, three times a week for eight weeks. Each session includes an introduction to the headset, a safety briefing, supervised trials, and active gameplay aimed at addressing thoracic hyperkyphosis with physiotherapist oversight to ensure safety and proper technique.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
assessment of Kyphotic Angle
Tidsram: At baseline and after 12 weeks
Kyphotic angle assessment using a bubble inclinometer involves the following steps: firstly, zero the inclinometer on a vertical wall. Next, identify the spinous processes of C7, T1, T12, and L1. Place the cephalic foot of the inclinometer on the C7 spinous process, then repeat for the lower thoracic spine with the caudal foot on T12. The kyphosis angle is calculated by adding the angles from both inclinometer placements.
At baseline and after 12 weeks

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
assessment of Quality of Life
Tidsram: At baseline and after 12 weeks
The questionnaire will be administered twice: at baseline and post-intervention, with participants receiving a printed Arabic copy and instructions for completion. The Arabic Kidscreen-27 includes 27 items across five dimensions: physical health (5 items), psychological health (7 items), autonomy and parents (7 items), peers and social support (4 items), and school and environment (4 items). Responses use a five-point Likert scale, with higher scores indicating better health-related quality of life. Completion is estimated to take 10-15 minutes.
At baseline and after 12 weeks
assessment of Participant Enjoyment
Tidsram: At baseline and after 12 weeks

Participant enjoyment assessment using a 7-point Likert scale:

A 7-point Likert scale will be administered in person, immediately following each virtual reality session. The patient will rate his enjoyment level according to the following:

How enjoyable do you find the session?

1=very enjoyable, 2=slightly enjoyable, 3=enjoyable, 4=neutral, 5=unenjoyable, 6= slightly unenjoyable, and 7= very unenjoyable

At baseline and after 12 weeks

Samarbetspartners och utredare

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Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

1 januari 2026

Primärt slutförande (Faktisk)

1 juli 2026

Avslutad studie (Beräknad)

30 juli 2026

Studieregistreringsdatum

Först inskickad

28 juli 2026

Först inskickad som uppfyllde QC-kriterierna

28 juli 2026

Första postat (Faktisk)

31 juli 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

31 juli 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

28 juli 2026

Senast verifierad

1 juli 2026

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

  • Yassen_Phd

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