Basic Body Awareness Therapy (BBAT) and Corrective Exercise for Adolescent Hyperkyphosis
2026年5月14日 更新者：Ayse Zengin Alpozgen、Istanbul University - Cerrahpasa
The Effects of Basic Body Awareness Therapy Added to a Corrective Exercise Program on Body Image, Self-Esteem, and Posture in Adolescents With Postural Hyperkyphosis
This study is designed as a randomized controlled trial to evaluate the additional benefits of Basic Body Awareness Therapy (BBAT) when combined with a corrective exercise program for adolescents with postural hyperkyphosis.
Postural hyperkyphosis, defined as a thoracic kyphosis angle of 40 degrees or greater, often leads to physical misalignments and psychosocial issues such as decreased self-esteem and poor body image during adolescence.
Participants will be randomly assigned to either Group A (Experimental) or Group B (Control) using a stratified block randomization method.
Both groups will participate in a 12-week intervention consisting of supervised Schroth corrective exercises performed twice weekly.
Group A will additionally receive one session per week of BBAT, a physiotherapy method focusing on movement quality, mental awareness, and the integration of physical and mental self-awareness through lying, sitting, standing, and walking exercises.
Group B will receive Autogenic Training, a systematic relaxation technique, as an active control.
Assessments will be conducted at baseline and at the end of the 12-week program.
The primary outcome measures include body awareness (Body Awareness Questionnaire), aesthetic perception of the spine (Kyphosis Specific Spinal Appearance Questionnaire), self-esteem (Rosenberg Self-Esteem Scale), and digital posture analysis (PostureScreen Mobile).
Secondary outcomes involve clinical measurements of kyphosis (Flexicurve and Wall-Occiput Distance), dynamic and static balance (Y-Balance Test and Single-Leg Stance Test), thoracic joint position sense, health-related quality of life (SRS-30), and pain intensity (Numeric Pain Rating Scale).
The study aims to provide a comprehensive understanding of how mindfulness and movement awareness can enhance traditional physical rehabilitation for spinal postural disorders.
研究概览
地位
尚未招聘
条件
详细说明
This study is a randomized controlled trial designed to evaluate the impact of integrating Basic Body Awareness Therapy (BBAT) into a corrective exercise protocol for adolescents with postural hyperkyphosis.
Postural hyperkyphosis is defined in this study as a thoracic kyphosis angle of 40 degrees or greater.
The research explores how this combined approach affects physical posture as well as psychosocial variables like body image and self-esteem.
Participants will be randomly assigned to either the experimental group (Group A) or the control group (Group B) using stratified block randomization based on age and gender.
Both groups will undergo a 12-week intervention consisting of supervised Schroth corrective exercises performed twice weekly in a clinical setting.
Group A will receive an additional weekly session of BBAT.
This intervention focuses on movement quality and the integration of mental and physical self-awareness through a series of lying, sitting, standing, and walking exercises.
Group B will serve as the active control group and will receive Autogenic Training, which is a systematic relaxation technique, in addition to their corrective exercises.
Evaluations will be performed at baseline and after the 12-week intervention period.
Clinical assessments include digital posture analysis via PostureScreen Mobile and measurement of the thoracic kyphosis angle using the Flexicurve method and Wall-Occiput Distance.
Dynamic and static balance will be assessed using the Y-Balance Test and the Single-Leg Stance Test.
Furthermore, the study will measure thoracic joint position sense through active repositioning tests.
Psychosocial and quality-of-life data will be gathered using the Body Awareness Questionnaire, the Kyphosis Specific Spinal Appearance Questionnaire, the Rosenberg Self-Esteem Scale, and the SRS-30 questionnaire.
研究类型
介入性
注册 (估计的)
60
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习联系方式
- 姓名：Aslı YILDIRIM HAKANER
- 电话号码：+905436088180
- 邮箱：fzt.asliyildirim@gmail.com
研究联系人备份
- 姓名：Ayşe Zengin Alpözgen, Assoc. Prof.
- 邮箱：azengin@iuc.edu.tr
学习地点
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Istanbul、土耳其（türkiye）、34500
- Istanbul University-Cerrahpaşa
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接触：
- Ayşe Zengin Alpözgen, Assoc. Prof.
- 电话号码：905526830479
- 邮箱：azengin@iuc.edu.tr
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 孩子
- 成人
接受健康志愿者
不
描述
Inclusion Criteria:
- Adolescents aged between 10 and 18 years.
- Diagnosis of postural hyperkyphosis confirmed by a thoracic kyphosis angle of 40 degrees or greater.
Exclusion Criteria:
- Diagnosis of congenital or rigid spinal deformities, such as Scheuermann's kyphosis.
- History of major spinal surgery, severe spinal trauma, or significant orthopedic conditions.
- Presence of diagnosed neurological or vestibular diseases that may affect balance or movement.
- Use of spinal braces or other corrective orthotic devices during the study period.
- Having received formal physiotherapy or a structured exercise program for posture within the last 6 months.
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：Group A
Participants in Group A will receive a multimodal program combining Schroth-based corrective exercises and Basic Body Awareness Therapy (BBAT).
The intervention includes posture-focused Schroth movements and BBAT elements such as body scanning, breathing awareness, and center-of-line stimulation.
The intervention will be delivered twice weekly over 12 weeks, with an additional weekly group BBAT session, totaling 36 supervised 60-minute sessions by a certified physiotherapist
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This is a behavioral, non-drug intervention combining Schroth corrective exercises with somatic awareness through Basic Body Awareness Therapy (BBAT).
Movements emphasize movement quality, postural alignment, and improved self-perception of the body.
The approach supports individualized progression (targeting 4-6 on a perceived difficulty scale) and complements conventional physiotherapy for adolescent hyperkyphosis.
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有源比较器：Group B
Participants in Group B will receive a program combining Schroth-based corrective exercises and Autogenic Training.
Corrective exercises will be performed with the same intensity and frequency as Group A, adjusted to individual tolerance.
Autogenic Training includes self-suggestion formulas for deep relaxation, focusing on sensations of heaviness and warmth.
The intervention will be delivered twice weekly over 12 weeks, totaling 24 supervised 60-minute sessions by a physiotherapist.
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This is a non-drug corrective exercise program tailored for adolescents with postural hyperkyphosis, combined with Autogenic Training for relaxation.
It includes spinal strengthening and Schroth-specific postural corrections performed twice weekly.
Additionally, participants perform Autogenic Training focusing on breathing, cardiac regulation, and abdominal warmth to support mental well-being alongside physical rehabilitation.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Body Awareness - Body Awareness Questionnaire (BAQ)
大体时间：12 weeks
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The Body Awareness Questionnaire is an 18-item scale designed to assess a person's sensitivity to non-pathological bodily processes, such as body rhythms and changes in bodily states.
Each item is rated on a 7-point Likert scale, with total scores ranging from 18 to 126.
A higher total score indicates a greater level of body awareness.
This measure will evaluate how the interventions influence the participants' internal perception of their bodies.
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12 weeks
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Aesthetic Perception of the Spine - Kyphosis Specific Spinal Appearance Questionnaire (KSAQ)
大体时间：12 weeks
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The Kyphosis Specific Spinal Appearance Questionnaire consists of 22 items specifically tailored to evaluate how adolescents with hyperkyphosis perceive the aesthetic appearance of their spine.
The scale uses a 5-point Likert system where higher scores reflect a more negative perception of spinal appearance and higher treatment expectations.
This tool provides insight into the psychosocial impact of postural changes and the perceived effectiveness of the treatment from the patient's perspective.
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12 weeks
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Self-Esteem - Rosenberg Self-Esteem Scale (RSES)
大体时间：12 weeks
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The Rosenberg Self-Esteem Scale is a widely validated 10-item instrument used to measure global self-worth and self-acceptance.
Participants rate each item on a 4-point Likert scale ranging from strongly agree to strongly disagree.
It captures both positive and negative feelings about the self, providing a total score that reflects the individual's overall level of self-esteem throughout the therapeutic process.
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12 weeks
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Posture Analysis - PostureScreen Mobile (PSM) Assessment
大体时间：12 weeks
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PostureScreen Mobile is a digital postural analysis application used to objectively quantify postural deviations.
It measures shifts and tilts in centimeters or degrees by analyzing photos taken from anterior, posterior, and lateral views.
The assessment focuses on identifying improvements in spinal alignment and the reduction of forward head posture or thoracic kyphosis after the 12-week intervention.
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12 weeks
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Thoracic Kyphosis Angle Measured by Flexicurve
大体时间：12 weeks
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The Flexicurve is a non-invasive, flexible ruler used to measure the curvature of the thoracic spine.
A physiotherapist molds the device to the participant's back, and the resulting curve is traced onto paper.
The kyphosis angle is then calculated using a mathematical formula based on the height and length of the curve.
Higher degrees indicate a greater degree of postural hyperkyphosis.
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12 weeks
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Wall-Occiput Distance (WOD)
大体时间：12 weeks
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This measurement is used to assess the severity of forward head posture and upper thoracic curvature.
The participant stands with their heels and back against a wall, and the horizontal distance between the occiput (the back of the head) and the wall is measured in centimeters using a standard ruler.
A distance of 0 cm is considered normal, while higher values indicate increased postural deviation.
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12 weeks
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Y-Balance Test (YBT)
大体时间：12 weeks
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The Y-Balance Test is a tool used to measure dynamic balance and functional reach.
Participants stand on one leg and reach with the other leg in three directions: anterior, posteromedial, and posterolateral.
The reach distances are recorded and normalized to the participant's leg length to provide a comprehensive balance score.
Higher scores represent better dynamic postural control.
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12 weeks
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Single-Leg Stance Test (SLS)
大体时间：12 weeks
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The Single-Leg Stance Test assesses static postural stability.
Participants are asked to stand on one leg with their eyes open and then with their eyes closed.
The duration they can maintain this position without the non-weight-bearing foot touching the ground or using their arms for balance is recorded in seconds, up to a maximum of 30 or 60 seconds.
Longer durations indicate superior static balance.
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12 weeks
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Joint Position Sense
大体时间：12 weeks
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Thoracic joint position sense will be assessed using an active repositioning test to evaluate proprioceptive accuracy.
A neutral thoracic position will be established as the reference position.
Participants will be instructed to perform thoracic movements in the specified direction and then return to the starting position with their eyes closed.
Repositioning error will be determined as the difference between the target position and the reproduced position.
One familiarization trial and three recorded trials will be performed, and the average value will be used for analysis.
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12 weeks
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Scoliosis Research Society-30 (SRS-30) Questionnaire
大体时间：12 weeks
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The SRS-30 is a patient-reported outcome measure specifically designed for spinal deformities.
It evaluates five domains: function/activity, pain, self-image, mental health, and satisfaction with treatment.
The questionnaire consists of 30 items, each rated on a 5-point scale.
Total scores range from 30 to 150, where higher scores reflect a better health-related quality of life.
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12 weeks
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Numeric Pain Rating Scale (NPRS)
大体时间：12 weeks
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The NPRS is a subjective 11-point scale used to measure the intensity of back pain.
Participants rate their pain on a scale from 0 (no pain) to 10 (worst imaginable pain).
This provides a quick and reliable quantitative measure of how the interventions impact physical discomfort associated with hyperkyphosis.
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12 weeks
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Global Rating of Change (GROC) Scale
大体时间：12 weeks
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The Global Rating of Change (GROC) scale is a self-reported instrument used to assess a participant's perception of their overall improvement or deterioration over the course of the 12-week study.
Participants rate their change on an 11-point or 15-point scale (commonly ranging from -7 "a very great deal worse" to 0 "no change" to +7 "a very great deal better").
This measure captures the clinical relevance of the intervention from the patient's perspective, beyond objective physical measurements.
A higher positive score indicates a more significant perceived improvement in the participant's condition.
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12 weeks
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Ayşe Zengin Alpözgen, Assoc Prof.、Istanbul University - Cerrahpasa
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (估计的)
2026年5月29日
初级完成 (估计的)
2027年5月29日
研究完成 (估计的)
2027年7月29日
研究注册日期
首次提交
2026年5月14日
首先提交符合 QC 标准的
2026年5月14日
首次发布 (实际的)
2026年5月20日
研究记录更新
最后更新发布 (实际的)
2026年5月20日
上次提交的符合 QC 标准的更新
2026年5月14日
最后验证
2026年5月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.