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Purpose <p>To investigate the effectiveness of a virtual reality-based rehabilitation (VRBR) program in individuals with Adolescent Idiopathic Scoliosis (AIS) who have undergone posterior fusion surgery (PSF).</p> Methods <p>A total of 28 AIS patients who had undergone PSF surgery were included in the study. Participants were randomly assigned to either the VRBR group (<i>n</i> = 14) or the Control group (<i>n</i> = 14). The VRBR group received a rehabilitation program using the Kinect Xbox 360 for 30&#xa0;min, twice a week, over a period of 6 weeks. The Control group was prescribed a comparable set of exercises to be performed as a home-based program over the same duration. Spinal mobility was assessed using the Modified Schober Test, and respiratory muscle strength was measured with a portable Micro RPM device. Physical activity levels were monitored using a pedometer, kinesiophobia was evaluated using the Tampa Scale for Kinesiophobia (TSK), quality of life was assessed via the Scoliosis Research Society-22 Questionnaire (SRS-22), and spinal balance was evaluated using full-spine radiographs (orthoroentgenograms).</p> Results <p>In the VRBR group, statistically significant improvements were observed in spinal mobility, MIP, MEP, physical activity level, TSK, and SRS-22 scores (<i>p</i> &lt; 0.0001), as well as in coronal balance parameters including CSVL-C7PL (<i>p</i> = 0.041), sagittal vertical axis (SVA) (<i>p</i> = 0.01), and pelvic tilt (<i>p</i> &lt; 0.0001) when compared to baseline. In contrast, no statistically significant improvements were found in any of the assessed parameters within the Control group (<i>p</i> &gt; 0.05). Between-group comparisons revealed statistically significant improvements in favor of the VRBR group in spinal mobility (<i>p</i> = 0.048), MIP (<i>p</i> = 0.029), and physical activity levels (<i>p</i> &lt; 0.01).</p> Conclusion <p>The findings suggest that VR-based rehabilitation contributes positively to postoperative outcomes in AIS, with notable advantages in terms of spinal mobility, respiratory function, and physical activity.</p>

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Efficacy of virtual reality-based rehabilitation following posterior fusion in adolescent idiopathic scoliosis: A single-blind randomized trial

  • 期刊论文

  • 发表日期：

    2025年11月7日

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  • Elif Yagmur Ozger,
  • Rustem Mustafaoglu,
  • Berk Nimetoglu,
  • Turgut Akgul

摘要

Purpose

To investigate the effectiveness of a virtual reality-based rehabilitation (VRBR) program in individuals with Adolescent Idiopathic Scoliosis (AIS) who have undergone posterior fusion surgery (PSF).

Methods

A total of 28 AIS patients who had undergone PSF surgery were included in the study. Participants were randomly assigned to either the VRBR group (n = 14) or the Control group (n = 14). The VRBR group received a rehabilitation program using the Kinect Xbox 360 for 30 min, twice a week, over a period of 6 weeks. The Control group was prescribed a comparable set of exercises to be performed as a home-based program over the same duration. Spinal mobility was assessed using the Modified Schober Test, and respiratory muscle strength was measured with a portable Micro RPM device. Physical activity levels were monitored using a pedometer, kinesiophobia was evaluated using the Tampa Scale for Kinesiophobia (TSK), quality of life was assessed via the Scoliosis Research Society-22 Questionnaire (SRS-22), and spinal balance was evaluated using full-spine radiographs (orthoroentgenograms).

Results

In the VRBR group, statistically significant improvements were observed in spinal mobility, MIP, MEP, physical activity level, TSK, and SRS-22 scores (p < 0.0001), as well as in coronal balance parameters including CSVL-C7PL (p = 0.041), sagittal vertical axis (SVA) (p = 0.01), and pelvic tilt (p < 0.0001) when compared to baseline. In contrast, no statistically significant improvements were found in any of the assessed parameters within the Control group (p > 0.05). Between-group comparisons revealed statistically significant improvements in favor of the VRBR group in spinal mobility (p = 0.048), MIP (p = 0.029), and physical activity levels (p < 0.01).

Conclusion

The findings suggest that VR-based rehabilitation contributes positively to postoperative outcomes in AIS, with notable advantages in terms of spinal mobility, respiratory function, and physical activity.