Enhancing home-based exercise therapy with telerehabilitation in mild adolescent idiopathic scoliosis: A randomized controlled trial

dc.authorid0000-0001-5569-5282
dc.authorid0000-0002-3917-2286
dc.authorid0000-0001-7734-6438
dc.authorid0000-0002-3202-6614
dc.contributor.authorTakinacı, Zuhal Didem
dc.contributor.authorÇelik, Meltem
dc.contributor.authorYıldız, Şeyda
dc.contributor.authorTalmaç, Mehmet Ali
dc.contributor.authorDut, Raziye
dc.date.accessioned2026-02-02T16:31:31Z
dc.date.available2026-02-02T16:31:31Z
dc.date.issued2025
dc.departmentFakülteler, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü
dc.description.abstractBackground and Objectives: Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity that affects postural alignment, function, and quality of life. Telere habilitation has emerged as a promising approach to enhance accessibility and conti nuity of exercise-based treatment in AIS. This study aimed to compare the effects of telerehabilitation-supported home exercise programs with standard home exercises on posture, pain, body image, and quality of life in adolescents with mild AIS. Materials and Methods: Forty adolescents aged 10–18 years with mild AIS (Cobb angle 10–25◦ , Risser 0–3) were randomly assigned to two groups: study (n = 20) and control (n = 20). Both groups performed an 8-week home-based exercise program. The study group addition ally received weekly online supervision by a physiotherapist. Outcomes included pain severity (VAS), posture (New York Posture Assessment Scale), body image (Walter Reed Visual Assessment Scale), and quality of life (SRS-22 questionnaire). Statistical analyses were performed using non-parametric tests, with a significance level of p < 0.05. Results: Twenty-nine participants completed the study (15 in the study group, 14 in the control group). Significant improvements were observed in the study group in SRS-22 total, pain, and function subscores, as well as posture scores (p < 0.05). In the control group, only the satisfaction subscore improved significantly (p < 0.05). No significant changes were detected in body image (WRVAS) in either group. Between-group comparisons showed greater overall clinical gains in the study group despite similar exercise adherence rates. Conclusions: Supervised telerehabilitation enhances the effectiveness of home-based exer cise programs in adolescents with mild AIS by improving postural alignment, reducing pain, and increasing functional capacity and quality of life. Telerehabilitation represents an accessible and efficient complementary strategy for managing AIS when in-person supervision is limited.
dc.identifier.citationTakinacı, Z. D., Çelik, M., Yıldız, Ş., Talmaç, M. A., & Dut, R. (2025). Enhancing home-based exercise therapy with telerehabilitation in mild adolescent idiopathic scoliosis: A randomized controlled trial. Healthcare, 14(1), pp. 1-12. https://doi.org/10.3390/healthcare14010019
dc.identifier.doi10.3390/healthcare14010019
dc.identifier.endpage12
dc.identifier.issn2227-9032
dc.identifier.issue1
dc.identifier.pmidPMID: 41516952
dc.identifier.scopus2-s2.0-105027956756
dc.identifier.scopusqualityQ1
dc.identifier.startpage1
dc.identifier.urihttps://doi.org/10.3390/healthcare14010019
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1287
dc.identifier.volume14
dc.identifier.wosWOS:001658494600001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.indekslendigikaynak.otherSSCI - Social Science Citation Index
dc.institutionauthorYıldız, Şeyda
dc.institutionauthorid0000-0002-3917-2286
dc.language.isoen
dc.publisherMDPI Publishing
dc.relation.ispartofHealthcare
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAdolescent Idiopathic Scoliosis
dc.subjectTelerehabilitation
dc.subjectHome-Based Exercise
dc.titleEnhancing home-based exercise therapy with telerehabilitation in mild adolescent idiopathic scoliosis: A randomized controlled trial
dc.typeArticle
dspace.entity.typePublication

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Kapalı Erişim
İsim:
Tam Metin / Full Text.pdf
Boyut:
736.56 KB
Biçim:
Adobe Portable Document Format
Lisans paketi
Listeleniyor 1 - 1 / 1
Kapalı Erişim
İsim:
license.txt
Boyut:
1.17 KB
Biçim:
Item-specific license agreed upon to submission
Açıklama: