NCT07430098

Feedback-Based Balance Training for Adolescents With Idiopathic Scoliosis

Effect of Adding Feedback-Based Balance Training to Individualized Conservative Scoliosis Exercises Compared With Individualized Conservative Scoliosis Exercises Alone on Balance in Adolescents With Idiopathic Scoliosis: A Prospective, Randomized Controlled Trial

• Status: Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 60 (estimated)
• Sponsor: Ankara Etlik City Hospital · Other Government
• Sex: All
• Age: 10 Years – 17 Years
• Healthy volunteers: Accepted

Summary

Adolescent idiopathic scoliosis (AIS) is associated with impaired balance, and previous studies have shown that combining balance or hippotherapy training with scoliosis-specific exercises such as Schroth can improve postural control and quality of life. This study aims to evaluate the effect of adding HUBER® 360 neuromuscular balance training to scoliosis-specific exercises on balance outcomes in adolescents with AIS.

Detailed description

Adolescent idiopathic scoliosis (AIS) is the most common form of scoliosis occurring during the growth period. Previous studies comparing individuals with AIS to healthy controls have demonstrated significant alterations in balance patterns, and several investigations have evaluated balance parameters using posturography in response to exercise-based interventions. For example, Osama et al. (2021) reported that the combination of hippotherapy and Schroth exercises resulted in greater improvements in postural asymmetry and balance compared with Schroth exercises alone. Similarly, Shen et al. (2023) demonstrated that integrating balance training with Schroth therapy in adolescents with idiopathic scoliosis led to significant improvements in trunk rotation angle, Cobb angle, quality of life, and overall balance function. However, to date, no study has investigated the effects of balance training using the HUBER® 360 system on balance outcomes in this population. Therefore, the present study aims to evaluate the effect of adding balance training using the HUBER® 360 system to scoliosis-specific exercises on balance in adolescents with idiopathic scoliosis. The intervention protocol will consist of 12 sessions delivered over 4 weeks, with exercises performed three times per week. Participants will be randomly assigned to two groups. The control group will receive 45 minutes of individualized scoliosis exercises followed by 30 minutes of home-based balance exercises. The intervention group will receive 45 minutes of individualized scoliosis exercises followed by 30 minutes of HUBER-based balance training. Outcome assessments will be performed at baseline, immediately after the 4-week intervention, and at the 3-month follow-up. The primary outcome will be changes in balance parameters measured using the Technobody balance system (static and dynamic balance, sway area, sway velocity, and stability index). Secondary outcomes will include quality of life (SRS-22 questionnaire), postural asymmetry (DIERS 4D Formetric), dynamic balance assessed using the Fukuda stepping test, and static balance performance (unipodal balance test for the right and left legs separately).

Conditions

• Adolescent Idiopathic Scoliosis (AIS)

Interventions

Type	Name	Description
BEHAVIORAL	HUBER® 360 Balance Training	Participants complete 30 minutes of balance training using the HUBER® 360 device during each session throughout the study period. The training focuses on postural control, spinal stability, muscle strengthening, and balance control. All sessions are supervised by a physiotherapist.
BEHAVIORAL	Home-Based Balance Exercise Program	Participants complete a structured 30-minute home-based balance exercise program regularly throughout the study period. The exercises focus on postural control and balance training. No device-based or feedback-based balance training is used in this intervention.
BEHAVIORAL	Individualized Conservative Scoliosis Exercises	Participants perform 45-minute supervised scoliosis exercise sessions throughout the study period. The exercises focus on postural correction, spinal mobility, and muscle balance. All sessions are supervised by a physiotherapist.

Timeline

• Start date: 2025-04-04
• Primary completion: 2026-04-01
• Completion: 2026-06-01
• First posted: 2026-02-24
• Last updated: 2026-02-24

Locations

1 site across 1 country: Turkey (Türkiye)