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Adolescent Idiopathic Scoliosis (AIS)NCT07500883

Basic Body Awareness Therapy Added to Scoliosis-Specific Exercise in Adolescents With Scoliosis

A study testing Scoliosis-specific exercises and Awareness therapy in people with Adolescent Idiopathic Scoliosis (AIS), run by Gözde Yagci (Gür) at 1 site in Turkey (Türkiye).

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this randomised clinical trial is to evaluate whether adding Basic Body Awareness Therapy (BBAT) to scoliosis-specific exercises can improve body awareness, quality of life and scoliosis-speficic outcomes in adolescents aged 10-17 years with adolescent idiopathic scoliosis (AIS). Read more about this study

Who is it for?
Ages 10 to 17 years
Conditions the study is for
Adolescent Idiopathic Scoliosis (AIS)
What is being tested?
Scoliosis-specific exercises and Awareness therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 siteTurkey (Türkiye)
Study dates
12 Nov 2025to Apr 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 10 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Diagnosed of adolescent idiopathic scoliosis
  • Age between 10 and 17 years
  • Cobb angle ≥15°
  • No previous or concurrent scoliosis treatment
  • Risser sign between 0 and 4

Who cannot join

  • Evidence of congenital scoliosis or other spinal deformities (e.g., hyperkyphosis, pectus deformities)
  • Diagnosis of neuromuscular, rheumatologic, neurological, cardiovascular, pulmonary disorders
  • Regular participation in sports
  • History of spinal orthosis use or scoliosis surgery.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

SENA NUR YAYLACI, MSc, PT contact

+905446515570

senayaylaciii@gmail.com

Turkey (Türkiye)1 site, 1 recruiting
  • Hacettepe University Faculty of Physical Therapy and Rehabilitation, Orthotics and Biomechanics Clinic

    Ankara, Ankara

    GÖZDE YAĞCI, Prof. Dr., +905054274351, gozdeygc8@gmail.com

    Recruiting

Other trials in Turkey (Türkiye)

About this study

Official title: Effects of Integrating Basic Body Awareness Therapy Into Scoliosis-Specific Exercises on Body Awareness, Quality of Life, and Scoliosis-Related Outcomes in Adolescents With Idiopathic Scoliosis: A Randomized Controlled Trial

The goal of this randomised clinical trial is to evaluate whether adding Basic Body Awareness Therapy (BBAT) to scoliosis-specific exercises can improve body awareness, quality of life and scoliosis-speficic outcomes in adolescents aged 10-17 years with adolescent idiopathic scoliosis (AIS). The main questions it aims to answer are:

Does the addition of BBAT to scoliosis-specific exercises lead to greater improvements in body awareness compared to scoliosis-specific exercises alone? Does adding BBAT improve trunk proprioception, scoliosis-related parameters, and health-related quality of life in adolescents with AIS?

Read more

H1: Adolescents with idiopathic scoliosis who receive Basic Body Awareness Therapy in addition to scoliosis-specific exercises will demonstrate greater improvements in body awareness compared to those receiving scoliosis-specific exercises alone.

H2: Adolescents receiving Basic Body Awareness Therapy in addition to scoliosis-specific exercises will demonstrate greater improvements in scoliosis-related clinical parameters compared to those receiving scoliosis-specific exercises alone.

H3: Adolescents receiving Basic Body Awareness Therapy in addition to scoliosis-specific exercises will demonstrate greater improvements in both general and scoliosis-specific quality of life compared to those receiving scoliosis-specific exercises alone.

Read the detailed description

Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity that may affect not only spinal alignment but also postural control and body perception. Recent evidence suggests that, beyond structural deformity, alterations in sensory integration and body awareness may contribute to postural asymmetry in individuals with AIS. These findings highlight the importance of addressing both structural and perceptual components in rehabilitation.

Physiotherapeutic scoliosis-specific exercises (PSSE) are widely used in the conservative management of AIS and aim to improve spinal alignment through active self-correction and functional stabilization. While PSSE has demonstrated positive effects on scoliosis-related clinical outcomes, its effects on perceptual aspects such as body awareness remain less explored. Therefore, integrating interventions that specifically target body awareness may enhance rehabilitation outcomes.

Basic Body Awareness Therapy (BBAT) is a movement-based approach that focuses on posture, movement quality, breathing, and awareness of bodily sensations. By promoting conscious perception of body alignment and movement, BBAT may support improvements in postural control and functional organization in individuals with AIS. For this reason, BBAT was incorporated as a complementary intervention alongside PSSE.

This study is designed as a randomized controlled trial to investigate the effects of adding BBAT to a PSSE-based rehabilitation program. Participants will be randomly assigned to either a control group receiving PSSE alone or an intervention group receiving PSSE combined with BBAT. Both groups will participate in supervised sessions once per week for 6 months and perform home-based exercises on the remaining days.

Outcome measures will include body awareness, health-related quality of life, and scoliosis-specific clinical parameters. Assessments will be conducted at baseline and after 6 months.

This study aims to determine whether the addition of BBAT to conventional exercise-based rehabilitation provides additional benefits in adolescents with AIS.

Being tested
Scoliosis-specific exercises, Awareness therapy
Keywords
scoliosis, awareness, quality of life, rehabilitation, adolescent
Medical subject headings
Scoliosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Scoliosis-specific exercisesOther

    This approach aims to improve spinal stabilization and postural control through active self-correction. Exercises are performed in basic positions and progressively advance to more complex functional tasks according to individual ability. The program follows a structured yet individualized approach tailored to each participant's needs. All exercises are administered and supervised by an experienced, certified physiotherapist.

  • Awareness therapyOther

    BBAT sessions include movements performed in basic and functional positions such as lying, sitting, standing, and walking, integrated with breathing and awareness of bodily sensations. The program aims to improve body awareness, movement quality, and postural control through slow, rhythmic, and coordinated movements. Movements emphasize grounding, alignment of body segments, weight transfer, and coordinated breathing. Participants are instructed to perform movements slowly and with attention to bodily perception. The program follows a structured yet individualized progression based on each participant's abilities under the supervision of a certified physiotherapist.

Study groups in NCT07500883
Study groupRoleWhat they receive
Control groupExperimentalParticipants in this group will receive only scoliosis-specific exercises. Scientific Exercise Approach to Scoliosis (SEAS) approach will be used.
Receives: Other: Scoliosis-specific exercises
BBAT groupActive comparatorParticipants in this group will receive Basic Body Awareness Therapy (BBAT) in addition to scoliosis-specific exercises (SEAS approach).
Receives: Other: Scoliosis-specific exercises; Other: Awareness therapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Body Awareness Questionnaire (BAQ)

    The Body Awareness Questionnaire (BAQ) is a self-reported instrument originally developed by Shields et al. in 1989. The Turkish version has been shown to be valid and reliable in healthy individuals. The questionnaire assesses awareness of bodily processes, including sensitivity to bodily responses, prediction of bodily reactions, sleep-wake cycles, and the onset of illness. The BAQ consists of 18 items grouped into four subdomains and is rated on a 7-point Likert scale, ranging from 1 ("not at all true for me") to 7 ("completely true for me"). Total scores are calculated by summing item responses, with higher scores indicating greater body awareness.

    Measured: 6 months

  2. Awareness Body Chart (ABC)

    The Awareness Body Chart (ABC) is a simple, easy-to-use, and low-cost instrument developed by Danner et al. in 2017. It demonstrates high internal consistency and test-retest reliability. The chart consists of schematic anterior and posterior drawings of the human body, divided into 51 regions and 14 body parts based on anatomical structures. Participants are asked to perceive each body region and indicate their level of awareness by coloring the corresponding areas according to predefined categories. Higher scores reflect greater body awareness. The ABC also includes a pain intensity scale ranging from 0 (no pain) to 100 (unbearable pain), and participants are instructed to mark painful areas on the chart.

    Measured: 6 months

  3. The Pediatric Quality of Life Inventory (PedsQL)

    The Pediatric Quality of Life Inventory (PedsQL) is used to assess general health-related quality of life from both the child's and the parent's perspectives. It evaluates the impact of disease and treatment on physical, emotional, social, and school functioning.The scale consists of 23 items rated on a Likert-type scale, and higher total scores indicate better quality of life. The Turkish version of the PedsQL has demonstrated acceptable validity and reliability.

    Age-appropriate versions of the questionnaire are used for children aged 8-12 and 13-18 years, with parallel forms containing the same items but adapted language for each age group. Parent-proxy versions are also administered to obtain the parent's perspective.

    Measured: 6 months

  4. The Japanese Scoliosis Questionnaire-27 (JSQ-27)

    The Japanese Scoliosis Questionnaire-27 (JSQ-27) is used to assess scoliosis-specific quality of life in individuals with adolescent idiopathic scoliosis. It evaluates a broad range of domains, including pain, discomfort while wearing clothes, concerns about physical appearance, anxiety, and difficulties in daily activities. The questionnaire consists of 27 items scored on a 5-point scale ranging from 0 ("none") to 4 ("severe"). Total scores are calculated by summing item responses, with higher scores indicating worse scoliosis-specific quality of life. The JSQ-27 has been validated in individuals with adolescent idiopathic scoliosis, and the Turkish version has demonstrated good validity and internal consistency.

    Measured: 6 months

Secondary outcomes (5)
  1. Curve magnitude- Cobb angle method

    Cobb angle method is used as the standard measure of curve severity in adolescent idiopathic scoliosis. Measurements are obtained from anteroposterior spinal radiographs. The angle is defined as the intersection between lines drawn along the upper endplate of the most tilted superior vertebra and the lower endplate of the most tilted inferior vertebra. Values are recorded in degrees.

    Measured: 6 months

  2. Axial Trunk Rotation (ATR)

    Axial trunk rotation (ATR) is assessed using a scoliometer during the Adam's forward bending test. Participants are instructed to bend forward from a standing position with knees extended and hands together. ATR is measured at the level of maximum trunk prominence and recorded in degrees. The scoliometer is used as an inclinometer to quantify trunk asymmetry and rotational deformity.

    Measured: 6 months

  3. Posterior Trunk Symmetry Index

    The Posterior Trunk Symmetry Index (POTSI) is used to assess posterior trunk asymmetry. Standardized photographs are obtained in an upright standing position, and anatomical landmarks such as the C7 spinous process and acromion are marked. POTSI scores are calculated based on asymmetry indices derived from these landmarks, with higher scores indicating greater asymmetry.

    Measured: 6 months

  4. Anterior Trunk Symmetry Index

    The Anterior Trunk Symmetry Index (ATSI) is used to assess anterior trunk asymmetry. Measurements are performed using standardized photographs with landmarks such as the suprasternal notch and acromion identified. ATSI scores are calculated based on asymmetry indices, with higher scores indicating greater trunk asymmetry.

    Measured: 6 months

  5. Exercise Adherence

    Exercise adherence is assessed monthly by asking participants to report the percentage of prescribed exercises they complete. Adherence is expressed as a percentage, and the mean adherence rate over the intervention period is calculated for analysis.

    Measured: 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Mar 2026
  2. Study start12 Nov 2025
  3. Primary completionApr 2026 (estimated)
  4. Study completionApr 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
This study is designed as a non-drug clinical trial and a method-comparison study. Participants in SEAS group will receive 40 minutes of scoliosis-specific exercises (SEAS) in the clinic once a week supervised by a physiotherapist. Rest of the week, they will follow a home-based program consisting of 60 minutes SEAS exercises. Participants in the Basic Body Awareness Therapy (BBAT) group will receive 20 minutes of BBAT and 20 minutes of SEAS once a week supervised by a physiotherapist. On the remaining days, they will follow a home-based program consisting of 30 minutes of BBAT and 30 minutes of SEAS exercises. The total duration of the intervention is 6 months, and participants will attend weekly supervised sessions throughout the study period.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07500883
Sponsor's protocol ID
HU-SNYaylaci-002
Status last verified
Mar 2026
First submitted
24 Mar 2026
Last updated
30 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Scoliosis-specific exercises and Awareness therapy in people with Adolescent Idiopathic Scoliosis (AIS), run by Gözde Yagci (Gür) at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 30 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact SENA NUR YAYLACI, MSc, PT (+905446515570, senayaylaciii@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Body Awareness Questionnaire (BAQ) (time frame: 6 months). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Mar 2026.

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