Efficacy of Postoperative Telerehabilitation in Adolescent Idiopathic Scoliosis

In this study, it is aimed to reveal the effects of Tele-Rehabilitation (TR) program, which is designed for the needs of individuals with Adolescent Idiopathic Scoliosis (AIS) who will undergo scoliosis surgery and will be carried out remotely, on pain, trunk endurance, spine flexibility, functional capacity, body appearance perception and quality of life. is intended. With this study, it is aimed to bring evidence-based data on the content of the online rehabilitation program, which can be remotely supervised in the post-surgical period, and the effectiveness and applicability of the applications to the literature.The study was carried out by Emsey Hospital - Advanced Spine Surgery Unit and Prof. Dr. It is planned with at least 34 individuals with AIS who were treated with Posterior Fusion and Instrumentation technique by an orthopedic specialist at Süleyman Yalçın City Hospital. In the randomized controlled design, experimental type planned study, individuals with a minimum of six months and a maximum of two years after surgery will be divided into two groups as the telerehabilitation group and the control group. Individuals in the telerehabilitation group will be included in the Telerehabilitation program, which is planned as two sessions a week, one to one and a half hours, for eight weeks, via remote online video conferencing method. The control group will not be included in any post-surgery rehabilitation program as it is routinely.In the study, pain intensity was determined with the "Numerical Rating Scale", body appearance perception with the "Scoliosis Appearance Questionnaire", quality of life with the "SRS-30 Scoliosis Patient Questionnaire", trunk muscle endurance with "position maintenance tests", flexibility of the spine with "Forward Reaching and Side Bending Tests", exercise capacity will be evaluated with the "Six Minute Walking Test". Evaluation of all cases included in the study was planned at two separate times with 8-week intervals. In the analysis of the data, continuous variables will be given as mean ± standard deviation, qualitative variables as number and percentage (%); statistical tests will be determined according to the distribution of the data, and the significance will be taken as p≤0.05 in all measurements.

Inclusion Criteria:Be over 9 years oldBeing diagnosed with Adolescent Idiopathic Scoliosis,Having been operated with the Posterior Fusion and Instrumentation technique at least 6 months, at most 2 years agoHaving a device that can be loaded with Internet technology (desktop, laptop, tablet or smartphone)Having skills and knowledge about online video communicationExclusion Criteria:Individuals with AIS who have been operated with Anterior or Combined Antero-Posterior Spinal Fusion and Instrumentation, Thoracoscopic Vertebral Body Stretching techniquesPrevious spinal surgeryHaving advanced neuromuscular, rheumatological, orthopedic disease accompanying scoliosis,Presence of congenital deformity (short leg, limb agenesis or hypoplasia)Having a serious psychiatric or psychological disorder in a medical history,Subjected to a separate rehabilitation program accompanied by a physiotherapist,Those who are unable to do the evaluation and intervention methods to be applied in the research or who cannot cooperate.Individuals who are not suitable to use technological tools and do not have the necessary cognitive skills