Effectiveness of Exercise Training and Virtual Reality on Disability, Pain and Joint Position Sense in Individuals With Chronic Neck Pain: A Randomized Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 46
- 试验地点
- 2
- 主要终点
- Neck disability index
研究概览
简要总结
The purpose of this study is to compare the effects of virtual reality, which encourages active neck movements, in individuals with chronic neck pain, with the control group receiving only neck exercises. Participants will be randomly divided into two groups; Half of them will be given only a neck exercises program, and the other half will be given neck exercises and virtual reality.
详细描述
Individuals with chronic neck pain tend to have low levels of endurance in deep neck flexor muscles. Conservative treatments for neck pain, including posture education, strengthening, range of motion, motor control, flexibility, and proprioceptive training, are recommended in clinical guidelines. Virtual reality has been shown to be beneficial in the treatment of various issues related to pain in previous systematic reviews. Distracting attention is one of the mechanisms explaining the impact of virtual reality on pain. It is believed that virtual reality reduces pain perception by influencing pain pathways.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Ages 18 to 45
- •Having a history of non-traumatic neck pain persisting for more than three months
- •Having a Neck Disability Index score greater than 5 points
- •Not having participated in a physiotherapy program for at least 3 months
- •Being able to read and write in Turkish to understand, interpret, and respond to the questionnaires
排除标准
- •Having a surgical history in the neck region
- •Having cervical spine flexion, extension, and rotation range of motion <10 degrees
- •Having a history of rheumatologic, vestibular, neurological, or cardiopulmonary diseases
- •Vertigo associated with neck pain
- •Osteoporosis, vertebral fractures,spinal tumors
- •Presence of radiculopathy or myelopathy
- •Traumatic spinal cord injury
- •Neck pain associated with progressive neurological deficits or loss of strength
结局指标
主要结局
Neck disability index
时间窗: 8 weeks
Neck disability index was used to determine the pain experience and functional disability of the participants. It consists of 10 questions concern of the pain severity, ability for personal care, lifting weight, job capability headache intensity, concentration, quality of sleeping and driving and recreation activities. Total score ranges between 0 to 50 points. Zero to four points mean "no disability", 5 to 14 points mean "light disability", 15 to 24 points mean "moderate disability", 25 to 34 points mean "severe disability", and 35 to 50 points mean "complete disability".
次要结局
- Pressure pain threshold(8 weeks)
- Joint position sense error(8 weeks)
- Visual analog scale(8 weeks)
- Tampa Scale for Kinesiophobia(8 weeks)
- joint range of motion(8 weeks)
- Bournemouth Neck Questionnaire(8 weeks)
- Pittsburgh Sleep Quality Index(8 weeks)