Effectiveness of Virtual Reality in Patients With Chronic Neck Pain

Not Applicable

Completed

• Conditions: Virtual Reality; Balance; Pain, Neck; Proprioception
• Interventions: Other: Virtual Reality

• Registration Number: NCT04014998
• Lead Sponsor: Hacettepe University

Brief Summary

Virtual reality application has been increasing in recent years for pain control, distraction in wound care, treatment of anxiety disorders and support for physical rehabilitation. For example, it has been found to be effective in reducing pain when used in addition to medical treatment during bandaging of severe burns. The studies related with chronic pain patients were stated that virtual reality application was found to be interactive and fun by patients. Therefore, The aim of this study was to investigate the effects of virtual reality on pain threshold, disability, balance, proprioception, exercise sustainability, muscular performance in neck region, quality of life and anxiety / depression in addition to the exercise program that includes stabilization exercises in patients with chronic neck pain.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2019-07-05
• Study First Submitted QC: 2019-07-09
• Study First Posted: 2019-07-10
• Study Start: 2020-10-30
• Primary Completion: 2021-09-30
• Study Completion: 2021-10-10
• Status Verified: 2022-06
• Last Update Submitted: 2022-06-28
• Last Update Posted: 2022-07-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• to have pain more than 3 months,
• to be sedentary,
• to have Neck Disability Index score more than 10.

Exclusion Criteria

• to have neurological deficits, vestibular pathology, history of surgery.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Virtual Reality	Virtual Reality	Virtual Reality + Exercise
Exercise	Virtual Reality	Exercise Only

Primary Outcome Measures

Name	Time	Method
Joint position sense error will assessed by Cervical Range of Motion device.	Change from baseline joint position sense error (cervical flexion, extension, lateral flexions and rotations) after 6 weeks.	Joint position sense error will assessed by Cervical Range of Motion device.
Balance will assessed by Dynamic Posturography.	Change from baseline sensorial organization test (vestibular, visual and proprioceptive components), limits of stability (reaction time, movement velocity, endpoint excursion, maximum excursion, directional control) and unilateral stance after 6 weeks.	Balance will assessed by Dynamic Posturography.

Secondary Outcome Measures

Name	Time	Method
Quality of life will assessed by Short-form 36.	Change from baseline quality of life after 6 weeks.	Quality of life will assessed by Short-form 36.
cervical lordosis angle	Change from baseline cervical lordosis after 6 weeks.	Angle will measure using the plane of the superior vertebral plateau of C7 vertebra and of the inferior plateau of C2.
Disability will assessed by Profile Fitness Mapping Questionnaire(Turkish).	Change from baseline disability after 6 weeks.	Disability will assessed by Profile Fitness Mapping Questionnaire(Turkish).
Kinesiophobia will assessed by Tampa kinesiophobia Scale	Change from baseline kinesiophobia after 6 weeks.	Kinesiophobia will assessed by Tampa kinesiophobia Scale
Shoulder protraction and forward head posture were assessed by photography method.	Change from baseline shoulder protraction and forward head posture after 6 weeks.	Shoulder protraction and forward head posture were assessed by photography method.
Pain threshold will assessed by algometer device.	Change from baseline pain threshold of both the right and left upper trapezius, the right and left articular pillar between cervical 1 and 2, the right and left cervical 5 and 6 after 6 weeks.	Pain threshold will assessed by algometer device.
muscle strength will assessed by dynamometer and biofeedback device	Change from baseline muscle strength after 6 weeks.	muscle strength will assessed by dynamometer and biofeedback device
Pain intensity will assessed with Visual Analog Scale.	Change from baseline pain intensity after 6 weeks.	Pain intensity will assessed with Visual Analog Scale.
Anxiety-depression will assessed by Hospital Anxiety-depression scale.	Change from baseline anxiety-depression after 6 weeks.	Anxiety-depression will assessed by Hospital Anxiety-depression scale.

Trial Locations

Locations (1)

Hacettepe University; 🇹🇷 Ankara, Turkey