Virtual Reality Neck-based Sensorimotor Training Versus Sensorimotor Training in Mechanical Non-specific Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 4
- 主要终点
- Measurement of pain intensity (VAS)
研究概览
简要总结
The research aims to treat chronic non-specific neck pain using virtual reality (VR) technologies with sensory-motor training. Chronic neck pain is widespread and highly prevalent in Egyptian society due to many factors, such as sitting for long periods in front of a computer or smartphone, which leads to a decline in productivity at work and a constant feeling of fatigue. This problem is considered one of the widespread health problems that affect individuals of all ages and greatly affect their daily lives.
This project was chosen based on the growing awareness of the need to search for innovative solutions to this health problem that hinders productivity and affects the general comfort of individuals.
The reserch aims to integrate sensory-motor therapy with virtual reality, which helps patients improve movement and flexibility and reduce pain. It does this by simulating exciting interactive environments that engage their attention and help them relieve pain away from traditional treatment methods.
详细描述
Virtual reality, a novel form of technology, is gaining attention in the medical field for its potential to aid inpatient rehabilitation. This experience will immerse the patient in an interactive and engaging journey. Virtual reality feedback can assist patients with chronic musculoskeletal pain by offering them various sensory and motor tasks to enhance their postural control.
Moreover, virtual reality offers a distracting experience that aids in reducing patients' pain and emotional distress. Using a specialized device on their head (Head-mounted device) (HMD) or screen, patients can participate in computer-based exercises as part of virtual reality physical therapy.
Combining virtual reality with comprehensive sensorimotor training can be beneficial in treating chronic neck pain.
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
- Single (Outcomes Assessor)
盲法说明
A blinded researcher will assess the patients during the trial, blinding will not be feasible for participants or therapists due to the layout of the VR therapy.
入排标准
- 年龄范围
- 18 Years 至 40 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Fourty patients diagnosed with mechanical neck pain between 18- and 40 years old with mechanical neck pain.
- •Patients with pain intensity scores (>3) on the visual analog scale (VAS; 0-100mm) for an average of three weeks before the study.
- •Neck Disability Index (NDI) scoring 20%-60% (>6) (moderate to severe disability).
排除标准
- •Any history of lower extremity or spine trauma or surgery, recognized and observable spinal deformity, neurological disorders, cervical fracture/dislocation, whiplash injuries, neurological/cardiovascular/respiratory disorders affecting patients' physical performance, or inability to provide informed consent.
- •Benign paroxysmal positional vertigo (BPPV), as confirmed by the Dix Hallpike test.
- •Patients who had received physical therapy interventions for neck pain within three months preceding the study were also ineligible for participation and were excluded.
研究组 & 干预措施
Virtual Reality
The virtual reality group will engage in targeted cervical sensorimotor training through VR Oculus Quest 3 Pro (OQ3 Pro)
干预措施: Virtual Reality (VR) (Device)
laser-guided Sensorimotor Training
An exercise program consisting of Cervical JPSM, Cervical movement sense
干预措施: laser-guided Sensorimotor Training (Other)
结局指标
主要结局
Measurement of pain intensity (VAS)
时间窗: Before Treatment and after 6 weeks of treatment
Asking the patient to put a horizontal mark on a continuous 10 cm line that represents his/her pain intensity, ranging from zero, which indicates no pain, or 29 discomfort to 10, which indicates the worst possible pain he could feel.
Measurement of disability due to neck pain (NDI)
时间窗: Before Treatment and after 6 weeks of treatment
The patient will complete a condition-specific functional status questionnaire with 10 items. The NDI consists of 10 domains-pain intensity, personal care, lifting, reading, headache, concentration, work, driving, sleep, and recreation-designed to assess the level of disability in patients with neck pain. Patients self-report their level of function/disability in each domain, after which a composite score is calculated.
Cervical proprioception and neck reposition sense
时间窗: Before Treatment and after 6 weeks of treatment
Cervical joint position error (JPE) Test is a measurement tool used to clinically assess an individual's cervicocephalic proprioception ability.
Eye Movement Control (Gaze Stability)
时间窗: Before Treatment and after 6 weeks of treatment
The Dynamic Visual Acuity (DVA) test is used for assessing gaze stability.
Cervical range of motion (ROM)
时间窗: Before Treatment and after 6 weeks of treatment
Cervical ROM results were calculated by averaging the three best values from each direction
Cervical kinematics: Peak velocity (V peak /sec)
时间窗: Before Treatment and after 6 weeks of treatment
Calculated as the maximal angular velocity, from motion initiation to target hit.
Cervical kinematics: Mean velocity (V mean /sec)
时间窗: Before Treatment and after 6 weeks of treatment
The mean angular velocity angular velocity, from motion initiation to target hit
Cervical kinematics: Time to peak velocity percentage (TTP%)
时间窗: Before Treatment and after 6 weeks of treatment
The time from motion initiation to peak velocity moment, as a percentage of total movement time, representing the ratio between the acceleration to deceleration phase in the velocity profile
Cervical kinematics: Static head stability (sway)
时间窗: Before Treatment and after 6 weeks of treatment
The sway in pitch and yaw from the mid-position and calculated in terms of 3D mean and standard deviation amplitude
Cervical kinematics: Head movement accuracy
时间窗: Before Treatment and after 6 weeks of treatment
Motion accuracy was defined as the difference between the target position and the participant's head location. This difference (target position- player's head position)
次要结局
- Measurement of pain intensity (VAS)(Before Treatment and after 6 weeks of treatment)
- Measurement of disability due to neck pain (NDI)(Before Treatment and after 6 weeks of treatment)
- Cervical range of motion (ROM)(Before Treatment and after 6 weeks of treatment)
- Eye Movement Control (Gaze Stability)(Before Treatment and after 6 weeks of treatment)
研究者
Hadeer Gamal Abd-Elmaboud Maghraby
Associate Lecturer in Physiotherapy
MTI University
