Effect of Interactive Virtual Reality Device on Cervical Proprioception and Range of Motion in Forward Head Posture

Study Overview
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Brief Summary
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Forward head posture (FHP) is one of the most common postural deformities, which affects 66% of the patient population and this study will be designed to investigate the effect of interactive virtual reality device on cervical proprioception and range of motion in symptomatic forward head posture.

Detailed Description
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Thirty subjects of both sex with ages ranging from 20-24 years and BMI ranging from 18-25 kg/m² with symptomatic forward head posture will be participated in this study. They will be assigned randomly to two groups. Group A will receive traditional treatment (chin tuck exercise for posture correction); 3 min each day for 4 weeks, three sets of 10 repetitions (each repetition was held for 5 sec) were performed. Group B will receive the same as group A and received VR training by Xbox Kinect 360 (15 min per session 3 times per week) for 4 weeks. Cervical joint position error (JPE) (CROM device) and cervical range of motion will be measured pre and post treatment.

Official Title
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Faculty of Physical Therapy, Cairo University, Egypt

Conditions
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Forward Head Posture

Intervention / Treatment
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* Device: Interactive virtual reality device


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria : Subject's age range from 18-24 years old distance of ≥ 2 cm between the acromion and the earlobe when they were positioned perpendicular to the ground.( Kim et al 2018). Prolonged neck pain for more than three months; and the Neck Disability Exclusion Criteria:1- Existing vestibular pathology. 2- Cervical fracture/dislocation. 3- Sys- temic diseases. 4- Neurological/cardiovascular/respiratory disorders affecting physical performance. 5- History of traumatic head injury. 6- Pregnancy. -
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Interactive virtual reality device group<br>Group A will receive the same as group B and will receiveVR training by Xbox Kinect 360 (15 min per session 3 times per week) for 4 weeks. C | Device: Interactive virtual reality device<br>* The Kinect sensor is an infrared camera that can recognize the positions and motions of the player without the need for special controller. The console controls the various games .For the VR training, the Xbox Kinect, console, and monitor will set up in a dedicated space. The patient will placed 1.5-2 m away from the Kinect sensor.<br>|
| Experimental: chin tuck exercise for posture correction (traditional treatment ) group<br>Group B will receive traditional treatment (chin tuck exercise for posture correction); 3 min each day for 4 weeks, three sets of 10 repetitions (each repetition was held for 5 sec) will be performed. | Device: Interactive virtual reality device<br>* The Kinect sensor is an infrared camera that can recognize the positions and motions of the player without the need for special controller. The console controls the various games .For the VR training, the Xbox Kinect, console, and monitor will set up in a dedicated space. The patient will placed 1.5-2 m away from the Kinect sensor.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cervical propriception | Assessment of cervical proprioception using cervical range of motion | 4 weeks | 
| Cervical range of motion | Assessment of cervical range of motion by CROM | 4 weeks |