Virtual Reality and Cervical Mobilization

Study Overview
=================
Brief Summary
-----------------
The aim of this study is to compare the effects of virtual reality and cervical mobilization on proprioception, balance parameters, pain, disability level, quality of life and overall felt effect in individuals with chronic neck pain. In addition, it is aimed to qualitatively evaluate the virtual reality perspectives of individuals with chronic neck pain.

Official Title
-----------------
Comparison of the Effects of Virtual Reality and Cervical Mobilization in Individuals With Chronic Neck Pain

Conditions
-----------------
Neck Pain, Virtual Reality

Intervention / Treatment
-----------------
* Other: virtual reality
* Other: cervical mobilization
* Other: exercise


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Neck pain persisting for at least 3 months Being between the ages of 18-65, Being sedentary (not included in any physical therapy program in the last 6 months), ->10 points from the Neck Disability Index Exclusion Criteria: History of previous spinal surgery Neurological, cardiopulmonary, musculoskeletal disease affecting physical performance Any pathology in the shoulder joint Spinal trauma history Pregnancy

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: virtual reality+Exercise<br>An exercise program consisting of stretching exercises, posture exercises and breathing exercises and lasting approximately 20-30 minutes will be applied to the individuals in all 3 groups. The virtual reality group will performe virtual reality for an additional 20 minutes. (Oculus GO) | Other: virtual reality<br>* The individuals participating in the study will experience virtual reality.<br>Other: exercise<br>* The individuals participating in the study will performed neck-specific exercises.<br>|
| Experimental: cervical mobilization+Exercise<br>An exercise program consisting of stretching exercises, posture exercises and breathing exercises and lasting approximately 20-30 minutes will be applied to the individuals in all 3 groups. Mobilization techniques that will mobilize the cervical region will be applied to the cervical mobilization group for 20 minutes. | Other: cervical mobilization<br>* The individuals participating in the study will be applied cervical mobilization techniques.<br>Other: exercise<br>* The individuals participating in the study will performed neck-specific exercises.<br>|
| Other: Control<br>Control group will only perform an exercise program. | Other: exercise<br>* The individuals participating in the study will performed neck-specific exercises.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proprioception | Proprioception in all cervical directions will assessed by Cervical Range of Motion device. | Change from Baseline proprioception after 4 weeks. | 
| Balance | Unilateral stance and body sway will assessed with FreeMed baropedometric platform. | Change from Baseline balance after 4 weeks. | 
| Dynamic Balance | 10 meter walking speed and four square step-test will be combined to report dynamic balance. | Change from Baseline dynamic balance after 4 weeks. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cervical Pain | Visual Analog Scale will be used to assess this outcome measure. | Change from Baseline cervical pain after 4 weeks. | 
| Functional disability | Neck Disability Index will be used to assess this outcome measure. | Change from Baseline functional disability after 4 weeks. | 
| quality of life about cervical pain | SF-36 will be used to assess this outcome measure. | Change from Baseline quality of life about cervical pain after 4 weeks. | 
| Global perceived effect | Global perceived effect scale will be used to assess this outcome measure. | Change from Baseline Global perceived effect after 4 weeks. |