Clinical trial NCT06750718: Innovative Rehabilitation: Integrating VR-Based Sensorimotor Training Into Comprehensive Neck Rehabilitation
Official title: Virtual Reality Neck-based Sensorimotor Training Versus Comprehensive Sensorimotor Training in Mechanical Neck Pain
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Chronic Non Specific Neck Pain
Keywords: Virtual Reality (VR)
Non specific Neck Pain (NSNP)
Neck-based Training Sensorimotor Training
Sensorimotor Training
Lead sponsor: MTI University
Sponsor class: OTHER
Collaborators: name: Cairo University
First posted: 2024-12-27
Enrollment: 50
Sex: ALL
Minimum age (years): 18
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Fifty patients with mechanical neck pain patients will be randomly allocated into 2 equal groups; group (A) received VR neck-based sensorimotor training only, group (B) received comprehensive sensorimotor training only. (Parallel Group Two-Armed Comparative Randomized Controlled Trial)
Primary purpose: TREATMENT

Brief summary: 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.

Detailed description: 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.

Eligibility criteria: Inclusion Criteria:

1. Fifty patients diagnosed with mechanical neck pain between 18- and 40 years old with mechanical neck pain.
2. Patients with pain intensity scores (\>3) on the visual analog scale (VAS; 0-100mm) for an average of three weeks before the study.
3. Neck Disability Index (NDI) scoring 20%-60% (\>6) (moderate to severe disability).

Exclusion Criteria:

1. 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.
2. Benign paroxysmal positional vertigo (BPPV), as confirmed by the Dix Hallpike test.
3. Pregnancy.
4. Patients who had received physical therapy interventions for neck pain within three months preceding the study were also ineligible for participation and were excluded.

Primary outcomes:
measure: Measurement of pain intensity (VAS)
timeFrame: Before Treatment and after 6 weeks of treatment
measure: Measurement of disability due to neck pain (NDI)
timeFrame: Before Treatment and after 6 weeks of treatment
measure: Cervical proprioception and neck reposition sense
timeFrame: Before Treatment and after 6 weeks of treatment
measure: Eye Movement Control (Gaze Stability)
timeFrame: Before Treatment and after 6 weeks of treatment
measure: Cervical range of motion (ROM)
timeFrame: Before Treatment and after 6 weeks of treatment
measure: Cervical kinematics: Peak velocity (V peak /sec)
timeFrame: Before Treatment and after 6 weeks of treatment
measure: Cervical kinematics: Mean velocity (V mean /sec)
timeFrame: Before Treatment and after 6 weeks of treatment
measure: Cervical kinematics: Time to peak velocity percentage (TTP%)
timeFrame: Before Treatment and after 6 weeks of treatment
measure: Cervical kinematics: Static head stability (sway)
timeFrame: Before Treatment and after 6 weeks of treatment
measure: Cervical kinematics: Head movement accuracy
timeFrame: Before Treatment and after 6 weeks of treatment
Secondary outcomes:
Other outcomes:
Locations:
city: Cairo
country: Egypt
facility: Cairo University
city: Cairo
country: Egypt
facility: Physical Therapy
Study officials:
affiliation: Assistant Lecturer
name: Hadeer Maghraby, MSc
role: PRINCIPAL_INVESTIGATOR
References: