Clinical trial NCT06549166: Virtual Reality in Chronic Neck Pain
Official title: Effectiveness of Exercise Training and Virtual Reality on Disability, Pain and Joint Position Sense in Individuals With Chronic Neck Pain: A Randomized Controlled Study
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Neck Pain
Keywords: virtual reality
exercise
neck pain
Lead sponsor: Koç University
Sponsor class: OTHER
Collaborators: name: Biruni University
First posted: 2024-08-12
Enrollment: 46
Sex: ALL
Minimum age (years): 18
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The purpose of this study is to compare the effects of virtual reality, which encourages active neck movements, in individuals with chronic neck pain, with the control group receiving only neck exercises. Participants will be randomly divided into two groups; Half of them will be given only a neck exercises program, and the other half will be given neck exercises and virtual reality.

Detailed description: Individuals with chronic neck pain tend to have low levels of endurance in deep neck flexor muscles. Conservative treatments for neck pain, including posture education, strengthening, range of motion, motor control, flexibility, and proprioceptive training, are recommended in clinical guidelines. Virtual reality has been shown to be beneficial in the treatment of various issues related to pain in previous systematic reviews. Distracting attention is one of the mechanisms explaining the impact of virtual reality on pain. It is believed that virtual reality reduces pain perception by influencing pain pathways.

Eligibility criteria: Inclusion Criteria:

* Ages 18 to 45
* Having a history of non-traumatic neck pain persisting for more than three months
* Having a Neck Disability Index score greater than 5 points
* Not having participated in a physiotherapy program for at least 3 months
* Being able to read and write in Turkish to understand, interpret, and respond to the questionnaires

Exclusion Criteria:

* Having a surgical history in the neck region
* Having cervical spine flexion, extension, and rotation range of motion \<10 degrees
* Having a history of rheumatologic, vestibular, neurological, or cardiopulmonary diseases
* Vertigo associated with neck pain
* Osteoporosis, vertebral fractures,spinal tumors
* Presence of radiculopathy or myelopathy
* Traumatic spinal cord injury
* Neck pain associated with progressive neurological deficits or loss of strength

Primary outcomes:
measure: Neck disability index
timeFrame: 8 weeks
Secondary outcomes:
measure: Visual analog scale
timeFrame: 8 weeks
measure: Joint position sense error
timeFrame: 8 weeks
measure: Pressure pain threshold
timeFrame: 8 weeks
measure: joint range of motion
timeFrame: 8 weeks
measure: Bournemouth Neck Questionnaire
timeFrame: 8 weeks
measure: Tampa Scale for Kinesiophobia
timeFrame: 8 weeks
measure: Pittsburgh Sleep Quality Index
timeFrame: 8 weeks
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Koc University School of Medicine
Study officials:
References:
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