Chronic Pain Clinical Trial
Official title:
Manual Therapy and Exercise With Mixed Reality With Hololens® Exercise Protocol in Chronic Neck Pain Subjects: Clinical Trial
Currently, cervical pain is the second most frequent musculoskeletal disorder, which
generates an important impact on the function and quality of life. It is estimated that its
anual prevalence for the general population can reach 50%.
Non-specific cervical pain attends without signs or symptoms of structural or neurological
pathology, its etiology is unknown. However, it is related with joint and muscular
structures. It has been observed a decrease in the strength and endurace of the deep cervical
flexor muscles in 70% of patients with cervical pain; as well as motor control déficit and
coordination alterations in the sinergy between the activity of the superficial and deep
musculature.
Also, phycosocial factors, as for example: behaviors of fear-avoidance, catastrophism,
hypervigilancy, psychosocial stress and negative adaptative neuroplastic changes, may have an
importante role in chronic musculoskeletal pain.
In the last years, RV has been used in clinical rehabilitation, being a reliable and valid
tool, which allows the patient distration to virtual world and they have offered results
like: decreased pain and fear of movement and also improvements in motor performance and
neuroplasticity processes.
The aim of this single-blinded randomized novel pilot study is to observe the effects
generated in motor variables, when a protocol of manual therapy combined with augmented
reality as a method of exercise in subjects with non-specific cervical pain is applied; in
comparaison with a protocol of manual therapy combined with conventional cervical exercises.
Different variables will be measured at the beginning and at the end of intervention. Also,
they will be measured one month after the intervention to observe the changes produced in
short term. These variables are: pain, function, satisfaction, propioception, endurance, as
well as phychological and somatosensory variables.
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