Effectiveness of Virtual Reality in Patients With Chronic Neck Pain

Virtual Reality Clinical Trial

Official title:

Investigation of the Effectiveness of Virtual Reality Applications in Addition to Exercise Program in People With Chronic Neck Pain

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04014998
• Other study ID #: VR2805
• Status: Completed
• Phase: N/A
• Start date: October 30, 2020
• Est. completion date: October 10, 2021

Study information

• Verified date: June 2022
• Source: Hacettepe University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Virtual reality application has been increasing in recent years for pain control, distraction in wound care, treatment of anxiety disorders and support for physical rehabilitation. For example, it has been found to be effective in reducing pain when used in addition to medical treatment during bandaging of severe burns. The studies related with chronic pain patients were stated that virtual reality application was found to be interactive and fun by patients. Therefore, The aim of this study was to investigate the effects of virtual reality on pain threshold, disability, balance, proprioception, exercise sustainability, muscular performance in neck region, quality of life and anxiety / depression in addition to the exercise program that includes stabilization exercises in patients with chronic neck pain.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: October 10, 2021
• Est. primary completion date: September 30, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• to have pain more than 3 months,

• to be sedentary,

• to have Neck Disability Index score more than 10.

Exclusion Criteria:

• to have neurological deficits, vestibular pathology, history of surgery.

Related Conditions & MeSH terms

• Balance
• Neck Pain
• Pain, Neck
• Proprioception
• Virtual Reality

Intervention

Other:
• Virtual Reality
Virtual reality group will have virtual reality for 20 minutes in addition to motor control exercises for 20 minutes. Virtual reality will apply using Oculus Go. On the other hand control group will have only exercise for 40 minutes. Exercises will include same exercises in both groups, but exercise group will perform exercises twice compared to virtual reality group.

Locations

Country	Name	City	State
Turkey	Hacettepe University	Ankara

Sponsors (1)

Lead Sponsor	Collaborator
Hacettepe University

Country where clinical trial is conducted

Turkey, 

References & Publications (2)

Li A, Montaño Z, Chen VJ, Gold JI. Virtual reality and pain management: current trends and future directions. Pain Manag. 2011 Mar;1(2):147-157. — View Citation

Tashjian VC, Mosadeghi S, Howard AR, Lopez M, Dupuy T, Reid M, Martinez B, Ahmed S, Dailey F, Robbins K, Rosen B, Fuller G, Danovitch I, IsHak W, Spiegel B. Virtual Reality for Management of Pain in Hospitalized Patients: Results of a Controlled Trial. JMIR Ment Health. 2017 Mar 29;4(1):e9. doi: 10.2196/mental.7387. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Joint position sense error will assessed by Cervical Range of Motion device.	Joint position sense error will assessed by Cervical Range of Motion device.	Change from baseline joint position sense error (cervical flexion, extension, lateral flexions and rotations) after 6 weeks.
Primary	Balance will assessed by Dynamic Posturography.	Balance will assessed by Dynamic Posturography.	Change from baseline sensorial organization test (vestibular, visual and proprioceptive components), limits of stability (reaction time, movement velocity, endpoint excursion, maximum excursion, directional control) and unilateral stance after 6 weeks.
Secondary	cervical lordosis angle	Angle will measure using the plane of the superior vertebral plateau of C7 vertebra and of the inferior plateau of C2.	Change from baseline cervical lordosis after 6 weeks.
Secondary	Kinesiophobia will assessed by Tampa kinesiophobia Scale	Kinesiophobia will assessed by Tampa kinesiophobia Scale	Change from baseline kinesiophobia after 6 weeks.
Secondary	Quality of life will assessed by Short-form 36.	Quality of life will assessed by Short-form 36.	Change from baseline quality of life after 6 weeks.
Secondary	Disability will assessed by Profile Fitness Mapping Questionnaire(Turkish).	Disability will assessed by Profile Fitness Mapping Questionnaire(Turkish).	Change from baseline disability after 6 weeks.
Secondary	Anxiety-depression will assessed by Hospital Anxiety-depression scale.	Anxiety-depression will assessed by Hospital Anxiety-depression scale.	Change from baseline anxiety-depression after 6 weeks.
Secondary	Shoulder protraction and forward head posture were assessed by photography method.	Shoulder protraction and forward head posture were assessed by photography method.	Change from baseline shoulder protraction and forward head posture after 6 weeks.
Secondary	Pain threshold will assessed by algometer device.	Pain threshold will assessed by algometer device.	Change from baseline pain threshold of both the right and left upper trapezius, the right and left articular pillar between cervical 1 and 2, the right and left cervical 5 and 6 after 6 weeks.
Secondary	Pain intensity will assessed with Visual Analog Scale.	Pain intensity will assessed with Visual Analog Scale.	Change from baseline pain intensity after 6 weeks.
Secondary	muscle strength will assessed by dynamometer and biofeedback device	muscle strength will assessed by dynamometer and biofeedback device	Change from baseline muscle strength after 6 weeks.