Effectiveness of Virtual Reality in Patients With Chronic Neck Pain

NCT04014998 | Completed

• 1 other identifier: VR2805
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Pain, Neck; Virtual Reality; Proprioception; Balance

Keywords

neck pain; virtual reality; proprioception; balance

Outcome Measures

Primary Outcomes (2)

• 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.

• 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 Outcomes (9)

• cervical lordosis angle

  Change from baseline cervical lordosis after 6 weeks.

• Kinesiophobia will assessed by Tampa kinesiophobia Scale

  Change from baseline kinesiophobia after 6 weeks.

• Quality of life will assessed by Short-form 36.

  Change from baseline quality of life after 6 weeks.

• Disability will assessed by Profile Fitness Mapping Questionnaire(Turkish).

  Change from baseline disability after 6 weeks.

• Anxiety-depression will assessed by Hospital Anxiety-depression scale.

  Change from baseline anxiety-depression after 6 weeks.

Study Arms (2)

Virtual Reality

EXPERIMENTAL

Virtual Reality + Exercise

Other: Virtual Reality

Exercise

OTHER

Exercise Only

Other: Virtual Reality

Interventions

Virtual Reality OTHER

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.

Also known as: Exercise

Exercise; Virtual Reality

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• to have pain more than 3 months,
• to be sedentary,
• to have Neck Disability Index score more than 10.

You may not qualify if:

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

Sponsors & Collaborators

• Hacettepe University: lead

Study Sites (1)

Hacettepe University

Ankara, Turkey (Türkiye)

Location

Related Publications (2)

• 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.

  PMID: 28356241 BACKGROUND

• Li A, Montano Z, Chen VJ, Gold JI. Virtual reality and pain management: current trends and future directions. Pain Manag. 2011 Mar;1(2):147-157. doi: 10.2217/pmt.10.15.

  PMID: 21779307 BACKGROUND

MeSH Terms

Conditions

Neck Pain

Interventions

Exercise

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Halil Kamil Öge

  Hacettepe University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assisstant

Model Details: Virtual Reality

Study Record Dates

• First Submitted: July 5, 2019
• First Posted: July 10, 2019
• Study Start: October 30, 2020
• Primary Completion: September 30, 2021
• Study Completion: October 10, 2021
• Last Updated: July 1, 2022

Record last verified: 2022-06

Locations

TU (1)