Neck Pain
Conditions
Keywords
virtual reality, exercise, neck pain
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.
Interventions
OTHERExperimental: VR and exercise
Participants will perform a 20-minute exercise program consisting of neck joint mobility exercises, neck and scapulothoracic muscle strengthening exercises, and stretching exercises. Then, for the next 20 minutes, they will engage in active neck movements using the Oculus Quest2 headset with the Ocean Rift game.
OTHERSham Comparator: exercise
The control group will perform a 40-minute same neck exercises.
Sponsors
Biruni University
Koç University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Neck disability index | 8 weeks | Neck disability index was used to determine the pain experience and functional disability of the participants. It consists of 10 questions concern of the pain severity, ability for personal care, lifting weight, job capability headache intensity, concentration, quality of sleeping and driving and recreation activities. Total score ranges between 0 to 50 points. Zero to four points mean no disability, 5 to 14 points mean light disability, 15 to 24 points mean moderate disability, 25 to 34 points mean severe disability, and 35 to 50 points mean complete disability. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Joint position sense error | 8 weeks | The sense of joint position error will be measured using the Cervical Range of Motion Device. The individual's head will be passively brought to 50% of the joint's range of motion, and the individual will be asked to wait for three seconds to feel the position. Then, the individual will be asked to bring their head to that position with their eyes closed. This process will be repeated three times for all directions. |
| Pressure pain threshold | 8 weeks | A pressure algometer with a round tip measuring 1 cm² surface area will be used to assess pressure pain threshold. The sternum will be used as a reference point, and the trapezius and levator scapula muscles will be evaluated. The tip of the algometer probe will be applied to the skin perpendicular to it at a rate of 1 kg/cm² per second. The patient will be asked to indicate when the pressure sensation turns into pain. There will be a 30-second rest period between measurements, and bilateral evaluation will be performed, starting with the right side followed by the left side. |
| joint range of motion | 8 weeks | Neck flexion, extension, right and left rotation, and right and left lateral flexion will be measured using the Cervical Range of Motion Device. |
| Visual analog scale | 8 weeks | Visual analog scale is a self-reported scale consisting of a horizontal line (10 cm long) with anchor points of zero for no pain and ten for worst possible pain. The patient was asked to put a mark on the line that best described the severity of his or her pain between zero and ten. |
| Tampa Scale for Kinesiophobia | 8 weeks | The Tampa Scale of Kinesiophobia was used to measure the kinesiophobia related to the pain. It is a scale with 17 items, and the scores range from 17 to 68. The higher the score is, the greater the kinesiophobia. |
| Pittsburgh Sleep Quality Index | 8 weeks | The Pittsburgh Sleep Quality Index is a self-report assessment tool that evaluates sleep quality over a one-month period. A global score and seven component scores can be derived from the scale. The component scores are the following: Subjective sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbances, use of sleeping medications and daytime dysfunction. Each component is scored on a scale from 0-3, with the total score ranging from 0-21; where a higher score describes poorer sleep quality. |
| Bournemouth Neck Questionnaire | 8 weeks | The Bournemouth Neck Questionnaire, individuals rank the following 7 dimensions of pain and function on a scale of 0 to 10: pain severity, physical disability, social disability, anxiety, depression, employment, and ability to control their pain. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactYasemin Gursoy Ozdemir, Prof
Outcome results
None listed