AzTrials
AzTrials

Neck PainNCT06235515

Additional Benefits of Virtual Reality Therapy for Individuals With Neck Pain

A study testing rehabilitation program and virtual reality in people with Neck Pain and Virtual Reality, run by Kirsehir Ahi Evran Universitesi at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study aimed to investigate the effect of adding virtual reality therapy to conventional treatment in patients with chronic neck pain on pain, neck disability index, kinesiophobia, insomnia severity questionnaire, hospital anxiety depression scale, cervical range of motion and pressure pain threshold. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Neck Pain, Virtual Reality, Rehabilitation
What is being tested?
rehabilitation program and virtual reality
Could I receive a placebo?
No, everyone receives an active treatment
How many people
62 participants
Where
1 siteTurkey (Türkiye)
Study dates
15 Mar 2024to 16 Sep 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients aged 18-65 who signed the informed consent form
  • Those with existing neck pain
  • Those whose neck pain continues for at least 12 weeks

Who cannot join

  • Previous cervical surgery
  • Having received FTR from the cervical region in the last 6 months
  • Having had a spinal fracture
  • History of malignancy
  • Those with pacemakers
  • Those with rheumatological, vestibular and neurological diseases
  • Pregnant women

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site

  • Kırşehir Ahi Evran University

    Kırşehir, Kırşehir

Other trials in Turkey (Türkiye)

About this study

Official title: Does Adding Virtual Reality Therapy to Conventional Physical Therapy Improve Clinical Outcomes in Individuals With Chronic Neck Pain?

This study aimed to investigate the effect of adding virtual reality therapy to conventional treatment in patients with chronic neck pain on pain, neck disability index, kinesiophobia, insomnia severity questionnaire, hospital anxiety depression scale, cervical range of motion and pressure pain threshold.

Read the detailed description

Neck pain is a disease that affects individuals and society worldwide. Between 50% and 85% of the general population experiences neck pain at some point in their lives, and every person who experiences neck pain is likely to experience pain again after 1-5 years. Neck pain is considered chronic if it lasts more than 3 months. Passive and active physical therapy approaches play a very important role in the treatment of neck pain. With the rapid development of technology, new developments such as virtual reality have begun to be used in the treatment of chronic neck pain.

Virtual reality (VR) is a term describing innovative, real-time, computer-based technologies that play an increasing role for many patient groups in the field of physical medicine and rehabilitation. Virtual reality has been shown to be effective in reducing pain and discomfort in patients with different types of chronic pain. Motivation and interaction are the main practical benefits of virtual reality training, especially in video game-based therapy approaches, unlike traditional rehabilitation. Patients play the therapeutic game over and over again to achieve a better score without getting bored. Feedback, an important component of motor learning, is a prominent feature in virtual environments.

Being tested
rehabilitation program, virtual reality
Medical subject headings
Neck Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • rehabilitation programOther

    conventional treatment (hotpack and TENS and exercise)

  • virtual realityOther

    virtual reality treatment

Study groups in NCT06235515
Study groupRoleWhat they receive
group IExperimentalconventional treatment As conventional treatment, patients will receive 20 minutes of hotpack and 20 minutes of TENS, 5 sessions a week for a total of 15 sessions for 3 weeks. Additionally, patients will be given cervical isometric exercises as a home exercise program.
Receives: Other: rehabilitation program
group IIExperimentalconventional treatment and virtual reality As conventional treatment, patients will receive 20 minutes of hotpack and 20 minutes of TENS, 5 sessions a week for a total of 15 sessions for 3 weeks. Additionally, patients will be given cervical isometric exercises as a home exercise program. In addition to conventional treatment, virtual reality treatment will allow patients to play games in which they can perform neck movements in all directions for 30 minutes a day, 5 sessions a week for 3 weeks..
Receives: Other: rehabilitation program; Other: virtual reality

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Visual Anolog Scale

    It is a pain rating scale with numbers 0 and 10. Here 0 means 'no pain' and 10 means 'unbearable pain'. The participant will rate the pain according to the scale. Patients' night, rest and activity pain will be evaluated separately.

    Measured: Before treatment and three weeks

  2. Neck Disability Index

    It is the most widely used scale for cervical dysfunction and pain. It is also a unidimensional measurement used to determine the patient's perceived level of disability due to neck pain. It is a personal questionnaire consisting of 10 items regarding daily living activities. Each section is scored from 0 (no disability) to 5 (complete disability). The total score ranges from 0 (no injury) to 50 (total injury).

    Measured: Before treatment and three weeks

  3. Range of Motion

    Cervical range of motion, flexion, extension, right-left lateral flexion and right-left rotations will be measured and recorded using a goniometer. Normal joint ranges of motion; Flexion was determined as 50 degrees, extension as 70 degrees, lateral flexion as 45 degrees and rotation as 80 degrees.

    Measured: Before treatment and three weeks

Secondary outcomes (4)

  1. Tampa Kinesiophobia Scale

    It consists of 17 questions designed to measure fear of movement. A 4-point Likert scoring (1: strongly disagree, 2: disagree, 3: agree, 4: completely agree) is used. Total score varies between 17-68. It is concluded that the higher the person scores on the scale, the higher the fear of movement.

    Measured: Before treatment and three weeks

  2. Insomnia Severity Index

    This scale, developed to determine the degree of insomnia symptoms, can be used in normal population screening and clinical evaluation of insomnia. It is a five-point Likert type scale consisting of seven items. 0-7 points indicate insignificant insomnia, 8-14 indicates clinically subthreshold insomnia, 15-21 indicates moderate insomnia, and 22-28 indicates severe insomnia.

    Measured: Before treatment and three weeks

  3. Hospital Anxiety Depression Scale

    This scale was used to determine anxiety and depression symptomatology. The scale consists of a total of 14 items, 7 items assessing depression and 7 items assessing anxiety. By summing the subscale scores, 0-21 points can be obtained from each of the depression and anxiety scales. 0-7 points; no depression or anxiety disorder, 8-10 points; mild depression or anxiety disorder, 11-14 points; moderate, 15-21 points; indicates severe disorder.

    Measured: Before treatment and three weeks

  4. Pressure Pain Threshold

    A pressure algometer (Baseline dolorimeter-66 pound sensitivity- with circular probe) will be used to evaluate the pressure pain threshold. Pain pressure thresholds will be measured from both the right and left upper trapezius and the right-left C1/2 and C5/6 articular pilar level. Before measurements are taken at these points, the pressure pain threshold measurement will be displayed on the patient's hand in order to familiarize the patient with the procedure. Participants will be told to say 'stop' when the feeling changes from pressure to pain. Three measurements will be made at each point with a 1 cm diameter probe and a maximum pressure of up to 60 N will be applied at a speed of approximately 3 N/s. A 30-second rest period will be left between each measurement and the average of the measurements will be recorded.

    Measured: Before treatment and three weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Feb 2024
  2. Study start15 Mar 2024
  3. Primary completion16 Sep 2024
  4. Study completion16 Sep 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
62 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06235515
Sponsor's protocol ID
AEÜ-NK-SG
Status last verified
Sep 2024
First submitted
8 Jan 2024
Last updated
14 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Haldeman S, Carroll L, Cassidy JD. Findings from the bone and joint decade 2000 to 2010 task force on neck pain and its associated disorders. J Occup Environ Med. 2010 Apr;52(4):424-7. doi: 10.1097/JOM.0b013e3181d44f3b.

    PubMed 20357682

  • Vernon HT, Humphreys BK, Hagino CA. A systematic review of conservative treatments for acute neck pain not due to whiplash. J Manipulative Physiol Ther. 2005 Jul-Aug;28(6):443-8. doi: 10.1016/j.jmpt.2005.06.011.

    PubMed 16096044

  • Ahern MM, Dean LV, Stoddard CC, Agrawal A, Kim K, Cook CE, Narciso Garcia A. The Effectiveness of Virtual Reality in Patients With Spinal Pain: A Systematic Review and Meta-Analysis. Pain Pract. 2020 Jul;20(6):656-675. doi: 10.1111/papr.12885. Epub 2020 May 21.

    PubMed 32196892

  • Adamovich SV, Fluet GG, Tunik E, Merians AS. Sensorimotor training in virtual reality: a review. NeuroRehabilitation. 2009;25(1):29-44. doi: 10.3233/NRE-2009-0497.

    PubMed 19713617

  • Burdea GC. Virtual rehabilitation--benefits and challenges. Methods Inf Med. 2003;42(5):519-23.

    PubMed 14654886

  • Holden MK. Virtual environments for motor rehabilitation: review. Cyberpsychol Behav. 2005 Jun;8(3):187-211; discussion 212-9. doi: 10.1089/cpb.2005.8.187.

    PubMed 15971970

Questions about this trial

What is this clinical trial studying?

A study testing rehabilitation program and virtual reality in people with Neck Pain and Virtual Reality, run by Kirsehir Ahi Evran Universitesi at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 14 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Visual Anolog Scale (time frame: Before treatment and three weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06235515, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Jul 2026.

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