Effect of Virtual Reality Training on Pain, Functional Disability, and Lumbar Reposition Error in Patients With Chronic Non-Specific Low Back Pain
Effect of Virtual Reality Training on Pain, Functional Disability, and Lumbar Reposition Error in Patients With Chronic Non-Specific Low Back Pain: A Randomized Control Trial
Aperçu de l'étude
Statut
Les conditions
Description détaillée
This randomized controlled trial was conducted to evaluate the effectiveness of virtual reality (VR) training in patients with chronic non-specific low back pain (CNSLBP). Chronic low back pain is a highly prevalent condition associated with impaired proprioception, altered motor control, and functional disability.
Fifty participants diagnosed with CNSLBP were randomly assigned into two groups. The intervention group received virtual reality-based training in addition to conventional physiotherapy, while the control group received conventional treatment alone.
Outcome measures included pain intensity assessed by the Visual Analogue Scale (VAS), functional disability assessed by the Oswestry Disability Index (ODI), and lumbar repositioning error measured using an iPhone inclinometer application.
The study aimed to determine whether VR training could significantly improve pain, functional outcomes, and proprioceptive accuracy in this population.
Type d'étude
Inscription (Réel)
Phase
- N'est pas applicable
Contacts et emplacements
Lieux d'étude
-
-
-
Giza, Egypte, 12613
- Cairo University
-
-
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
Accepte les volontaires sains
La description
Inclusion Criteria:
- Patients with low back pain ≥ 12 weeks Age: 21-45 years Both genders BMI: 18.5-24.9
Exclusion Criteria:
- iabetic neuropathy Sciatica Spine deformities Previous lumbar surgery Neurological or vestibular disorders Visual disorders Malignancy or trauma Structural spinal disorders (stenosis, osteoporosis, etc.)
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Comparateur actif: Arm 1
Participants in this group received conventional physiotherapy including TENS, therapeutic ultrasound, and proprioceptive exercises.
|
TENS was applied in a prone position with electrodes placed over the painful area.
Low-frequency stimulation (2-10 Hz) was used to achieve analgesic effects.
Intensity was adjusted to produce a strong but comfortable tingling sensation.
Each session lasted 20-60 minutes.
Ultrasound therapy was applied using appropriate frequency (1 MHz for deep tissues, 3 MHz for superficial tissues) and intensity (0.5-2.0 W/cm²).
Continuous or pulsed modes were selected based on the condition.
Each session lasted 5-10 minutes.
Participants performed trunk stabilization exercises including supine bridge, supine bridge on Swiss ball, and prone plank.
Each exercise was performed for 30 seconds with 30 seconds rest, repeated 5 times, 3 sets per session, 3 times per week.
|
|
Expérimental: Group 2
Participants in this group received the same conventional physiotherapy program in addition to virtual reality (VR) training.
|
TENS was applied in a prone position with electrodes placed over the painful area.
Low-frequency stimulation (2-10 Hz) was used to achieve analgesic effects.
Intensity was adjusted to produce a strong but comfortable tingling sensation.
Each session lasted 20-60 minutes.
Ultrasound therapy was applied using appropriate frequency (1 MHz for deep tissues, 3 MHz for superficial tissues) and intensity (0.5-2.0 W/cm²).
Continuous or pulsed modes were selected based on the condition.
Each session lasted 5-10 minutes.
Participants performed trunk stabilization exercises including supine bridge, supine bridge on Swiss ball, and prone plank.
Each exercise was performed for 30 seconds with 30 seconds rest, repeated 5 times, 3 sets per session, 3 times per week.
Participants underwent VR training using Xbox 360 Kinect system. The setup included a motion sensor and projector, allowing full-body interaction through game-based activities. Training consisted of interactive games (e.g., rafting, running, ball hitting) designed to improve trunk control and motor function. Sessions were conducted twice weekly for 30 minutes over 12 weeks. Exercises included movements such as jumping, trunk tilting, and arm coordination, with progressive difficulty levels. |
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Délai |
|---|---|
|
Pain intensity (VAS)
Délai: 1 Month
|
1 Month
|
|
Functional disability (Oswestry Disability Index)
Délai: 1 Month
|
1 Month
|
|
Lumbar reposition error (iPhone inclinometer)
Délai: 1 Month
|
1 Month
|
Collaborateurs et enquêteurs
Parrainer
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- P.T.REC/012/00604
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
Étudie un produit d'appareil réglementé par la FDA américaine
Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .