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Virtual Reality-Based Posture Correction Program on Low Back Pain (VR-LBP)

29 mei 2026 bijgewerkt door: Esraa Moataz Aboelyazid Deghady, Kafrelsheikh University

Effect of Virtual Reality-Based Posture Correction Program on Low Back Pain and Dynamic Balance in Desk Workers

To evaluate the effect of a virtual reality-based posture correction program on reducing low back pain intensity and improving dynamic balance in sedentary desk workers.

Studie Overzicht

Toestand

Voltooid

Conditie

Interventie / Behandeling

Gedetailleerde beschrijving

Low back pain (LBP) is one of the most common musculoskeletal disorders among desk workers and is strongly associated with prolonged sitting, poor posture, and reduced physical activity. Extended periods of desk work contribute to biomechanical and neuromuscular changes, including decreased lumbar lordosis, reduced spinal mobility, muscle tightness, impaired trunk muscle activation, and altered postural control. These changes may lead to chronic nonspecific low back pain, functional limitations, and deficits in dynamic balance.

Postural deviations such as forward head posture, rounded shoulders, thoracic kyphosis, and pelvic misalignment are frequently observed in sedentary workers. These alterations affect spinal alignment and may impair proprioceptive input, resulting in decreased balance performance and inefficient neuromuscular control. Impaired balance and reduced sensorimotor awareness have been reported in individuals with chronic low back pain, increasing the risk of functional disability and musculoskeletal dysfunction.

Virtual reality (VR)-based rehabilitation has emerged as an innovative approach for improving postural control and reducing pain. VR systems provide real-time visual feedback and interactive task-oriented exercises that promote active participation and enhance sensorimotor retraining. Through immersive environments, VR interventions may improve trunk muscle activation, proprioceptive awareness, motor coordination, and postural stability while increasing motivation and adherence to exercise programs.

Dynamic posture correction exercises performed within a VR environment may provide additional benefits by integrating physical, cognitive, and sensory stimulation. Previous studies have demonstrated that VR-based interventions can reduce pain intensity, improve functional performance, enhance balance control, and decrease fear-avoidance behaviors associated with chronic pain conditions.

Therefore, this study aims to investigate the effect of a virtual reality-based posture correction program on low back pain intensity and dynamic balance in desk workers. The findings may provide evidence regarding the effectiveness of VR-based posture correction as a rehabilitation strategy for addressing musculoskeletal and balance impairments associated with prolonged sedentary work.

Studietype

Ingrijpend

Inschrijving (Werkelijk)

50

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

  • Egypte
      • Kafr ash Shaykh, Egypte
        • Faculty of Kafr El Sheikh Unversity

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

  • Kind

Accepteert gezonde vrijwilligers

Ja

Beschrijving

Inclusion Criteria

  • Age between 25-60 years
  • Desk workers (≥ 5 hours daily seated work)
  • Chronic nonspecific low back pain lasting > 3 months
  • Pain intensity between 2-6 on the Numeric Pain Rating Scale (NPRS)
  • No morbid obesity
  • No physical therapy within the last 3 months
  • Ability to understand and follow instructions
  • No visual or hearing impairments affecting VR use
  • Signed informed consent form

Exclusion Criteria

  • History of spinal surgery or spinal trauma
  • Neurological, neuromuscular, or vestibular disorders
  • Diabetes mellitus (Type I or II)
  • Cardiovascular or respiratory disorders
  • Thyroid dysfunction
  • Pregnancy
  • Medications affecting balance or alertness
  • Current smokers
  • Uncorrected visual impairments
  • Psychiatric disorders
  • History of frequent vertigo or cybersickness
  • Flat foot or foot deformities affecting balance
  • Polyneuropathy
  • Any condition affecting balance control
  • Participation in other exercise or rehabilitation programs
  • Inability or unwillingness to adhere to the study protocol

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Enkel

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: VR based posture correction
Participants in this group will receive a virtual reality-based posture correction program in addition to conventional physiotherapy exercises for low back pain management and balance improvement.
Apparaat: virtual reality

Participants in the intervention group will receive a virtual reality (VR)-based training program in addition to conventional physiotherapy. The intervention will consist of 12 treatment sessions, administered 3 times per week for 4 consecutive weeks. Each session will last approximately 30-35 minutes.

The VR training will be delivered using commercially available exergaming and VR-based fitness applications, including Fit Beat Combat, Holo-point , and the EIR Training Fitness Program. These applications are designed to provide interactive, task-oriented exercises that challenge balance, coordination, postural control, and lower limb motor performance through engaging gameplay environments.

Participants will be supervised during all sessions to ensure safety and proper performance of movements, and exercise intensity will be adjusted according to the participant's tolerance and performance.
Actieve vergelijker: pamphlet based ergonomics
Participants in this group will receive conventional physiotherapy exercises and posture correction training without virtual reality intervention.
Ander: pamphlet based ergonomics

Participants in the control group will receive a standardized educational pamphlet focusing on posture correction, ergonomic principles, and recommendations for maintaining proper body mechanics during daily activities and desk work. The pamphlet includes illustrated instructions and general advice aimed at reducing musculoskeletal strain.

In addition, participants will attend a brief weekly educational and follow-up session conducted at their workplace, where key posture and ergonomic principles are reinforced and any questions are addressed.

Furthermore, participants will be added to a daily reminder group (e.g., messaging group) to receive regular prompts and reminders to adhere to the recommended posture guidelines and exercises outlined in the pamphlet throughout the 4-week intervention period.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
pain intensity
Tijdsspanne: baseline and 4 weeks
Pain intensity will be measured using the Visual Analog Scale (VAS), a 10-cm horizontal line anchored by "no pain" (0) and "worst imaginable pain" (10). Participants will indicate their perceived level of low back pain. Higher scores indicate greater pain intensity.
baseline and 4 weeks
functional disability
Tijdsspanne: baseline and 4 weeks
Functional disability will be assessed using the Oswestry Disability Index (ODI), a self-reported questionnaire consisting of 10 items evaluating limitations in daily activities. Total scores range from 0 to 100%, with higher scores indicating greater disability.
baseline and 4 weeks

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
dynamic balance
Tijdsspanne: baseline and 4 weeks
Dynamic balance will be assessed using the Biodex Balance System. Balance performance will be quantified using the Overall Stability Index (OSI), Anterior-Posterior Stability Index (APSI), and Medial-Lateral Stability Index (MLSI). Lower scores indicate better postural stability and neuromuscular control.
baseline and 4 weeks

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Kafrelsheikh University

Publicaties en nuttige links

De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.

Algemene publicaties

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

1 september 2025

Primaire voltooiing (Werkelijk)

15 maart 2026

Studie voltooiing (Werkelijk)

30 maart 2026

Studieregistratiedata

Eerst ingediend

22 mei 2026

Eerst ingediend dat voldeed aan de QC-criteria

29 mei 2026

Eerst geplaatst (Werkelijk)

4 juni 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

4 juni 2026

Laatste update ingediend die voldeed aan QC-criteria

29 mei 2026

Laatst geverifieerd

1 mei 2026

Meer informatie

Termen gerelateerd aan deze studie

Aanvullende relevante MeSH-voorwaarden

Andere studie-ID-nummers

  • VRBPCPOLBP

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

NEE

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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