Virtual Reality-Based Posture Correction Program on Low Back Pain (VR-LBP)
Effect of Virtual Reality-Based Posture Correction Program on Low Back Pain and Dynamic Balance in Desk Workers
Обзор исследования
Статус
Условия
Вмешательство/лечение
Подробное описание
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.
Тип исследования
Регистрация (Действительный)
Фаза
- Непригодный
Контакты и местонахождение
Места учебы
-
-
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Kafr ash Shaykh, Египет
- Faculty of Kafr El Sheikh Unversity
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Критерии участия
Критерии приемлемости
Возраст, подходящий для обучения
- Ребенок
Принимает здоровых добровольцев
Описание
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
Учебный план
Как устроено исследование?
Детали дизайна
- Основная цель: Уход
- Распределение: Рандомизированный
- Интервенционная модель: Параллельное назначение
- Маскировка: Одинокий
Оружие и интервенции
Группа участников / Армия |
Вмешательство/лечение |
|---|---|
|
Экспериментальный: 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.
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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. |
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Активный компаратор: pamphlet based ergonomics
Participants in this group will receive conventional physiotherapy exercises and posture correction training without virtual reality intervention.
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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. |
Что измеряет исследование?
Первичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
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pain intensity
Временное ограничение: baseline and 4 weeks
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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.
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baseline and 4 weeks
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functional disability
Временное ограничение: baseline and 4 weeks
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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.
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baseline and 4 weeks
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Вторичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
|
dynamic balance
Временное ограничение: 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.
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baseline and 4 weeks
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Соавторы и исследователи
Спонсор
Публикации и полезные ссылки
Общие публикации
- Hilmi AH, Hamid ARA and Ibrahim WARAW. Current trends and risk factors in low back pain: An ergonomic perspective on prevention and management. Malaysian Journal of Ergonomics (MJEr). 2024;6:105-18.
- Sotiropoulos S, Papandreou M, Mavrogenis A, Tsaroucha A, Georgoudis G. The Effects of Qigong and Tai Chi Exercises on Chronic Low Back Pain in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Cureus. 2025 May 18;17(5):e84342. doi: 10.7759/cureus.84342. eCollection 2025 May.
Даты записи исследования
Изучение основных дат
Начало исследования (Действительный)
Первичное завершение (Действительный)
Завершение исследования (Действительный)
Даты регистрации исследования
Первый отправленный
Впервые представлено, что соответствует критериям контроля качества
Первый опубликованный (Действительный)
Обновления учебных записей
Последнее опубликованное обновление (Действительный)
Последнее отправленное обновление, отвечающее критериям контроля качества
Последняя проверка
Дополнительная информация
Термины, связанные с этим исследованием
Дополнительные соответствующие термины MeSH
Другие идентификационные номера исследования
- VRBPCPOLBP
Планирование данных отдельных участников (IPD)
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Информация о лекарствах и устройствах, исследовательские документы
Изучает лекарственный продукт, регулируемый FDA США.
Изучает продукт устройства, регулируемый Управлением по санитарному надзору за качеством пищевых продуктов и медикаментов США.
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