Virtual Reality (VR) and Standard RehabilitationStandard Rehabilitation
Virtual Reality (VR) and Standard Rehabilitation: VR Rehabilitation:
The VR therapy includes exercises designed to improve the range of motion, coordination, and spatial awareness of the cervical spine. Each patient will complete 15 training sessions over three weeks (5 sessions per week, 2 hours per session), with an additional 30 minutes of daily VR exercises.
Standard Rehabilitation Program:
Manual Therapy: Mobilization and manipulation techniques are applied to enhance the mobility of the cervical spine joints.
Proprioceptive Exercises: These exercises focus on improving body position awareness, movement, and balance.
Strengthening and Stretching Exercises: Individually tailored exercises are provided to strengthen and stretch the neck muscles.
Standard Rehabilitation: Patients in this group will participate solely in the standard rehabilitation program.
Standard Rehabilitation Program:
Number of Sessions: Each patient will complete 15 training sessions, held 5 times per week for 3 weeks, with each session lasting 2 hours.
Program Components:
Manual Therapy: Mobilization and manipulation techniques will be applied to improve the mobility of the cervical spine joints.
Proprioceptive Exercises: These exercises aim to enhance body position awareness, movement control, and balance.
Strengthening and Stretching Exercises: Customized exercises will be provided to strengthen and stretch the neck muscles, tailored to individual needs.
Study summary
The study will assess modern diagnostic methods and evaluate the rehabilitation effects of virtual reality (VR) therapy in patients with cervical spine discopathy.
Eligibility
Sex
ALL
Min age
18 Years
Max age
65 Years
Healthy volunteers
Accepted
Inclusion Criteria:
* Individuals aged 18 to 65 years.
* Diagnosed and confirmed cervical spine discopathy (ICD-10: M50) through imaging studies (X-ray, MRI).
* Presence of symptoms related to cervical spine dysfunction, such as neck pain, limited range of motion, and radiating pain to the arms.
* Informed consent to participate in the study and willingness to adhere to rehabilitation recommendations.
Exclusion Criteria:
* Active rheumatic diseases, cancers, advanced diabetes, cardiovascular diseases, or other conditions affecting the safety and effectiveness of rehabilitation.
* Cervical spine surgeries performed within the last 6 months.
* Cervical spine injuries, including fractures or dislocations.
* Severe mental disorders.
* Lack of informed consent to participate in the study.
Primary outcome measure(s)
Assessment of cervical spine range of motion using a Cervical Range of Motion (CROM) goniometer and the Zebris system. — First examination - before the start of the rehabilitation program; Assessment of cervical spine mobility in all planes (flexion, extension, lateral bending, and rotation).
Unit of Measure: Range of motion measured in degrees (°), indicating the exact angles of neck movement in each direction.
Measurement Tool: The Cervical Range of Motion (CROM) goniometer and Zebris device will be used to measure the exact angles of neck movement with an accuracy of 1°. These tools will evaluate cervical spine mobility across all planes of movement.
Assessment of cervical spine range of motion using a Cervical Range of Motion (CROM) goniometer and the Zebris system. — Second examination - at the end of the three-week program Assessment of cervical spine mobility in all planes (flexion, extension, lateral bending, and rotation).
Unit of Measure: Range of motion measured in degrees (°), indicating the exact angles of neck movement in each direction.
Measurement Tool: The Cervical Range of Motion (CROM) goniometer and Zebris device will be used to measure the exact angles of neck movement with an accuracy of 1°. These tools will evaluate cervical spine mobility across all planes of movement.
Assessment of cervical spine proprioception using virtual reality (VR) goggles. — First examination - before the start of the rehabilitation program; Assessment of deep neck sensation and the ability to perceive the position and movement of the neck. Unit of Measure: Deviation from the intended neck movement measured in degrees (°), which the patient can replicate during proprioceptive tests.Measurement Tool: Virtual Reality (VR) goggles will be the sole tool used to conduct proprioceptive tests. Patients will replicate neck movements displayed in the virtual environment, and the accuracy of these movements will be measured in degrees to assess proprioception and spatial coordination.
Method: Using VR goggles to conduct proprioceptive tests, where patients replicate movements shown in the virtual environment to assess their depth perception and spatial coordination.
Assessment of cervical spine proprioception using virtual reality (VR) goggles. — Second examination - at the end of the three-week program Assessment of deep neck sensation and the ability to perceive the position and movement of the neck. Unit of Measure: Deviation from the intended neck movement measured in degrees (°), which the patient can replicate during proprioceptive tests.Measurement Tool: Virtual Reality (VR) goggles will be the sole tool used to conduct proprioceptive tests. Patients will replicate neck movements displayed in the virtual environment, and the accuracy of these movements will be measured in degrees to assess proprioception and spatial coordination.
Method: Using VR goggles to conduct proprioceptive tests, where patients replicate movements shown in the virtual environment to assess their depth perception and spatial coordination.
Assessment of visual field during neck movements using virtual reality (VR) goggles. — First examination - before the start of the rehabilitation program; Measurement of the range of vision while performing neck movements, with the patient seated and looking straight ahead.
Unit of Measure: Range of vision measured in degrees (°), indicating the extent to which the patient can perceive moving objects in different parts of their visual field while maintaining a forward gaze.
Measurement Tool: Virtual Reality (VR) goggles will be used to track and analyze the patient's ability to follow moving objects across their visual field while sitting and looking straight ahead. The visual range will be measured in degrees to assess the field of vision during neck movements without changing the direction of the gaze.
Assessment of visual field during neck movements using virtual reality (VR) goggles. — Second examination - at the end of the three-week program Measurement of the range of vision while performing neck movements, with the patient seated and looking straight ahead.
Unit of Measure: Range of vision measured in degrees (°), indicating the extent to which the patient can perceive moving objects in different parts of their visual field while maintaining a forward gaze.
Measurement Tool: Virtual Reality (VR) goggles will be used to track and analyze the patient's ability to follow moving objects across their visual field while sitting and looking straight ahead. The visual range will be measured in degrees to assess the field of vision during neck movements without changing the direction of the gaze
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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