Virtual Reality Rehabilitation: A virtual reality-based rehabilitation program including breathing, stretching, cervical range-of-motion, and posture-strengthening tasks delivered in a gamified seaside environment using a head-mounted VR display. Sessions will last 20 minutes, performed twice per week for 8 weeks (16 sessions total) under supervision.
Conventional Rehabilitation: Standard physiotherapy including diaphragmatic breathing, trapezius stretching, cervical range-of-motion, and posture-strengthening with proprioceptive neuromuscular facilitation. Sessions will last 20 minutes, performed twice per week for 8 weeks (16 sessions total) under supervision.
Study summary
The goal of this clinical trial is to find out if a virtual reality-based rehabilitation program developed by our team can help people with chronic neck pain.
The main questions it aims to answer are:
* Does the VR program reduce neck pain?
* Does it improve daily function and quality of life?
Participants will:
* Take part in a supervised virtual reality exercise program for 8 weeks, attending 3 sessions per week (24 sessions in total).
* Each session will last about 45 minutes.
* Complete tests and questionnaires about their pain, disability, and overall well-being before and after the program.
Eligibility
Sex
ALL
Min age
18 Years
Max age
65 Years
Healthy volunteers
No
Inclusion Criteria:
* Age 18-65 years
* Diagnosis of chronic neck pain (≥ 6 months duration)
* Ability to participate in rehabilitation sessions
* Willingness to provide written informed consent
Exclusion Criteria:
* Previous adverse experience with virtual reality
* Photophobia (UPSIS-12 score \> 12)
* Migraine (≥ 2 positive responses on ID-Migraine questionnaire)
* Presence of any neurological deficit
* History of spinal surgery
* Medical conditions interfering with participation, including orthopedic, inflammatory, cardiovascular, rheumatologic, or vestibular disorders
* Pregnancy
* Epilepsy or other neurological conditions causing photosensitivity
* Congenital spinal cord malformations
Primary outcome measure(s)
Pain Intensity — Baseline and at the end of the study. Pain severity will be measured using the Visual Analog Scale (VAS), a 10-cm line ranging from 0 (no pain) to 10 (worst imaginable pain), where participants indicate their average neck pain intensity over the past week. Higher scores represent greater pain (worse outcome).
Neck Disability — Baseline and at the end of the study. Functional disability will be evaluated using the Neck Disability Index (NDI), a 10-item self-report questionnaire assessing daily activities affected by neck pain. Each item is scored from 0 to 5, yielding a total score range of 0 (no disability) to 50 (maximum disability). Higher scores indicate greater disability (worse outcome).
Cervical Range of Motion — Baseline and at the end of the study. Cervical range of motion (flexion, extension, right/left lateral flexion, and right/left rotation) will be measured using the CROM device. Higher values indicate greater mobility.
Proprioception — Baseline and at the end of the study. Proprioceptive accuracy will be assessed by measuring joint position sense error in degrees using the CROM device. Higher error values indicate poorer position sense.
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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