Virtual reality and motor control exercises to treat chronic neck pain: A randomized controlled trial

Çetin, Hatice; Köse, Nezire; Oge, Halil Kamil

doi:10.1016/j.msksp.2022.102636

Cited by 25 publications

(73 citation statements)

References 30 publications

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“…After removing duplicates, 264 studies remained, among which 12 studies were identified for full-text retrieval based on the aforementioned criteria. An additional article [37] was retrieved through the references of relevant articles, yielding a sum of 8 studies [37][38][39][40][41][42][43][44]. All 8 studies were included in the final quantitative synthesis.…”

Section: Search and Selectionmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

“…All 8 (100%) RCTs [37][38][39][40][41][42][43][44] included in the meta-analysis were written in English. They were conducted in Oceania (Australia [38,42]), Europe (Spain [39], Germany [40], and Turkey [44]), and Asia (Iran [41], India [37], and Israel [43]). The studies were published between 2015 and 2022, and a total of 382 participants (intervention: 167; control: 215) were enrolled.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The 8 studies [37][38][39][40][41][42][43][44] included participants with chronic neck pain, among which 1 (13%) study [37] also included patients in the subacute phase, and another study (n=1, 13%) [43] recruited patients in the acute or subacute stages. All studies included both male and female participants, and 5 (63%) [38,39,[42][43][44] included more females than males. The mean age of patients ranged between 26.68 (SD 9.21) years and 55.81 (SD 15) years.…”

Section: Participant Characteristicsmentioning

confidence: 99%

“…The 8 studies [37][38][39][40][41][42][43][44] compared VR with other interventions (eg, kinematic exercise [38,39], general sensorimotor training [40], conventional rehabilitation [37,40,43], proprioceptive training [41], laser training [42], motor control [44], and no intervention [42]). All interventions used the immersive VR device, with the intervention duration varying from 1 to 6 weeks and intervention frequency ranging from once per week to once per day.…”

Section: Interventionmentioning

confidence: 99%

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Virtual Reality Intervention for Patients With Neck Pain: Systematic Review and Meta-analysis of Randomized Controlled Trials

Gao¹,

Guo²,

Zhang³

et al. 2023

J Med Internet Res

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Background Neck pain is a prevalent condition that causes an enormous health care burden due to the lack of efficient therapies. As a promising technology, virtual reality (VR) has shown advantages in orthopedic rehabilitation. However, there is no meta-analysis evaluating the effectiveness of VR in neck pain management. Objective This study aims to review original randomized controlled trials (RCTs) evaluating the effectiveness of VR for neck pain and to provide evidence for the clinical application of a new alternative approach for pain management. Methods A total of 9 electronic databases were systematically searched for relevant articles published from inception to October 2022. RCTs in English or Chinese that investigated VR therapy for participants with neck pain were included. The methodological quality and the evidence level were assessed using the Cochrane Back and Neck Risk of Bias tool and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) guideline, respectively. Results A total of 8 studies with 382 participants were included for the final analysis. For the pain intensity, the overall pooled effect size was 0.51, with a standardized mean difference (SMD) of −0.51 (95% CI −0.91 to −0.11; GRADE: moderate), favoring VR therapy compared with controls. Subgroups analyses revealed that significant differences in pain intensity were found in the multimodal intervention (VR in combination with other therapies) than in other interventions (SMD −0.45, 95% CI −0.78 to −0.13; GRADE: moderate), and better analgesic effects were also observed in patients with chronic neck pain receiving VR intervention (SMD −0.70, 95% CI −1.08 to −0.32; GRADE: moderate) and patients treated in the clinic or research unit (SMD −0.52, 95% CI −0.99 to −0.05; GRADE: moderate) than controls. Regarding other health outcomes, the VR experienced less disability, lower kinesiophobia, and greater kinematic function (cervical range of motion, mean and peak velocity). Nevertheless, the follow-up effects of VR therapy on pain intensity and disability were not found. Conclusions Existing moderate evidence support VR as a beneficial nonpharmacological approach to improve pain intensity in patients with neck pain, with advantages to multimodal intervention, people with chronic neck pain, and clinic or research unit–based VR therapy. However, the limited quantity and high heterogeneity of the articles limit our findings. Trial Registration PROSPERO CRD42020188635; https://tinyurl.com/2839jh8w

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Section: Search and Selectionmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Participant Characteristicsmentioning

confidence: 99%

Section: Interventionmentioning

confidence: 99%

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Virtual Reality Intervention for Patients With Neck Pain: Systematic Review and Meta-analysis of Randomized Controlled Trials

Gao¹,

Guo²,

Zhang³

et al. 2023

J Med Internet Res

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Virtual reality training versus conventional rehabilitation for chronic neck pain: A systematic review and meta‐analysis

Hao,

He,

Chen

et al. 2024

PM&R

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ObjectiveTo identify, critically appraise, and quantitatively synthesize current randomized controlled trials to compare the effects of virtual reality and dose‐matched conventional exercises in patients with chronic neck pain.Literature SearchPubMed, Embase, CINAHL, PsycINFO, and Scopus were searched for studies published prior to April 15, 2023. The search strategies combined controlled vocabularies and title/abstract keywords on search themes of virtual reality and neck pain.MethodsA systematic review and meta‐analysis of randomized controlled trials was conducted. Two independent reviewers conducted study selection, data extraction, and quality assessment. Methodological quality was assessed using the Physiotherapy Evidence Database scale. Meta‐analyses were performed using random‐effects models.SynthesisSix randomized controlled trials including 243 participants with chronic neck pain met the inclusion criteria. Four studies were evaluated as good quality and two as fair. Pooled analysis revealed that virtual reality demonstrated significantly better improvements in the Neck Disability Index in both the short term (mean difference [MD] = −2.16; 95% confidence interval [CI]: −3.50 to −0.82) and long term (MD = −2.95; 95% CI: −4.93 to −0.97), and pain intensity in the short term (MD = −0.94, 95% CI: −1.31 to −0.58). No significant between‐group differences were found in pain in the long term and kinesiophobia.ConclusionsVirtual reality is a promising intervention to address disability and pain in patients with chronic neck pain. This review supports the clinical significance of augmenting conventional exercise with virtual reality as part of conservative management of chronic neck pain.

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Virtual reality based rehabilitation in adults with chronic neck pain: a systematic review and meta-analysis of randomized clinical trials

Brea-Gómez,

Laguna-González,

Pérez-Gisbert

et al. 2024

Virtual Reality

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Chronic neck pain is one of the most frequent musculoskeletal disorders, with high prevalence worldwide. Rehabilitation is an essential component of therapeutic strategy. Virtual reality based rehabilitation (VRBR) is a powerful distraction technique that could be beneficial for chronic neck pain patients. The objective of this systematic review was to analyse the effectiveness of VRBR in chronic neck pain treatment. We followed the PRISMA guidelines and used four databases (CINAHL, Medline (Via PubMed), Scopus and Web of Science) from their inception to August 2023. Eligibility criteria were established using PICOS. Methodological quality was evaluated with the Downs and Black scale and the risk of bias with the Revised Cochrane risk-of-bias tool. The meta-analysis was performed using the RevMan software. Six studies were included in the systematic review and the meta-analysis. We observed significant differences in favour of VRBR for pain intensity (SMD = − 0.46; 95% CI = − 0.74, − 0.19; p = 0.001), disability (MD = − 2.84; 95% CI = − 4.23, − 1.45; p < 0.0001), global perceived effect (MD = 0.49; 95% CI = 0.25, 0.72; p < 0.0001) and patient satisfaction (MD = 0.62; 95% CI = 0.38, 0.86; p < 0.00001). However, at short-term follow-up significant differences were only obtained for disability (MD = − 3.52; 95% CI = − 5.85, − 1.20; p = 0.003). VRBR can significantly improve pain intensity, disability, global perceived effect and patient satisfaction. The small number of articles included in the analysis is a limitation, even considering the good methodological quality of these studies. Investigating the effects of VRBR on mid and long-term follow-up and exploring different types of VR are needed.PROSPERO database, registration number ID: CRD42020222129.

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Virtual reality and motor control exercises to treat chronic neck pain: A randomized controlled trial

Cited by 25 publications

References 30 publications

Virtual Reality Intervention for Patients With Neck Pain: Systematic Review and Meta-analysis of Randomized Controlled Trials

Virtual Reality Intervention for Patients With Neck Pain: Systematic Review and Meta-analysis of Randomized Controlled Trials

Virtual reality training versus conventional rehabilitation for chronic neck pain: A systematic review and meta‐analysis

Virtual reality based rehabilitation in adults with chronic neck pain: a systematic review and meta-analysis of randomized clinical trials

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