Virtual Reality Application for Assessing Neck Movement and Position Sense

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-65
SponsorHacettepe University

About this trial

The goal of this observational study is to examine whether a virtual reality application developed by our team can be used to evaluate cervical range of motion (ROM) and joint position sense (JPS) in individuals with chronic neck pain.

The main questions it aims to answer are:

* Does the virtual reality application provide reliable measurements of cervical ROM? * Does the application accurately assess cervical JPS when compared with a standard clinical tool (Cervical Range of Motion device, CROM)?

Researchers will compare results from the VR application with results from the CROM device to see if the two methods give similar outcomes.

Participants will:

* Complete a demographic and clinical evaluation. * Perform standardized neck movements (flexion, extension, left/right lateral flexion, left/right rotation). * Be assessed using both the CROM device and the VR application for ROM and JPS.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Chronic Neck Pain (CNP) participants

Age 18-65. 

≥ 6 months of neck pain. 

Willing to participate (informed consent). 

Disqualifiers

Prior adverse virtual reality experience. 

Photophobia: UPSIS-12 score > 12. 

Migraine screen: ≥2 "yes" on ID-Migraine. 

Any neurological deficit. 

Trial population

Study participants will be recruited from individuals referred to the Neurosurgery Department of Hacettepe University, Ankara, Türkiye, as well as healthy volunteers from the general population. The study population will include adults within the target age range, consisting of both individuals with chronic neck pain and healthy controls, to allow comparison between clinical and non-clinical groups.

Trial design

Design model

Other

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

58 Participants
are grouped into 4 trial groups
Group A: Virtual Reality Based Assesment Group - Participants with Chronic Neck Pain
Group B: CROM Based Assesment Group - Participants with Chronic Neck Pain
Group C: Virtual Reality Based Evaluation - Healthy Participiants
Group D: CROM Based Assesment Group - Healthy Participants

Trial outcomes

Primary outcomes

1

Cervical Range of Motion (ROM) Measurements

Cervical ROM will be assessed in six directions (flexion, extension, right/left lateral flexion, right/left rotation). Measurements will be obtained using both the CROM device and the virtual reality assessment module developed by the research team. Results will be compared to evaluate the validity of the VR-based system.

Time frame
At baseline, during a single assessment session (Day 1).
2

Cervical Joint Position Sense (JPS) Error

JPS will be evaluated by asking participants to move their head to 65% of the available ROM in a given direction, return to the neutral position, and then attempt to relocate the same target position. Errors will be recorded in degrees. Measurements will be taken with both the CROM device and the VR assessment module, and results will be compared.

Time frame
At baseline, during a single assessment session (Day 1).

Secondary outcomes

1

Usability and Participant Experience

Participants' feedback on the ease of use, comfort, and overall experience of the virtual reality application will be collected using a structured questionnaire.

Time frame
Immediately after completion of the VR assessment session (Day 1).
2

Simulator Sickness Questionnaire (SSQ) Scores

Simulator Sickness Questionnaire (SSQ) Scores VR-related side effects, such as dizziness, nausea, or eye strain, will be assessed using the Simulator Sickness Questionnaire (SSQ), a 16-item self-report scale. Each symptom is rated from 0 (none) to 3 (severe), and weighted total scores range from 0 (no symptoms) to 235 (maximum symptoms). Higher scores indicate more severe simulator sickness symptoms (worse outcome).

Time frame
Immediately after completion of the VR assessment session (Day 1).
3

Assessment Duration

The total time required to complete the ROM and JPS evaluations will be recorded for both the VR application and the CROM device. This will allow comparison of the efficiency of the two assessment methods.

Time frame
During the single assessment session (Day 1).

Other outcomes

Sponsors and contacts

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