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 volunteersQualifiers
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
Other
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
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.
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.
Secondary outcomes
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.
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).
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.
Sponsors and contacts
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