A Novel Virtual Reality Technique (Cervigame®) Compared to Conventional Proprioceptive Training to Treat Neck Pain: A Randomized Controlled Trial

Rezaei, I; Razeghi, M; Ebrahimi, S; Kayedi, S; Rezaeian Zadeh, A

doi:10.31661/jbpe.v0i0.556

A Novel Virtual Reality Technique (Cervigame®) Compared to Conventional Proprioceptive Training to Treat Neck Pain: A Randomized Controlled Trial

Document Type : Original Article

Authors

I Rezaei ¹^{, 2}

M Razeghi ¹^{, 3}

S Ebrahimi ¹^{, 2}

S Kayedi ¹^{, 2}

A Rezaeian Zadeh ⁴

¹ Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran

² Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran

³ Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

⁴ Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran

https://doi.org/10.31661/jbpe.v0i0.556

Abstract

Background: Despite the potential benefits of virtual reality technology in physical rehabilitation, only a few studies have evaluated the efficacy of this type of treatment in patients with neck pain.
Objective: The aim of this study was to compare the effects of virtual reality training (VRT) versus conventional proprioceptive training (CPT) in patients with neck pain.
Materials and Methods: Forty four participants with nonspecific chronic neck pain were randomly assigned to VRT or CPT in this assessor-blinded clinical trial. A novel videogame called Cervigame® was designed for VRT. It comprises of 50 stages divided into unidirectional and two-directional stages ordered from easy to hard. CPT consisted of eye-follow, gaze stability, eye-head coordination and position and movement sense training. Both groups completed 8 training sessions over 4 weeks. Visual analogue scale score, neck disability index and Y-balance test results were recorded at baseline, immediately after and 5 weeks post-intervention. Mixed repeated measure ANOVA was used to analyze differences between mean values for each variable at an alpha level of 0.05.
Results: There were significant improvements in all variables in both groups immediately after and 5 weeks after the intervention. Greater improvements were observed in the visual analogue scale and neck disability index scores in VRT group, and the results for all directions in Y-balance test were similar in both groups. No side effects were reported.
Conclusion: Improvements in neck pain and disability were greater in VRT than CPT group. Cervigame® is a potentially practical tool for rehabilitation in patients with neck pain.

Keywords

Neck Pain

Virtual Reality

Proprioception

Cervicocephalic Kinesthesia

Rehabilitation

Physical Therapy

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