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Effects of virtual reality-based neck-specific sensorimotor training in patients with chronic neck pain: a randomized controlled pilot trial [with consumer summary]
Nusser M, Kramer M, Knapp S, Krischak G
Journal of Rehabilitation Medicine 2021 Feb;53(2):jrm00151
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To evaluate the effects of neck-specific sensorimotor training using a virtual reality device compared with 2 standard rehabilitation programmes: with, and without general sensorimotor training, in patients with non-traumatic chronic neck pain. DESIGN: Pilot randomized control study. PATIENTS AND METHODS: A total of 51 participants were randomly assigned to 1 of 3 groups: (1) control group; (2) sensorimotor group; (3) virtual reality group. All 3 groups received the clinic's standard rehabilitation programme. Group 2 also received "general sensorimotor training" in the form of group therapy, for a total of 120 min. Group 3 received additional virtual reality-based "neck-specific sensorimotor training" for a total of 120 min. Participants' neck pain, headaches, active cervical range of motion, and Neck Disability Index were determined before and after 3 weeks of intervention. RESULTS: Compared with the control group, the virtual reality group showed significant (p < 0.05) advantages in relief of headaches, and active cervical range of motion in flexion and extension. Com pared with the sensorimotor group, the virtual reality group showed significant improvements in cervical extension. CONCLUSION: Virtual reality-based sensorimotor training may increase the effects of a standard rehabilitation programme for patients with non-traumatic chronic neck pain, especially active cervical range of motion in extension.

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