Virtual Reality Application for Assessing Neck Movement and Position Sense

NCT ID: NCT07190014

Last Updated: 2025-09-29

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Total Enrollment: 58 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2025-10-25
• Study Completion Date: 2026-07-30

Brief Summary

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.

Detailed Description

Neck pain is one of the most common musculoskeletal problems and is associated with limitations in mobility and proprioceptive deficits. Reliable assessment of cervical range of motion (ROM) and joint position sense (JPS) is critical for both clinical evaluation and rehabilitation planning. Traditional devices, such as the Cervical Range of Motion (CROM) instrument, are widely used but have limitations, including the need for manual operation, restricted visualization, and lower potential for patient engagement.

Virtual reality (VR) technologies provide an opportunity to overcome these limitations by offering objective measurements, immersive feedback, and greater standardization of the testing environment. Our team has developed a VR-based application specifically designed to assess cervical ROM and JPS. This application may contribute to more accurate, reliable, and user-friendly evaluation methods compared to conventional tools.

In this observational study, individuals with chronic neck pain will be assessed using both the CROM device and the VR application. The study will compare the results obtained from both methods to determine the validity and reliability of the VR-based system.

The findings are expected to provide evidence for the clinical use of VR in musculoskeletal assessment, potentially enhancing diagnostic accuracy and supporting the development of innovative rehabilitation strategies.

Conditions

Chronic Neck Pain

Study Design

• Observational Model Type: OTHER
• Study Time Perspective: PROSPECTIVE

Study Groups

Virtual Reality Based Assesment Group - Participants with Chronic Neck Pain

Participants in this group will be evaluated with the virtual reality assessment module developed by our team.

• Cervical range of motion (ROM): The module records movement angles in six directions - flexion, extension, right/left lateral flexion, and right/left rotation.
• Joint position sense (JPS): For this assessment, participants move their head to 65% of their available range in a given direction, return to the neutral position, and then attempt to reposition to the same target. Errors are recorded in degrees.

Results from the VR module will be compared with those obtained using the Cervical Range of Motion (CROM) device.

No interventions assigned to this group

CROM Based Assesment Group - Participants with Chronic Neck Pain

Participants in this group will be evaluated using the Cervical Range of Motion (CROM) device, a standard clinical tool for neck assessment.

• Cervical range of motion (ROM): Movement angles will be measured in six directions - flexion, extension, right/left lateral flexion, and right/left rotation.
• Joint position sense (JPS): Participants will be guided to move their head to 65% of the available range in a given direction, return to the neutral position, and then attempt to reposition to the same target. Errors will be recorded in degrees.

Measurements obtained from the CROM device will be compared with those from the virtual reality assessment module.

No interventions assigned to this group

Virtual Reality Based Evaluation - Healthy Participiants

Participants in this group will be evaluated with the virtual reality assessment module developed by our team. • Cervical range of motion (ROM): The module records movement angles in six directions - flexion, extension, right/left lateral flexion, and right/left rotation. • Joint position sense (JPS): For this assessment, participants move their head to 65% of their available range in a given direction, return to the neutral position, and then attempt to reposition to the same target. Errors are recorded in degrees. Results from the VR module will be compared with those obtained using the Cervical Range of Motion (CROM) device.

No interventions assigned to this group

CROM Based Assesment Group - Healthy Participants

Participants in this group will be evaluated using the Cervical Range of Motion (CROM) device, a standard clinical tool for neck assessment. • Cervical range of motion (ROM): Movement angles will be measured in six directions - flexion, extension, right/left lateral flexion, and right/left rotation. • Joint position sense (JPS): Participants will be guided to move their head to 65% of the available range in a given direction, return to the neutral position, and then attempt to reposition to the same target. Errors will be recorded in degrees. Measurements obtained from the CROM device will be compared with those from the virtual reality assessment module.

No interventions assigned to this group

Eligibility Criteria

Inclusion Criteria

• Chronic Neck Pain (CNP) participants

• Age 18-65. 
• ≥ 6 months of neck pain. 
• Willing to participate (informed consent). 

Healthy volunteers

• Age 18-65. 
• No neck pain complaints. 
• Willing to participate (informed consent). 

Exclusion Criteria

• Prior adverse virtual reality experience. 

• Photophobia: UPSIS-12 score > 12. 
• Migraine screen: ≥2 "yes" on ID-Migraine. 
• Any neurological deficit. 
• History of spinal surgery. 
• Medical conditions that could interfere with participation: orthopedic, inflammatory, cardiovascular, rheumatologic, or vestibular problems. 
• Pregnancy.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Hacettepe University

OTHER

Sponsor Role: lead

Responsible Party

HATİCE ÇETİN

Assistant Professor of Neurological Physiotherapy and Rehabilitation

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Hacettepe University Hospital Department of Neurosurgery

Ankara, Ankara, Turkey (Türkiye)

Countries

Turkey (Türkiye)

Central Contacts

Hatice Cetin, PhD

Role: CONTACT

haticebitirim@hacettepe.edu.tr

+905079153272

Berkant A. Ozcelik, BD

Role: CONTACT

berkantanilozcelik@gmail.com

+905538467598

Facility Contacts

Ahmet İ. Işıkay, MD, PhD.

Role: primary

isikay@hacettepe.edu.tr

+905359635297

References

Sarig Bahat H, Takasaki H, Chen X, Bet-Or Y, Treleaven J. Cervical kinematic training with and without interactive VR training for chronic neck pain - a randomized clinical trial. Man Ther. 2015 Feb;20(1):68-78. doi: 10.1016/j.math.2014.06.008. Epub 2014 Jul 5.

Reference Type: BACKGROUND

PMID: 25066503 (View on PubMed)

Other Identifiers

VRROMJPSEV

Identifier Type: -

Identifier Source: org_study_id