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The aim of this study is to compare the effects of virtual reality and cervical mobilization on proprioception, balance parameters, pain, disability level, quality of life and overall felt effect in individuals with chronic neck pain. In addition, it is aimed to qualitatively evaluate the virtual reality perspectives of individuals with chronic neck pain.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| virtual reality+Exercise | Experimental | An exercise program consisting of stretching exercises, posture exercises and breathing exercises and lasting approximately 20-30 minutes will be applied to the individuals in all 3 groups. The virtual reality group will performe virtual reality for an additional 20 minutes. (Oculus GO) |
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| cervical mobilization+Exercise | Experimental | An exercise program consisting of stretching exercises, posture exercises and breathing exercises and lasting approximately 20-30 minutes will be applied to the individuals in all 3 groups. Mobilization techniques that will mobilize the cervical region will be applied to the cervical mobilization group for 20 minutes. |
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| Control | Other | Control group will only perform an exercise program. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| virtual reality | Other | The individuals participating in the study will experience virtual reality. |
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| Measure | Description | Time Frame |
|---|---|---|
| Joint position sense error | Proprioception in all cervical directions will assessed by Cervical Range of Motion device. | Change from Baseline balance after 4 weeks/10 sessions. |
| Baropodometer assessments-Pressure distribution | Pressure distribution will assess with FreeMed baropodometric platform and will record as percentage. | Change from Baseline proprioception after 4 weeks/10 sessions. |
| Baropodometer assessments- Center of gravity | Center of gravity will assess with FreeMed baropodometric platform and will record as mm. | Change from Baseline proprioception after 4 weeks/10 sessions. |
| Baropodometer assessments- Oscillations | Oscillations will assess with FreeMed baropodometric platform. | Change from Baseline proprioception after 4 weeks/10 sessions. |
| Baropodometer assessments- Sway velocity | Sway velocity will assess with FreeMed baropodometric platform and will record as degrees. | Change from Baseline proprioception after 4 weeks/10 sessions. |
| Functional Balance | 10 meter walking speed and four square step-test will be combined to report dynamic balance. | Change from Baseline proprioception after 4 weeks/10 sessions. |
| Measure | Description | Time Frame |
|---|---|---|
| Cervical Pain | Visual Analog Scale will be used to assess this outcome measure. | Change from Baseline cervical pain after 4 weeks/ 10 sessions. |
| Functional disability | Neck Disability Index will be used to assess this outcome measure. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Oge | Hacettepe University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hacettepe University | Ankara | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D019547 | Neck Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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| cervical mobilization | Other | The individuals participating in the study will be applied cervical mobilization techniques. |
|
| exercise | Other | The individuals participating in the study will performed neck-specific exercises. |
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| Change from Baseline functional disability after 4 weeks/ 10 sessions. |
| quality of life about cervical pain | SF-36 will be used to assess this outcome measure. | Change from Baseline quality of life about cervical pain after 4 weeks/ 10 sessions. |
| Global perceived effect | Global perceived effect scale will be used to assess this outcome measure/ 10 sessions. | Change from Baseline Global perceived effect after 4 weeks/ 10 sessions. |