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| Name | Class |
|---|---|
| National Science and Technology Council | FED |
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To develop a cervical SMC VR assessment system incorporating different SMC tests and to compare cervical SMC performance using this self-developed VR assessment system in individuals with and without CNP
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Chronic neck pain group | Pain was unilateral or bilateral between the superior nuchal line and 1st thoracic vertebra; Neck pain persisting for 3 months and above; Average pain intensity of last pain episode was between 2 and 8 based on the numerical rating scale (NRS). | ||
| Healthy adults group | Do not have any complaints of current pain and impairments of neuromusculoskeletal systems within the last 6 months. |
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| Measure | Description | Time Frame |
|---|---|---|
| Cervical Range of Motion (ROM) | Participants will follow the instructions that appeared in the VR HMD to perform active maximal neck flexion, extension, side bending and rotation. The maximal ROM in each direction will be calculated and obtained based on the IMU sensors embedded in the HMD. | One day |
| Joint Position Error (JPE) | There will be a virtual target displayed in the VR HMD. Participant will be instructed to remember this position, then close their eyes and move the head away from the target center, and then return to the initial starting position. Difference between the starting position and final position in distance (mm) will be calculated. | One day |
| Figure of Eight (FOE) | The participant will be instructed to control the red dot moving along the path of the figure-of-eight as accurately as possible by moving their head. | One day |
| Subjective Visual Vertical (SVV) | A tilted white rod will be presented at different angles for 1-degree interval from 45 to 135 degrees randomly on the display as described above. The rod will be precisely controlled by using left and right arrow keys of a keyboard. Participants will be instructed to reposition the white rod so that the white rod will be positioned vertically while keeping the head and neck as still as possible. | One day |
| Head Tile Response (HTR) | A tilted white rod will be presented at different angles for 1-degree interval from 45 to 135 degrees randomly on the display as described above. Participants will be instructed to tilt their heads laterally so that the line will be re-positioned vertically. | One day |
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Inclusion Criteria:
For patients with chronic neck pain:
Healthy asymptomatic adults:
Exclusion Criteria:
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Patients with CNP will be recruited from the affiliated hospital, local outpatient clinics, local communities and around the campus.
Healthy adults will be recruited from the local communities near the university in the Tainan city.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Cheng Kung University | Tainan | Taiwan | 701 | Taiwan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42166767 | Derived | Chiu YL, Lee PY, Lim PL, Cheng KC, Yin ZX, Tsai YJ. Validity and Reliability of an Immersive Virtual Reality System for Multidimensional Assessment of Cervical Sensorimotor Control: Cross-Sectional Study. JMIR Rehabil Assist Technol. 2026 May 21;13:e88498. doi: 10.2196/88498. |
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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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| Saccades |
Two virtual white targets at 90 degrees of visual angle positioned 0.82 m apart from the participant will be displayed in the VR HMD. Participants will be asked to shift their gaze quickly between two targets without moving their heads for 10 secs. |
| One day |
| Smooth Pursuit Neck Torsion (SPNT) | A virtual red-dot target is displayed in the VR HMD. The target will move in a horizontal plane with a sinusoidal pattern (30 degrees per second) from left to right and back 10 times with a visual angle of 40 degrees. Participants will be requested to follow the moving target with their eyes and keep their heads still. | One day |
| Postural Sway (PS) | Participants will be asked to follow the instructions that appeared in the VR HMD and stand still for 30 seconds in EO or EC condition and in neck neutral or neck torsion 45-degree position | One day |