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IRCT20200330046895N1 IRCT 2020-04-19 The University Of Lahore EFFECTS OF VIRTUAL REALITY EXERCISES ON CLINICAL OUTCOMES IN PATIENTS WITH CHRONIC LOW BACK PAIN: A RANDOMIZED CONTROLLED TRIAL EFFECTS OF VIRTUAL REALITY EXERCISES ON CLINICAL OUTCOMES IN PATIENTS WITH CHRONIC LOW BACK PAIN: A RANDOMIZED CONTROLLED TRIAL 2020-04-15 anticipated 84 Complete https://irct.ir/trial/46916 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The subjects fulfilling the inclusion criteria will be enrolled after independent outcome assessor Then coin toss method will be used for randomization .The coin will be thrown in air having two sides with label "A" and "B". The subject's randomization method reduces the chances of bias group allocation, Blinding description: The study would be single blinded as assessor of the study will be kept blind of the treatment group to which the pateint will be alloacated. N/A Chronic Low back Pain. Intervention 1: Intervention group: Group A will get Virtual reality exercises. The Kinect device will be used for Virtual Reality (VR) Exercises in which patient will perform exercises through reflex ridge VR game which includes trunk slide flexion, jumping, sitting to avoid hitting the obstacles and combine movement of legs and arms 5 minutes as displayed on wall mounted LCD, then after 30 seconds rest patient will perform exercises through Body Ball VR game which includes moving arm, pushing head and kicking the ball for 5 minutes. Prior to VR exercise thermotherapy through hot pack for 10 minutes will be applied on Lumbar region. In addition to VR exercise patients will get routine physical therapy which includes patient education ,posture care and exercises as three sets of 10 repetition of bridging, prone leg raises, trunk extension in prone with arms behind the back, trunk rotation exercises, knee to chest and prone position with diagonal elevation of the arm and leg exercise. This will be done on alterante days and total twelve sessions will be given. Intervention 2: Intervention group: Group B Routine physical Therapy exercise, patients will get thermotherapy through hot pack for 10 minutes will be applied on Lumbar region before exercises then routine physical therapy which includes patient education ,posture care and exercises as three sets of 10 repetition of bridging, prone leg raises, trunk extension in prone with arms behind the back, trunk rotation exercises, knee to chest and prone position with diagonal elevation of the arm and leg exercise. This will be done on alterante days and total twelve sessions will be given. Yes - There is a plan to make this available What will be shared: EFFECTS OF VIRTUAL REALITY EXERCISES ON CLINICAL OUTCOMES IN PATIENTS WITH CHRONIC LOW BACK PAIN: A RANDOMIZED CONTROLLED TRIAL and all collected deidentified IPD will be shared. When: After Publication To whom: people working in academic institutions and researchers Conditions: on permission from investigator Where to obtain: Through email to Investigator waqarafzal621@gmail.com How to obtain: Through Email and phone waqarafzal621@gmail.com 00923214668377 Comments:
public Ashfaq Ahmad
The University Of Lahore 1-Km Defence Road، Near Bhuptian Chowk، Lahore
Lahore Pakistan 54000 +92 42 35963421 ashfaaqpt@gmail.com The University of Lahore scientific Ashfaq Ahmad
The University Of Lahore 1-Km Defence Road، Near Bhuptian Chowk، Lahore
Lahore Pakistan 54000 +92 42 35963421 ashfaaqpt@gmail.com The University of Lahore Pakistan Low back pain that persists for more than 12 weeks Non radiating low back pain Localized pain in lumbar spine Both males and females Age between 25 to 50 years 25 years 50 years Both History of any trauma or fracture of the spine or lower limb History of any cardiac ,metabolic, endocrine, Pott’s disease or any other systematic disease History of any neurological diseases such as Parkinson’s disease, stroke and epilepsy History of any Previous surgery of spine Patient on corticosteroid or anticoagulants History of any Drug abuse Any Congenital deformity History of any pain, pathology or musculoskeletal disorder in lower limb History of any neurological conditions History of having exposure to virtual reality games or exercises in past three months Virtual reality games phobia Pregnant female M54.5 Low back pain Rehabilitation Rehabilitation Intervention group: Group A will get Virtual reality exercises. The Kinect device will be used for Virtual Reality (VR) Exercises in which patient will perform exercises through reflex ridge VR game which includes trunk slide flexion, jumping, sitting to avoid hitting the obstacles and combine movement of legs and arms 5 minutes as displayed on wall mounted LCD, then after 30 seconds rest patient will perform exercises through Body Ball VR game which includes moving arm, pushing head and kicking the ball for 5 minutes. Prior to VR exercise thermotherapy through hot pack for 10 minutes will be applied on Lumbar region. In addition to VR exercise patients will get routine physical therapy which includes patient education ,posture care and exercises as three sets of 10 repetition of bridging, prone leg raises, trunk extension in prone with arms behind the back, trunk rotation exercises, knee to chest and prone position with diagonal elevation of the arm and leg exercise. This will be done on alterante days and total twelve sessions will be given. Intervention group: Group B Routine physical Therapy exercise, patients will get thermotherapy through hot pack for 10 minutes will be applied on Lumbar region before exercises then routine physical therapy which includes patient education ,posture care and exercises as three sets of 10 repetition of bridging, prone leg raises, trunk extension in prone with arms behind the back, trunk rotation exercises, knee to chest and prone position with diagonal elevation of the arm and leg exercise. This will be done on alterante days and total twelve sessions will be given. Pain Intensity. Timepoint: before intervention and then on 4th, 8th and 12th week. Method of measurement: Visual analogue scale. Functional disability. Timepoint: before intervention and then on 4th, 8th and 12th week. Method of measurement: Modified Oswestry low back Disability Questionnaire. Lumbar Range of motion. Timepoint: before intervention and then on 4th, 8th and 12th week. Method of measurement: Inclinometer. Quality of Life. Timepoint: before intervention and then After 12th session. Method of measurement: SF-36. Muscle Endurance. Timepoint: before intervention then on 4th, 8th and 12th session. Method of measurement: Biering–Sorensen test. The University of Lahore Approved 2020-01-22 Institutional Review Board The University of Lahore, 1 - KM Defence Road, Lahore Lahore Punjab Pakistan