Assessing Healthy Subjects and Patients with Chronic Non-Specific Neck Pain in a Virtual Environment: a systematic review
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- Introduction: Chronic neck pain has a major economic impact and causes massive disability. It has been ranked among the first four contributors to global disability. Recently a rise in assessment methods for chronic non-specific neck pain has been seen and especially with the use of a virtual environment. Since presenting efficient treatment to patients is important, a convenient and specific assessment is necessary and immersive virtual reality might be the right assessment tool for clinicians. Therefore, the aim of this systematic review was to study whether immersive virtual reality is able to discriminate between healthy subjects and patients with chronic non-specific neck pain based on cervical kinematic outcomes. Methods: PubMed, Scopus, the Cochrane Library, Embase, and Google Scholar databases were screened from the year 2000 till the year 2019 for studies of virtual reality-based assessments of cervical spine. Risk of bias was assessed using the JBI critical appraisal tools. Results: Data search and selection identified 17 articles which were included in this systematic review. Most studies showed significant differences between healthy individuals and patients with chronic non-specific neck pain. Mainly, patients had lower CRoM and lower velocities of movement compared to asymptomatic individuals. Conclusion: Although some limitations were present, immersive virtual reality was capable of showing different values between patients with chronic non-specific neck pain and healthy individuals with regards to cervical kinematics. These findings are necessary to help clinicians treat patients better. The field of research in this domain is not complete, further studies should be conducted to properly understand the responsiveness of immersive virtual reality and which cervical kinematic outcomes are better than others to assess, in identifying real differences between groups.
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Tamer, S. (2020). Assessing Healthy Subjects and Patients with Chronic Non-Specific Neck Pain in a Virtual Environment: a systematic review. https://dial-mem.test.bib.ucl.ac.be/handle/2078.2/16521