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IRCT20230411057885N1 IRCT 2023-05-15 University of social welfare and rehabilitation sciences The effect of virtual reality therapeutic exercise in the treatment of chronic low back pain. Comparison of the effect of performing therapeutic selected exercises using virtual reality and routine method on pain, function and quality of life in patients with non-specific chronic low back pain. 2023-07-02 anticipated 44 Complete https://irct.ir/trial/69572 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Placement of samples in intervention and control groups is done in a simple random stratified manner. Considering that it is necessary for the groups to be homogeneous in terms of sex, the classes include 2 classes resulting from the sex (two groups). A person is placed in one of the classes based on gender. The desired sample is then randomly placed in one of the two groups, and the next sample placed in the same class is placed in the opposite group, Blinding description: The evaluator of patients participating in the first session and the final 10th session is blinded to the information, purpose and results of the thesis. N/A patients suffering chronic non specific low back pain. Intervention 1: Intervention group: It should be noted that all patients are placed in the lying position on the stomach during all stages of using the modalities and a pillow is placed under the abdomen and leg. The spine should be in a neutral position. Using a small towel under the patient's forehead will be used to prevent neck rotation. Applying ten sessions of physiotherapy using modalities that include three modalities. which includes three modalities: 1) Continuous ultrasound with a frequency of 3 MHz for 8 minutes. The application of pulsed ultrasound was standardized in the lower back area between the first and fifth lumbar vertebra and in the area of ​​interest, the distance between the spinous and transverse appendages on the right and left sides, the target muscles including the spinalis, the erector spinae muscles and in the multifidus area, which is below the two The mentioned muscle is located. One minute was considered for each point, after the electric current of TENS continuously in the lower back area in the pain area for 15 minutes using two channels and four electrodes (10 x 10 cm) placed around the pain area with Frequency setting of 20 Hz and pulse width of 10 pulses per second (pps) along with 15 minutes of our infrared heat is used at a distance of 30 cm on the lower back area. The next step, which is the exercise step, first teaches the patient how to perform each exercise. Each exercise mentioned is repeated ten times. The red reference is placed in the middle of the patient's foot, and the ball is displayed at a certain distance from the red marker when it is shown on either side of the patient. The patient is placed individually (alone) with the therapist in a room dedicated to virtual reality and face to face with a distance of 200-250 cm from the device. The progress of the exercises will be done depending on the patient's ability during the sessions. Intervention 2: Control group: It should be noted that all patients are placed in the lying position on the stomach during all stages of using the modalities and a pillow is placed under the abdomen and leg. The spine should be in a neutral position. Using a small towel under the patient's forehead will be used to prevent neck rotation. Applying ten sessions of physiotherapy using modalities that include three modalities. which includes three modalities: 1) Continuous ultrasound with a frequency of 3 MHz for 8 minutes. The application of pulsed ultrasound was standardized in the lower back area between the first and fifth lumbar vertebra and in the area of ​​interest, the distance between the spinous and transverse appendages on the right and left sides, the target muscles including the spinalis, the erector spinae muscles and in the multifidus area, which is below the two The mentioned muscle is located. One minute was considered for each point, after the electric current of TENS continuously in the lower back area in the pain area for 15 minutes using two channels and four electrodes (10 x 10 cm) placed around the pain area with Frequency setting of 20 Hz and pulse width of 10 pulses per second (pps) along with 15 minutes of our infrared heat is used at a distance of 30 cm on the lower back area.The next step, which is the exercise step, first teaches the patient how to perform each exercise. Each exercise mentioned is repeated five times in the first session, and increased to 10 repetitions in the second session, 15 repetitions in the third session, and 20 repetitions in the fourth session. The remaining sessions are continued with 20 repetitions. The exercises of the control and intervention groups have been selected in such a way that they can be implemented in a similar and corresponding way in each group, with the difference that in the intervention group, the exercises are performed using a virtual reality system. Yes - There is a plan to make this available What will be shared: demographic information and outcomes When: 6 months after article acceptance To whom: other researchers Conditions: more advanced researches like meta analysis Where to obtain: fatimah nader khalifeh 09334545341 fatimah.khalifeh@hotmail.com How to obtain: university of rehabilitation and social welfare sciences Comments:
public Fatimah Khalifeh
Aghdasiye street , sadr nejad street , sahel end , boustan compound , block 1 plak 6
Tehran Iran (Islamic Republic of) 1985713871 +98 933 454 5341 fatimah.khalifeh@hotmail.com University of social welfare and rehabilitation sciences scientific Noureddin Karimi
Evin , daneshju blvd, kodakyar ave, university of rehabilitation and social welfare sciences
Tehran Iran (Islamic Republic of) 1985713871 0989122573865 karimi@uswr.ac.ir University of social welfare and rehabilitation sciences Iran (Islamic Republic of) People with non-specific chronic mechanical back pain with the diagnosis of the attending physician and file. People who are between 20-50 years old. They are not involved in any other treatment program during the study. Have stopped taking painkillers 24 hours before the evaluation. Having a history of back pain for at least 12 weeks. Have an average pain of 4-7 on the visual analog scale of pain in the previous seven days. 20 years 50 years Both Patients with congenital abnormalities. History of trauma Fracture of the spine or lower and upper limbs Any systemic disease or neurological disease Individuals who have taken corticosteroids, benzodiazepines, antidepressants, or anticonvulsants three weeks prior to the evaluation. pregnant women previous back surgeries Vestibular and vision disorders Obese people according to body mass index Aggravation of symptoms so that it is not possible to perform. M54.9 Dorsalgia, unspecified Rehabilitation Rehabilitation Intervention group: It should be noted that all patients are placed in the lying position on the stomach during all stages of using the modalities and a pillow is placed under the abdomen and leg. The spine should be in a neutral position. Using a small towel under the patient's forehead will be used to prevent neck rotation. Applying ten sessions of physiotherapy using modalities that include three modalities. which includes three modalities: 1) Continuous ultrasound with a frequency of 3 MHz for 8 minutes. The application of pulsed ultrasound was standardized in the lower back area between the first and fifth lumbar vertebra and in the area of ​​interest, the distance between the spinous and transverse appendages on the right and left sides, the target muscles including the spinalis, the erector spinae muscles and in the multifidus area, which is below the two The mentioned muscle is located. One minute was considered for each point, after the electric current of TENS continuously in the lower back area in the pain area for 15 minutes using two channels and four electrodes (10 x 10 cm) placed around the pain area with Frequency setting of 20 Hz and pulse width of 10 pulses per second (pps) along with 15 minutes of our infrared heat is used at a distance of 30 cm on the lower back area. The next step, which is the exercise step, first teaches the patient how to perform each exercise. Each exercise mentioned is repeated ten times. The red reference is placed in the middle of the patient's foot, and the ball is displayed at a certain distance from the red marker when it is shown on either side of the patient. The patient is placed individually (alone) with the therapist in a room dedicated to virtual reality and face to face with a distance of 200-250 cm from the device. The progress of the exercises will be done depending on the patient's ability during the sessions. Control group: It should be noted that all patients are placed in the lying position on the stomach during all stages of using the modalities and a pillow is placed under the abdomen and leg. The spine should be in a neutral position. Using a small towel under the patient's forehead will be used to prevent neck rotation. Applying ten sessions of physiotherapy using modalities that include three modalities. which includes three modalities: 1) Continuous ultrasound with a frequency of 3 MHz for 8 minutes. The application of pulsed ultrasound was standardized in the lower back area between the first and fifth lumbar vertebra and in the area of ​​interest, the distance between the spinous and transverse appendages on the right and left sides, the target muscles including the spinalis, the erector spinae muscles and in the multifidus area, which is below the two The mentioned muscle is located. One minute was considered for each point, after the electric current of TENS continuously in the lower back area in the pain area for 15 minutes using two channels and four electrodes (10 x 10 cm) placed around the pain area with Frequency setting of 20 Hz and pulse width of 10 pulses per second (pps) along with 15 minutes of our infrared heat is used at a distance of 30 cm on the lower back area.The next step, which is the exercise step, first teaches the patient how to perform each exercise. Each exercise mentioned is repeated five times in the first session, and increased to 10 repetitions in the second session, 15 repetitions in the third session, and 20 repetitions in the fourth session. The remaining sessions are continued with 20 repetitions. The exercises of the control and intervention groups have been selected in such a way that they can be implemented in a similar and corresponding way in each group, with the difference that in the intervention group, the exercises are performed using a virtual reality system. Pain score that is calculated between 0 and 10. Timepoint: Measuring the pain score before the intervention and at the end of the treatment sessions and two weeks later. Method of measurement: using the virtual analogue scale. Kinesiophobia. Timepoint: before the intervention and at the end of the treatment sessions and two weeks later. Method of measurement: tampa scale of kinesiophobia. University of social welfare and rehabilitation sciences Approved 2023-03-19 Ethical committee of rehabilitation and social welfare sciences university velenjak , daneshju boulevard, kodakyar ave Tehran Tehran Iran (Islamic Republic of)