Effects of Terminal Visual Feedback Therapy After Immersive Virtual Reality in Patients With Chronic Shoulder Pain
Shoulder Pain, Movement Disorders
About this trial
This is an interventional treatment trial for Shoulder Pain focused on measuring Virtual Reality
Eligibility Criteria
Inclusion Criteria: People from 18 to 65 years old Shoulder pain of at least three months of evolution located in the proximal anterolateral region of the shoulder Presenting shoulder pain during movements with a history of traumatic or insidious onset Agree to participate in the study and sign the informed consent Exclusion Criteria: Shoulder pain resulting from a dysfunction of the cervical spine. Cognitive deficits Uso of medicines for pain control in the previous 24 hours, A history of neurological or psychiatric disorders Adhesive capsulitis syndrome (limited passive range of motion of the shoulder: external rotation < 30°; elevation < 150°) Patients with shoulder instability Previous surgery of the shoulder Rheumatic diseases
Sites / Locations
- Unidad Docente Asistencial Fisioterapia
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Terminal visual feedback therapy plus Immersive Virtual reality
Immersive Virtual Reality
Active treatment using Virtual Reality software based on pain education and gamified exercise for gradual exposure to shoulder movement. The brief intervention will last 3 sessions of 15 minutes during a week, thus taking a total duration of one week of treatment. Within the intervention will consist of a pill of education in pain neuroscience (PNE) of 1 minute duration, followed by an exposure level that will last 2:30 minutes where a progression will be made in number of ranges of motion and speed. Each session will consist of 2 intervention blocks (PNE + Gradual Exposure pill). The content of the PNE educational pills have been selected according to the objective of the study. Subjects will be recorded through an Ipad Tablet, and after performing the entire intervention a terminal visual feedback therapy will be performed by observation of actions in holocentric vision.
Active treatment using Virtual Reality software based on pain education and gamified exercise for gradual exposure to shoulder movement. The game involves visual stimuli and shoulder movement exercises in the shoulder flexion and abduction ranges in real time using immersive glasses located on the head and two controls on both hands. Patients will inhabit an avatar from an egocentric perspective. The brief intervention will last 3 sessions of 15 minutes during a week, thus taking a total duration of one week of treatment. Within the intervention will consist of a pill of education in pain neuroscience (PNE) of 1 minute duration, followed by an exposure level that will last 2:30 minutes where a progression will be made in number of ranges of motion and speed. Each session will consist of 2 intervention blocks (PNE + Gradual Exposure pill). The content of the PNE educational pills have been selected according to the objective of the study.