Therapeutic Exercise Through Exergames on Mobile Devices for Cervical Rehabilitation
A Randomized Two-Arm Clinical Trial, Fixed-Assignment Study on Adherence to Therapeutic Exercise in Cervical Rehabilitation Using A Serious Game In Mobile Devices
Universitat de les Illes Balears
60 participants
Jan 16, 2025
INTERVENTIONAL
Conditions
Summary
The objective of this study is to determine whether performing cervical therapeutic exercises using a serious game through a mobile application enhances treatment adherence compared to performing the same exercises at home following standard practice.
Eligibility
Inclusion Criteria2
- Persons of legal age with cervicalgia.
- Have a smart mobile device (smartphone or tablet) on which to download the App.
Exclusion Criteria12
- Acute musculoskeletal pathological processes or exacerbation (less than 15 days of evolution). Includes presentation of symptoms such as paraesthesia, radiating pain, loss of strength in the upper limb.
- Episodes of severe pain more than 15 days of evolution.
- Accident with cervical or dorsal injury within the last month.
- Refusing to sign the informed consent.
- Not having a device suitable for installation or lack of experience in the use of smart mobile devices.
- Baseline NDI score of less than 5.
- Presence of red flags:
- Suspicion of fracture: advanced age, previous trauma, osteoporosis.
- Suspicion of neurological involvement: loss of sensation in extremities, loss of strength or muscle mass.
- Suspicion of infection: fever, night sweats.
- Suspicion of cancer: Previous history of cancer, no improvement in one month of treatment, weight loss, headache, vomiting.
- Suspicion of systemic disease: headache, fever, malaise, general headache, fever, malaise, unilateral skin rash (herpes).
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Interventions
The system consists of a mobile application (to be used by patients) and a web application (to be used by physiotherapists) that allows monitoring of the patient's performance without the need for attendance, thus facilitating telerehabilitation. The mobile application consists of a serious game that aims to induce the patient to perform neck exercises, adapting to their capacity and evolution at all times through artificial intelligence. The patient's interaction with the mobile application is based on the integration of a vision-based head-tracker to track the movements of the patient's head. The web application aims to provide professionals with a tool to monitor the evolution of their patients through the data captured by the mobile application.
Set of therapeutic exercises to be carried out at home. They are taught face-to-face, and also printed on a leaflet that is delivered to the participant.
Locations(1)
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NCT06794528