Immersive virtual reality-based interventions for chronic neck pain management: A systematic review and meta-analysis.

Chronic neck pain (CNP) is a global health problem characterized by persistent pain, functional disability, and restricted cervical range of motion (ROM). As an adjunct to conventional pharmacotherapy and physiotherapy, immersive virtual reality (IVR) interventions have emerged as a promising clinic...

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Autores: Desdentado-Guillén, José María, González-Lara, Cristina, Guerero-González, Carmen, García-López, Héctor, Obrero-Gaitán, Esteban, Cortés-Pérez, Irene
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2026
País:España
Institución:Universidad de Jaén
Repositorio:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
OAI Identifier:oai:dnet:ruja________::b25d87cb981768b74804ad96b91b2d95
Acceso en línea:https://doi.org/10.1016/j.msksp.2026.1035635
https://www.sciencedirect.com/science/article/pii/S2468781226000792
https://hdl.handle.net/10953/7860
Access Level:acceso abierto
Palabra clave:Chronic neck pain
Disability
Immersive virtual reality
Meta-analysis
Pain
Virtual reality
Health
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spelling Immersive virtual reality-based interventions for chronic neck pain management: A systematic review and meta-analysis.Desdentado-Guillén, José MaríaGonzález-Lara, CristinaGuerero-González, CarmenGarcía-López, HéctorObrero-Gaitán, EstebanCortés-Pérez, IreneChronic neck painDisabilityImmersive virtual realityMeta-analysisPainVirtual realityHealthChronic neck pain (CNP) is a global health problem characterized by persistent pain, functional disability, and restricted cervical range of motion (ROM). As an adjunct to conventional pharmacotherapy and physiotherapy, immersive virtual reality (IVR) interventions have emerged as a promising clinical tool for CNP management. The aim of this systematic review with meta-analysis (SRMA) was to assess the effectiveness of IVR in improving pain, disability and cervical ROM and joint position sense (JPS) in patients with CNP. Additionally, to evaluate the effectiveness of IVR in combination with physiotherapy programs or when used as a standalone intervention.A systematic literature search was conducted in PubMed Medline, SCOPUS, WOS, CINAHL and PEDro without restrictions from inception up to November 2025. Randomized controlled trials (RCTs) including patients with CNP which a group received IVR and others conventional physiotherapy or usual care were included. Pooled effect was estimated through the Cohen's standardized mean difference in a random-effects model.Nine RCTs were included in this SRMA, providing data from 430 patients with CNP (41 ± 13.7 years old, 67.4% female). Our findings report that IVR is effective in reducing pain (SMD = -0.41; 95% CI -0.76 to -0.07; p = 0.02), disability (SMD = -0.38; 95% CI -0.74 to -0.02; p = 0.037), as well as increasing extension (SMD = 0.34; 95% CI 0.02 to 0.66; p = 0.037) and flexion ROM (SMD = 0.43; 95% CI 0.11 to 0.76; p = 0.01) and JPS during cervical flexion (SMD = -0.56; 95% CI -0.13 to -2.53; p = 0.011).Current evidence suggests that IVR can be effective in improving pain, disability, cervical ROM and JPS in patients with CNP. IVR can be more effective in combination with physiotherapy programs. Limitations related to sample size, performance and detection biases, and heterogeneity between IVR protocols can be considered.Elsevier202620262026info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://doi.org/10.1016/j.msksp.2026.1035635https://www.sciencedirect.com/science/article/pii/S2468781226000792https://hdl.handle.net/10953/7860reponame:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaéninstname:Universidad de JaénInglésMusculoskeletal Science and PracticeAttribution 3.0 Spainhttp://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:dnet:ruja________::b25d87cb981768b74804ad96b91b2d952026-06-24T12:41:07Z
dc.title.none.fl_str_mv Immersive virtual reality-based interventions for chronic neck pain management: A systematic review and meta-analysis.
title Immersive virtual reality-based interventions for chronic neck pain management: A systematic review and meta-analysis.
spellingShingle Immersive virtual reality-based interventions for chronic neck pain management: A systematic review and meta-analysis.
Desdentado-Guillén, José María
Chronic neck pain
Disability
Immersive virtual reality
Meta-analysis
Pain
Virtual reality
Health
title_short Immersive virtual reality-based interventions for chronic neck pain management: A systematic review and meta-analysis.
title_full Immersive virtual reality-based interventions for chronic neck pain management: A systematic review and meta-analysis.
title_fullStr Immersive virtual reality-based interventions for chronic neck pain management: A systematic review and meta-analysis.
title_full_unstemmed Immersive virtual reality-based interventions for chronic neck pain management: A systematic review and meta-analysis.
title_sort Immersive virtual reality-based interventions for chronic neck pain management: A systematic review and meta-analysis.
dc.creator.none.fl_str_mv Desdentado-Guillén, José María
González-Lara, Cristina
Guerero-González, Carmen
García-López, Héctor
Obrero-Gaitán, Esteban
Cortés-Pérez, Irene
author Desdentado-Guillén, José María
author_facet Desdentado-Guillén, José María
González-Lara, Cristina
Guerero-González, Carmen
García-López, Héctor
Obrero-Gaitán, Esteban
Cortés-Pérez, Irene
author_role author
author2 González-Lara, Cristina
Guerero-González, Carmen
García-López, Héctor
Obrero-Gaitán, Esteban
Cortés-Pérez, Irene
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Chronic neck pain
Disability
Immersive virtual reality
Meta-analysis
Pain
Virtual reality
Health
topic Chronic neck pain
Disability
Immersive virtual reality
Meta-analysis
Pain
Virtual reality
Health
description Chronic neck pain (CNP) is a global health problem characterized by persistent pain, functional disability, and restricted cervical range of motion (ROM). As an adjunct to conventional pharmacotherapy and physiotherapy, immersive virtual reality (IVR) interventions have emerged as a promising clinical tool for CNP management. The aim of this systematic review with meta-analysis (SRMA) was to assess the effectiveness of IVR in improving pain, disability and cervical ROM and joint position sense (JPS) in patients with CNP. Additionally, to evaluate the effectiveness of IVR in combination with physiotherapy programs or when used as a standalone intervention.
publishDate 2026
dc.date.none.fl_str_mv 2026
2026
2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://doi.org/10.1016/j.msksp.2026.1035635
https://www.sciencedirect.com/science/article/pii/S2468781226000792
https://hdl.handle.net/10953/7860
url https://doi.org/10.1016/j.msksp.2026.1035635
https://www.sciencedirect.com/science/article/pii/S2468781226000792
https://hdl.handle.net/10953/7860
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Musculoskeletal Science and Practice
dc.rights.none.fl_str_mv Attribution 3.0 Spain
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution 3.0 Spain
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
instname:Universidad de Jaén
instname_str Universidad de Jaén
reponame_str RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
collection RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
repository.name.fl_str_mv
repository.mail.fl_str_mv
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