Conventional Cervical Exercises Compared with a Mixed-Reality-Based Game in Asymptomatic Subjects: An Exploratory Crossover Pilot Study

Mixed reality presents itself as a potential technological tool for the management of people with musculoskeletal disorders, without having as many adverse side effects as immersive virtual reality. The objective of this study was to explore the possibilities of a mixed-reality game, performing task...

Full description

Bibliographic Details
Main Authors: Marta C. Diaz-Saez, Gonzalo Navarro-Fernández, Josué Fernandez-Carnero, Miriam Garrigós-Pedrón, Juan Pablo Romero Muñoz, Hector Beltran-Alacreu
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/12/7/3657
_version_ 1827624313955549184
author Marta C. Diaz-Saez
Gonzalo Navarro-Fernández
Josué Fernandez-Carnero
Miriam Garrigós-Pedrón
Juan Pablo Romero Muñoz
Hector Beltran-Alacreu
author_facet Marta C. Diaz-Saez
Gonzalo Navarro-Fernández
Josué Fernandez-Carnero
Miriam Garrigós-Pedrón
Juan Pablo Romero Muñoz
Hector Beltran-Alacreu
author_sort Marta C. Diaz-Saez
collection DOAJ
description Mixed reality presents itself as a potential technological tool for the management of people with musculoskeletal disorders, without having as many adverse side effects as immersive virtual reality. The objective of this study was to explore the possibilities of a mixed-reality game, performing task-oriented cervical exercises compared to conventional therapeutic exercises in sensorimotor outcome measures in asymptomatic subjects. A randomized crossover pilot study was performed with two intervention groups: a mixed-reality group (MRG) and a conventional exercise group (CEG). The cervical joint position error test (CJPET) and deep cervical flexor endurance test (DCFET) were measured as sensorimotor outcomes. Statistically significant differences were found in the pre–post comparison in the DCFET for both groups (MRG: t = −3.87, <i>p</i> < 0.01; CEG: t = −4.01, <i>p</i> < 0.01) and in the extension of the CJPET for the MRG (t = 3.50, <i>p</i> < 0.01). The rest of the measurements showed no significant differences comparing both groups pre- and postintervention (<i>p</i> > 0.05). Mixed reality has apparently the same positive effects as conventional exercises in sensorimotor outcomes in asymptomatic subjects. These results could help in future studies with mixed virtual reality in the management of people with musculoskeletal disorders.
first_indexed 2024-03-09T12:05:57Z
format Article
id doaj.art-af1dec488a2443d1888d73683a8657d7
institution Directory Open Access Journal
issn 2076-3417
language English
last_indexed 2024-03-09T12:05:57Z
publishDate 2022-04-01
publisher MDPI AG
record_format Article
series Applied Sciences
spelling doaj.art-af1dec488a2443d1888d73683a8657d72023-11-30T22:58:45ZengMDPI AGApplied Sciences2076-34172022-04-01127365710.3390/app12073657Conventional Cervical Exercises Compared with a Mixed-Reality-Based Game in Asymptomatic Subjects: An Exploratory Crossover Pilot StudyMarta C. Diaz-Saez0Gonzalo Navarro-Fernández1Josué Fernandez-Carnero2Miriam Garrigós-Pedrón3Juan Pablo Romero Muñoz4Hector Beltran-Alacreu5CranioSPain Research Group, Centro Superior de Estudios Universitarios La Salle, 28023 Madrid, SpainCranioSPain Research Group, Centro Superior de Estudios Universitarios La Salle, 28023 Madrid, SpainDepartment of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos University, 28933 Madrid, SpainDepartamento de Fisioterapia, Facultad de Medicina, Universidad Cardenal Herrera Oria-CEU, CEU Universities, 46115 Valencia, SpainFacultad de Ciencias Experimentales, Universidad Francisco de Vitoria, 28223 Pozuelo de Alarcón, SpainCranioSPain Research Group, Centro Superior de Estudios Universitarios La Salle, 28023 Madrid, SpainMixed reality presents itself as a potential technological tool for the management of people with musculoskeletal disorders, without having as many adverse side effects as immersive virtual reality. The objective of this study was to explore the possibilities of a mixed-reality game, performing task-oriented cervical exercises compared to conventional therapeutic exercises in sensorimotor outcome measures in asymptomatic subjects. A randomized crossover pilot study was performed with two intervention groups: a mixed-reality group (MRG) and a conventional exercise group (CEG). The cervical joint position error test (CJPET) and deep cervical flexor endurance test (DCFET) were measured as sensorimotor outcomes. Statistically significant differences were found in the pre–post comparison in the DCFET for both groups (MRG: t = −3.87, <i>p</i> < 0.01; CEG: t = −4.01, <i>p</i> < 0.01) and in the extension of the CJPET for the MRG (t = 3.50, <i>p</i> < 0.01). The rest of the measurements showed no significant differences comparing both groups pre- and postintervention (<i>p</i> > 0.05). Mixed reality has apparently the same positive effects as conventional exercises in sensorimotor outcomes in asymptomatic subjects. These results could help in future studies with mixed virtual reality in the management of people with musculoskeletal disorders.https://www.mdpi.com/2076-3417/12/7/3657virtual realitymixed realitycervical spineHoloLens
spellingShingle Marta C. Diaz-Saez
Gonzalo Navarro-Fernández
Josué Fernandez-Carnero
Miriam Garrigós-Pedrón
Juan Pablo Romero Muñoz
Hector Beltran-Alacreu
Conventional Cervical Exercises Compared with a Mixed-Reality-Based Game in Asymptomatic Subjects: An Exploratory Crossover Pilot Study
Applied Sciences
virtual reality
mixed reality
cervical spine
HoloLens
title Conventional Cervical Exercises Compared with a Mixed-Reality-Based Game in Asymptomatic Subjects: An Exploratory Crossover Pilot Study
title_full Conventional Cervical Exercises Compared with a Mixed-Reality-Based Game in Asymptomatic Subjects: An Exploratory Crossover Pilot Study
title_fullStr Conventional Cervical Exercises Compared with a Mixed-Reality-Based Game in Asymptomatic Subjects: An Exploratory Crossover Pilot Study
title_full_unstemmed Conventional Cervical Exercises Compared with a Mixed-Reality-Based Game in Asymptomatic Subjects: An Exploratory Crossover Pilot Study
title_short Conventional Cervical Exercises Compared with a Mixed-Reality-Based Game in Asymptomatic Subjects: An Exploratory Crossover Pilot Study
title_sort conventional cervical exercises compared with a mixed reality based game in asymptomatic subjects an exploratory crossover pilot study
topic virtual reality
mixed reality
cervical spine
HoloLens
url https://www.mdpi.com/2076-3417/12/7/3657
work_keys_str_mv AT martacdiazsaez conventionalcervicalexercisescomparedwithamixedrealitybasedgameinasymptomaticsubjectsanexploratorycrossoverpilotstudy
AT gonzalonavarrofernandez conventionalcervicalexercisescomparedwithamixedrealitybasedgameinasymptomaticsubjectsanexploratorycrossoverpilotstudy
AT josuefernandezcarnero conventionalcervicalexercisescomparedwithamixedrealitybasedgameinasymptomaticsubjectsanexploratorycrossoverpilotstudy
AT miriamgarrigospedron conventionalcervicalexercisescomparedwithamixedrealitybasedgameinasymptomaticsubjectsanexploratorycrossoverpilotstudy
AT juanpabloromeromunoz conventionalcervicalexercisescomparedwithamixedrealitybasedgameinasymptomaticsubjectsanexploratorycrossoverpilotstudy
AT hectorbeltranalacreu conventionalcervicalexercisescomparedwithamixedrealitybasedgameinasymptomaticsubjectsanexploratorycrossoverpilotstudy