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CTRI Number  CTRI/2025/11/097486 [Registered on: 17/11/2025] Trial Registered Prospectively
Last Modified On: 16/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   A trial to study the effect of virtual reality training on patients with sub-acute low back pain 
Scientific Title of Study   Effect of Virtual Reality Training on Pain, Range Of Motion and Functions in Subacute Non-specific Low back Pain Patients: A Comparative study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Aishwarya Parab 
Designation  Post Graduate Student 
Affiliation  D.Y.Patil Deemed to University, School Of Physiotherapy, Nerul, Navi Mumbai 
Address  D.Y. Patil deemed To Be University, School of Physiotherapy, Department of Musculoskeletal Physiotherapy, 6th Floor, Plot No. 2, Sector-5, Nerul, Navi Mumbai- 400706

Thane
MAHARASHTRA
400706
India 
Phone  9969265899  
Fax    
Email  aishparab02@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Riddhi Shroff 
Designation  Associate Professor 
Affiliation  D.Y.Patil Deemed to University, School Of Physiotherapy, Nerul, Navi Mumbai 
Address  D.Y. Patil deemed To Be University, School of Physiotherapy, Department of Musculoskeletal Physiotherapy, 6th Floor, Plot No. 2, Sector-5, Nerul, Navi Mumbai- 400706

Thane
MAHARASHTRA
400706
India 
Phone  9769491687  
Fax    
Email  riddhi.shroff@dypatil.edu  
 
Details of Contact Person
Public Query
 
Name  Aishwarya Parab 
Designation  Post Graduate Student 
Affiliation  D.Y.Patil Deemed to University, School Of Physiotherapy, Nerul, Navi Mumbai 
Address  D.Y. Patil deemed To Be University, School of Physiotherapy, Department of Musculoskeletal Physiotherapy, 6th Floor, Plot No. 2, Sector-5, Nerul, Navi Mumbai- 400706

Thane
MAHARASHTRA
400706
India 
Phone  9969265899  
Fax    
Email  aishparab02@gmail.com  
 
Source of Monetary or Material Support  
D Y Patil Deemed to be University, School of Physiotherapy, Navi Mumbai 
 
Primary Sponsor  
Name  D.Y.Patil Deemed to University, School of Physiotherapy, Navi Mumbai 
Address  D.Y. Patil deemed To Be University, School of Physiotherapy, Department of Musculoskeletal Physiotherapy, 6th Floor, Plot No. 2, Sector-5, Nerul, Navi Mumbai- 400706 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Aishwarya Parab   D Y Patil Hospital  Department of Musculoskeletal Physiotherapy, opd no. 29, D Y Patil Hospital, Plot No. 2, Sector-5, Nerul, Navi Mumbai- 400706
Thane
MAHARASHTRA 
9969265899

aishparab02@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
The Institutional Ethics Committee for Biomedical and Health Research (IECBH) of Dr D Y Patil Medical College & Hospital, Navi Mumbai   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M545||Low back pain, (2) ICD-10 Condition: M545||Low back pain,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional Exercise protocol vs Virtual Reality Training Protocol  The control and experimental group shall undergo a 4 week treatment protocol, were the control group shall receive an evidence based conventional exercise protocol which includes stretching, range of motion and strength training, while experimental group participant shall undergo a virtual reality based training protocol which includes exercises for forward flexion, rotation, lateral flexion and extension component. These both shall aim to improve range of motion and functional level of patients with subacute non specific low back pain and to evaluate its effect on pain. The total duration of the study is 6 months, where each participant shall undergo a 4-week protocol as per their recruitment, 3 sessions per week (alternate days). 
Intervention  Virtual Reality Training  A virtual reality training- fully immersive VR for the experimental group, which shall place the user in a fully virtual environment due to headset based experience created to perform exercise to improve forward flexion, extension, lateral flexion and rotations in patient with subacute non specific low back pain. The total duration of the study is 6 months, where each participant shall undergo a 4-week protocol as per their recruitment, 3 sessions per week (alternate days). 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  1.Age: 18 to 45 years
2.Gender: Male and Female
3.Low Back Pain more than 6 weeks
4.Availability of radiographic data (e.g. X-ray, MRI, CT scans) relevant to patient’s low back pain condition.
5.Patients must have been diagnosed with subacute low back pain (lasting from more than 6 weeks to 12 weeks) and recommended by an orthopedic specialist for further evaluation and rehabilitation.
6.Subacute, unilateral, low back, buttock or thigh pain with symptoms reproduce with end range spinal motions. Symptoms reproduced with provocation of the involved lower thoracic lumbar or sacroiliac segments.
7.Presence of 1 or more of the following:
I. Restricted thoracic range of motion and associated segmental mobility.
II. Restricted lumbar range of motion and associated segmental mobility.
III. Restricted lumbopelvic or hip range of motion and associated accessory mobility.
8.Lumbosacral pain with mid-range motions that worsen with end-range movements or positions
9.Low back and low back–related lower extremity pain reproduced with provocation of the involved lumbar segment(s)
10.Lumbar hypermobility with segmental mobility assessment may be present
11.Mobility deficits of the thorax and, or lumbopelvic or hip regions.
12.Diminished trunk or pelvic-region muscle strength and endurance.
13.Movement coordination impairments while performing self-care or home management activities.
 
 
ExclusionCriteria 
Details  1.Patients with any history of surgery, infection, rheumatologic diseases.
2.Patient with any lumbar compression fractures.
3.Patients with Mid-back, low back, and back-related radiating pain or paraesthesia that are reproduced with mid-range and worsen with end range:
a) Lower limb tension testing/straight leg raising tests, and, or.
b) Slump tests
May have lower extremity sensory, strength, or reflex deficits associated with the involved nerve(s)
4.Pain related to cognitive or affective tendencies
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Visual Analogue scale
Modified Schober’s Test  
Baseline (pre treatment) and after 4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Back Performance Scale  Baseline (pre treatment) and after 4 weeks 
 
Target Sample Size   Total Sample Size="66"
Sample Size from India="66" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   27/11/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  27/11/2025 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   The study aims to evaluate Effect of Virtual Reality Training along with evidence based exercise on pain, range of motion and functions in sub-acute non specific low back pain patients. With a sample size of 66 participants.
As its a comparative study, 66 participants shall be equally divided into two groups: control group and a experimental group consisting of 33 participants in each group.
Participants shall be recruited as per the inclusion and the exclusion criteria.
On recruiting the participants a consent shall be taken post which, every individual shall undergo a pre assessment which includes evaluation of pain, range of motion and functional level. Further they shall undergo a 4 week treatment session in which the control group shall receive a conventional evident based exercise protocol which includes stretching, range of motion exercises and strength training, while the experimental group shall receive a Virtual reality based training along with the conventional exercises to see its effect on pain, Range of motion and functions in sub acute nonspecific low back pain patients.
Post 4 week of rehabilitation session, a post assessment shall be done to evaluate the effect of treatment provided to the participants which shall include the same evaluation as the pre assessment test, which include:
pain evaluation using visual analogue scale, assessment of range of motion using modified schober’s test and assessment of function level using back performance scale as the outcome measures
 
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