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CTRI Number  CTRI/2025/12/099477 [Registered on: 19/12/2025] Trial Registered Prospectively
Last Modified On: 18/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of virtual reality exercises and hands on therapy for neck pain neck function and fear of movement in young adults with recent neck pain 
Scientific Title of Study   Comparing the Effects of Virtual Reality-Based Exergaming and Muscle Energy Technique on Pain, Functional Disability, and Kinesiophobia in Young Adults with Acute Neck Pain 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Monika Hariramani 
Designation  PhD Scholar 
Affiliation  Mahatma Gandhi University of Medical Sciences and Technology 
Address  Room No. 10, R D Block, 1st Floor, Mahatma Gandhi Physiotherapy College, Mahatma Gandhi University of Medical Sciences and Technology, RIICO Industrial area, Sitapura, Jaipur

Jaipur
RAJASTHAN
302022
India 
Phone  09351565071  
Fax    
Email  monika.hariramani@apexmail.in  
 
Details of Contact Person
Scientific Query
 
Name  Arvind Tomar 
Designation  Professor 
Affiliation  Mahatma Gandhi University of Medical Sciences and Technology 
Address  Room No. 10, R D Block, 1st Floor, Mahatma Gandhi Physiotherapy College, Mahatma Gandhi University of Medical Sciences and Technology, RIICO Industrial area, Sitapura, Jaipur

Jaipur
RAJASTHAN
302022
India 
Phone  9784805133  
Fax    
Email  drarvindtomar@mgumst.org  
 
Details of Contact Person
Public Query
 
Name  Arvind Tomar 
Designation  Professor 
Affiliation  Mahatma Gandhi University of Medical Sciences and Technology 
Address  Room No. 10, R D Block, 1st Floor, Mahatma Gandhi Physiotherapy College, Mahatma Gandhi University of Medical Sciences and Technology, RIICO Industrial area, Sitapura, Jaipur

Jaipur
RAJASTHAN
302022
India 
Phone  9784805133  
Fax    
Email  drarvindtomar@mgumst.org  
 
Source of Monetary or Material Support  
Mahatma Gandhi Physiotherapy College, Mahatma Gandhi University of Medical Sciences and Technology, RIICO Institutional Area, Sitapura, Tonk Road, Jaipur - 302022, Rajasthan, India 
 
Primary Sponsor  
Name  Monika Hariramani 
Address  Mahatma Gandhi Physiotherapy College, Mahatma Gandhi University of Medical Sciences and Technology  
Type of Sponsor  Other [Self] 
 
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 Arvind Tomar  Mahatma Gandhi University of Medical Sciences and Technology  Room No. 10, R D Block, 1st Floor, Mahatma Gandhi Physiotherapy College
Jaipur
RAJASTHAN 
9784805133

drarvindtomar@mgumst.org 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Mahatma Gandhi Medical College and Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M959||Acquired deformity of musculoskeletal system, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Muscle Energy Technique Group  Hot pack will be applied for 15 minutes followed by muscle energy technique using gentle contractions and stretch techniques for cervical muscles. Sessions will be conducted five times per week for two weeks. 
Intervention  Virtual reality group  Participants will receive a hot pack to the cervical region for 15 minutes followed by 15 to 20 minutes of VR based exergaming using a VR box with immersive apps. Sessions will be done five times per week for two weeks, encouraging gentle pain free cervical movements. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  29.00 Year(s)
Gender  Both 
Details  Participants with acute nonspecific neck pain of 1 to 3 weeks duration and NPRS score greater than 3. 
 
ExclusionCriteria 
Details  History of recent neck surgery or trauma, neurological deficits or cervical radiculopathy, radiating pain or vertigo, current use of muscle relaxants or NSAIDs, or any systemic condition affecting the cervical region.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
The outcome measures in this study will include pain intensity, neck disability, and kinesiophobia. Pain intensity will be assessed using the Numerical Pain Rating Scale (NPRS). Neck disability will be evaluated using the Neck Disability Index (NDI), a validated questionnaire that measures the degree of functional limitation experienced due to neck pain in daily activities. To assess the psychological aspect of pain, particularly the fear of movement, kinesiophobia will be measured using the Tampa Scale for Kinesiophobia (TSK), which quantifies movement-related fear.  Baseline Measurement (Day-0),
Post intervention measurement (AFTER 2 WEEKS) 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="114"
Sample Size from India="114" 
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)   01/02/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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   This randomized comparative study will compare the effects of virtual reality based exergaming and muscle energy technique, both given with a hot pack, on pain, functional disability, and kinesiophobia in young adults with acute neck pain. Participants aged 18 to 29 years with acute nonspecific neck pain will be randomly allocated into two groups. The virtual reality group will receive hot pack followed by VR exergaming sessions, and the muscle energy technique group will receive hot pack followed by MET for key cervical muscles. Interventions will be provided for two weeks. Outcomes will include pain intensity, neck disability, and kinesiophobia measured before and after treatment to determine which intervention is more effective. 
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