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Study protocol: use of virtual reality in a functional restoration programme for the spine-single-arm acceptance
Romain Champagne1, Pauline Ali2, Yoann Ronzi3
1Department of Physical and Rehabilitation Medicine, Laval Hospital, Laval, France Romain.CHAMPAGNE@chlaval.fr.
BMJ Open
|November 26, 2025
Summary
This study explores the feasibility of using immersive virtual reality (VR) in functional restoration programs for chronic low back pain (CLBP). Findings will guide the integration of VR for improved patient outcomes and rehabilitation.
Area of Science:
- Rehabilitation Medicine
- Digital Health
- Pain Management
Background:
- Chronic low back pain (CLBP) is a significant global cause of disability.
- Functional restoration programmes (FRPs) are standard care for CLBP, aiming to improve function and reduce kinesiophobia.
- Integrating immersive virtual reality (VR) into group-based FRP for CLBP is novel and underexplored.
Purpose of the Study:
- To assess the feasibility and acceptability of incorporating immersive VR into multicentre FRPs for CLBP.
- To evaluate patient and healthcare provider acceptance of VR technology in rehabilitation.
- To explore the impact of VR on kinesiophobia, motor imagery, pain, and functional capacity.
Main Methods:
- A multicentric, prospective, single-arm pilot study involving patients and healthcare providers.
- Participants undergo standard FRP with three weekly immersive VR sessions focused on trunk mobility and pain reduction.
- Acceptance, usability, adherence, safety, and clinical outcomes (kinesiophobia, motor imagery, pain, function) are measured using validated questionnaires and scales.
Main Results:
- This section is to be filled once the study is completed and results are available.
Conclusions:
- This section is to be filled once the study is completed and results are available.

