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Updated: May 14, 2026

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
Published on: December 13, 2024
Effect of Using VR Game-Based Training to Correct Lumbar Curve in Chronic Low Back Pain Patients: Randomized
Ehab Ahmed1, Mohamed Raafat Atteya2, Hisham Mohamed Hussein2,3
1Department of Public Health, College of Public Health and Health Informatics, University of Ha'il, Hail 55476, Saudi Arabia.
Virtual reality (VR) pelvic rocking exercises significantly improved pain, lumbar lordotic angle, and range of motion in chronic low back pain patients compared to conventional training. VR also enhanced patient satisfaction and exercise commitment.
Area of Science:
- Rehabilitation Medicine
- Digital Health
- Musculoskeletal Disorders
Background:
- Chronic nonspecific low back pain (CNLBP) with lumbar hyperlordosis negatively impacts quality of life.
- Virtual reality (VR) offers potential for enhanced exercise engagement and therapeutic outcomes.
- This study investigates VR-based pelvic rocking training for CNLBP with hyperlordosis.
Purpose of the Study:
- To compare the efficacy of VR-based pelvic rocking training (TbG) versus conventional pelvic rocking training (CG).
- To evaluate effects on pain, lumbar lordotic angle (LLA), range of motion (ROM), and functional disability (ODI).
- To assess patient satisfaction and exercise commitment.
Main Methods:
- A triple-blind randomized controlled trial with 100 participants with CNLBP and hyperlordosis.
- Participants were allocated to either VR-based (TBed VR system) or conventional training groups.
- Both groups underwent three sessions weekly for eight weeks, with assessments at baseline, post-intervention, and one-month follow-up.
Main Results:
- Both groups showed significant improvements in pain, LLA, ROM, and ODI (p < 0.016).
- The VR group (TbG) demonstrated significantly greater improvements in pain, ROM, and function compared to the CG (p < 0.05).
- TbG reported higher patient satisfaction and exercise commitment, with benefits sustained at one-month follow-up.
Conclusions:
- VR-based pelvic rocking exercises (TBed VR system) are superior to conventional exercises for managing CNLBP with hyperlordosis.
- VR training leads to better pain reduction, functional improvement, and enhanced patient engagement.
- VR-based interventions show promise for improving outcomes and adherence in low back pain rehabilitation.
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