Mode
Text Size
Log in / Sign up

Immersive virtual reality reduces pain and disability in patients with chronic neck painVirtual Reality May Help Reduce Chronic Neck Pain

AI-generated summary of the cited source, checked by automated accuracy review. How we work

Key Takeaway
Consider immersive virtual reality as a potential adjunct to physiotherapy to reduce pain and improve ROM in chronic neck pain.

This systematic review and meta-analysis evaluated the efficacy of immersive virtual reality (IVR) interventions, both alone and combined with physiotherapy, for patients with chronic neck pain (CNP). The analysis included 430 participants to compare IVR against conventional physiotherapy or usual care.

The meta-analysis reported statistically significant improvements across several primary and secondary outcomes. Pain reduction was observed with an SMD of -0.41 (95% CI -0.76 to -0.07; p = 0.02). Disability scores also improved (SMD -0.38; 95% CI -0.74 to -0.02; p = 0.037). Additionally, the study found improvements in extension ROM (SMD 0.34; 95% CI 0.02 to 0.66; p = 0.037), flexion ROM (SMD 0.43; 95% CI 0.11 to 0.76; p = 0.01), and joint position sense during cervical flexion (SMD -0.56; 95% CI -0.13 to -2.53; p = 0.011).

The authors noted several limitations, including small sample sizes, potential performance bias, detection bias, and heterogeneity between different IVR protocols. While the data suggest that IVR may be effective for pain and mobility in CNP patients, clinicians should consider these biases when interpreting the results.

A review of existing research looked at how immersive virtual reality (IVR) affects people with chronic neck pain. The study included 430 patients who used IVR either on its own or combined with traditional physiotherapy programs.

The data showed that those using virtual reality experienced a reduction in pain and less physical disability. Participants also showed improvements in their range of motion, specifically when moving their necks forward and backward. Additionally, the technology helped improve joint position sense during neck movements.

While these results are promising, it is important to note that the study had some limitations. These included a small overall sample size and differences in how various virtual reality programs were designed. Because of these factors, the evidence is not yet definitive. You should talk with your doctor or physical therapist to see if this technology is a suitable addition to your specific treatment plan.

What this means for you:
Virtual reality may help reduce pain and improve neck movement for some people with chronic neck pain.

Common questions

Can virtual reality actually reduce neck pain?

The study found a reduction in pain for patients with chronic neck pain who used immersive virtual reality. This was observed whether they used the technology alone or combined it with standard physiotherapy programs.

Does this treatment help with movement and disability?

Yes, the results showed a reduction in physical disability and an increase in range of motion for both flexion and extension. It also improved joint position sense during neck movements.

Is virtual reality safe for neck pain patients?

The study did not report any specific adverse events or safety concerns regarding the use of immersive virtual reality. However, you should consult your healthcare provider to determine if it is right for your specific condition.

Study Details

Study typeMeta analysis
Sample sizen = 430
EvidenceLevel 1
Follow-up164.4 mo
PublishedAug 2026
View Original Abstract ↓
OBJECTIVE: Chronic neck pain (CNP) is a global health problem characterized by persistent pain, functional disability, and restricted cervical range of motion (ROM). As an adjunct to conventional pharmacotherapy and physiotherapy, immersive virtual reality (IVR) interventions have emerged as a promising clinical tool for CNP management. The aim of this systematic review with meta-analysis (SRMA) was to assess the effectiveness of IVR in improving pain, disability and cervical ROM and joint position sense (JPS) in patients with CNP. Additionally, to evaluate the effectiveness of IVR in combination with physiotherapy programs or when used as a standalone intervention. METHODS: A systematic literature search was conducted in PubMed Medline, SCOPUS, WOS, CINAHL and PEDro without restrictions from inception up to November 2025. Randomized controlled trials (RCTs) including patients with CNP which a group received IVR and others conventional physiotherapy or usual care were included. Pooled effect was estimated through the Cohen's standardized mean difference in a random-effects model. RESULTS: Nine RCTs were included in this SRMA, providing data from 430 patients with CNP (41 ± 13.7 years old, 67.4% female). Our findings report that IVR is effective in reducing pain (SMD = -0.41; 95% CI -0.76 to -0.07; p = 0.02), disability (SMD = -0.38; 95% CI -0.74 to -0.02; p = 0.037), as well as increasing extension (SMD = 0.34; 95% CI 0.02 to 0.66; p = 0.037) and flexion ROM (SMD = 0.43; 95% CI 0.11 to 0.76; p = 0.01) and JPS during cervical flexion (SMD = -0.56; 95% CI -0.13 to -2.53; p = 0.011). CONCLUSION: Current evidence suggests that IVR can be effective in improving pain, disability, cervical ROM and JPS in patients with CNP. IVR can be more effective in combination with physiotherapy programs. Limitations related to sample size, performance and detection biases, and heterogeneity between IVR protocols can be considered.
Free Newsletter

Clinical research that matters. Delivered to your inbox.

Join thousands of clinicians and researchers. No spam, unsubscribe anytime.