The effect of exercises done with virtual reality glasses on pain, daily life activities, and quality of life of individuals with lumbar disc hernia: a randomized controlled trial

Background: Lumbar disc herniation is a prevalent condition that leads to pain, disability, and a reduction in quality of life. While conventional treatments are widely utilized, virtual reality-based exercise programs present a promising alternative. However, the effectiveness of these exercises in the rehabilitation of lumbar disc herniation remains unclear. The aim of this study was to evaluate the effects of virtual reality-based exercises on pain, daily activities, quality of life, and fall risk in individuals with lumbar disc herniation. Materials and methods: This randomized controlled trial included 68 patients meeting the study criteria. Inclusion criteria: No other physical disabilities, no surgery in the last 6 months, no uncontrolled diseases, no vertigo, knee or joint issues, moderate/low balance impairment, and body mass & imath;ndex below 40. Exclusion criteria: Uncontrolled diseases, vertigo, knee/joint issues, cognitive impairments, pregnancy, inability to complete fall risk measurement, or attend follow-ups. Participants were divided into a virtual reality group (n = 34, Mean age +/- Standard Deviation = 51.05 +/- 13.39, 41.2% male, 58.8% female) and a control group (n = 34, Mean age +/- Standard Deviation = 53.55 +/- 12.25, 29.4% male, 70.6% female). The virtual reality group performed 28 sessions of virtual reality -based exercises, while the control group received routine hospital treatment. The study was conducted in a single hospital due to equipment limitations in the region. Data were collected using the Patient Information Form, Visual Analog Scale, Oswestry Disability Index, Short Form-36 Quality of Life Scale, and Fall Risk Device. Statistical analyses were performed using Statistical Package for the Social Sciences 20, including t-tests, chi-square tests, effect size analysis, and skewness/kurtosis assessments for homogeneity. Results: The virtual reality group showed a significant reduction in pain (Visual Analog Scale: 3.38 +/- 1.48, Cl: -2.49, -0.86, p < 0.05) and disability (Oswestry Disability Index: 21.59 +/- 6.00, Cl: -19.92, -7.38, p < 0.05), along with significant improvements in all Short Form-36 Quality Of Life sub-dimensions (p < 0.05).Fall risk scores also decreased significantly in the virtual reality group (Cl: -26.57, -7.26, p < 0.05). There were no significant baseline differences between the groups, confirming their comparability before the intervention. Conclusion: Virtual reality -based exercises effectively reduced pain, improved daily activities and quality of life, and decreased fall risk in lumbar disc herniation patients, suggesting their potential as a complementary rehabilitation approach. Blinding was not applied due to the nature of the interventions, which may introduce a potential risk of bias.

Journal

BMC MUSCULOSKELETAL DISORDERS

Year

2025

Volume

26

Issue

1

eISSN

1471-2474

DOI

10.1186/s12891-025-09130-9

WoS UID

WOS:001586143100002