Effect of fully immersive virtual reality treatment combined with exercise in fibromyalgia patients: a randomized controlled trial

This trial was designed to evaluate the effects of fully immersive virtual reality (IVR) treatment combined with exercise training in fibromyalgia patients. Twenty patients were randomized into exercise group (EG) or IVR combined with exercise group (Exercise+IVR). The EG had combined exercise train...

Full description

Saved in:
Bibliographic Details
Published inAssistive technology Vol. 34; no. 3; pp. 256 - 263
Main Authors Gulsen, C., Soke, F., Eldemir, K., Apaydin, Y., Ozkul, C., Guclu-Gunduz, A., Akcali, D. T.
Format Journal Article
LanguageEnglish
Published United States Taylor & Francis 04.05.2022
Subjects
Online AccessGet full text

Cover

Loading…
Abstract This trial was designed to evaluate the effects of fully immersive virtual reality (IVR) treatment combined with exercise training in fibromyalgia patients. Twenty patients were randomized into exercise group (EG) or IVR combined with exercise group (Exercise+IVR). The EG had combined exercise training consisted of 30 minutes of aerobic training and 30 minutes of Pilates training and Exercise+IVR group had the same protocol with EG plus 20 minutes of IVR, twice a week for 8 weeks. Visual analogue scale for pain, Modified Sensory Organization Test for balance, Tampa Scale of Kinesiophobia for kinesiophobia, Fibromyalgia Impact Questionnaire for impact of fibromyalgia, Fatigue Severity Scale for fatigue, International Physical Activity Questionnaire for level of physical activity, six-minute walk test for functional capacity, and Short-Form 36 Health Survey for quality of life were used for evaluation. Pain, balance, kinesiophobia, impact of fibromyalgia, fatigue, level of physical activity, functional exercise capacity and quality of life scores improved significantly in both groups (p < .05). Exercise+IVR group showed significant improvement compared to the EG regarding pain, kinesiophobia, fatigue, level of physical activity, and mental component of quality of life (p < .05). IVR treatment may be an effective method as an adjunctive therapy with other exercise trainings in fibromyalgia.
AbstractList This trial was designed to evaluate the effects of fully immersive virtual reality (IVR) treatment combined with exercise training in fibromyalgia patients. Twenty patients were randomized into exercise group (EG) or IVR combined with exercise group (Exercise+IVR). The EG had combined exercise training consisted of 30 minutes of aerobic training and 30 minutes of Pilates training and Exercise+IVR group had the same protocol with EG plus 20 minutes of IVR, twice a week for 8 weeks. Visual analogue scale for pain, Modified Sensory Organization Test for balance, Tampa Scale of Kinesiophobia for kinesiophobia, Fibromyalgia Impact Questionnaire for impact of fibromyalgia, Fatigue Severity Scale for fatigue, International Physical Activity Questionnaire for level of physical activity, six-minute walk test for functional capacity, and Short-Form 36 Health Survey for quality of life were used for evaluation. Pain, balance, kinesiophobia, impact of fibromyalgia, fatigue, level of physical activity, functional exercise capacity and quality of life scores improved significantly in both groups (p < .05). Exercise+IVR group showed significant improvement compared to the EG regarding pain, kinesiophobia, fatigue, level of physical activity, and mental component of quality of life (p < .05). IVR treatment may be an effective method as an adjunctive therapy with other exercise trainings in fibromyalgia.
This trial was designed to evaluate the effects of fully immersive virtual reality (IVR) treatment combined with exercise training in fibromyalgia patients. Twenty patients were randomized into exercise group (EG) or IVR combined with exercise group (Exercise+IVR). The EG had combined exercise training consisted of 30 minutes of aerobic training and 30 minutes of Pilates training and Exercise+IVR group had the same protocol with EG plus 20 minutes of IVR, twice a week for 8 weeks. Visual analogue scale for pain, Modified Sensory Organization Test for balance, Tampa Scale of Kinesiophobia for kinesiophobia, Fibromyalgia Impact Questionnaire for impact of fibromyalgia, Fatigue Severity Scale for fatigue, International Physical Activity Questionnaire for level of physical activity, six-minute walk test for functional capacity, and Short-Form 36 Health Survey for quality of life were used for evaluation. Pain, balance, kinesiophobia, impact of fibromyalgia, fatigue, level of physical activity, functional exercise capacity and quality of life scores improved significantly in both groups (p < .05). Exercise+IVR group showed significant improvement compared to the EG regarding pain, kinesiophobia, fatigue, level of physical activity, and mental component of quality of life (p < .05). IVR treatment may be an effective method as an adjunctive therapy with other exercise trainings in fibromyalgia.This trial was designed to evaluate the effects of fully immersive virtual reality (IVR) treatment combined with exercise training in fibromyalgia patients. Twenty patients were randomized into exercise group (EG) or IVR combined with exercise group (Exercise+IVR). The EG had combined exercise training consisted of 30 minutes of aerobic training and 30 minutes of Pilates training and Exercise+IVR group had the same protocol with EG plus 20 minutes of IVR, twice a week for 8 weeks. Visual analogue scale for pain, Modified Sensory Organization Test for balance, Tampa Scale of Kinesiophobia for kinesiophobia, Fibromyalgia Impact Questionnaire for impact of fibromyalgia, Fatigue Severity Scale for fatigue, International Physical Activity Questionnaire for level of physical activity, six-minute walk test for functional capacity, and Short-Form 36 Health Survey for quality of life were used for evaluation. Pain, balance, kinesiophobia, impact of fibromyalgia, fatigue, level of physical activity, functional exercise capacity and quality of life scores improved significantly in both groups (p < .05). Exercise+IVR group showed significant improvement compared to the EG regarding pain, kinesiophobia, fatigue, level of physical activity, and mental component of quality of life (p < .05). IVR treatment may be an effective method as an adjunctive therapy with other exercise trainings in fibromyalgia.
This trial was designed to evaluate the effects of fully immersive virtual reality (IVR) treatment combined with exercise training in fibromyalgia patients. Twenty patients were randomized into exercise group (EG) or IVR combined with exercise group (Exercise+IVR). The EG had combined exercise training consisted of 30 minutes of aerobic training and 30 minutes of Pilates training and Exercise+IVR group had the same protocol with EG plus 20 minutes of IVR, twice a week for 8 weeks. Visual analogue scale for pain, Modified Sensory Organization Test for balance, Tampa Scale of Kinesiophobia for kinesiophobia, Fibromyalgia Impact Questionnaire for impact of fibromyalgia, Fatigue Severity Scale for fatigue, International Physical Activity Questionnaire for level of physical activity, six-minute walk test for functional capacity, and Short-Form 36 Health Survey for quality of life were used for evaluation. Pain, balance, kinesiophobia, impact of fibromyalgia, fatigue, level of physical activity, functional exercise capacity and quality of life scores improved significantly in both groups ( < .05). Exercise+IVR group showed significant improvement compared to the EG regarding pain, kinesiophobia, fatigue, level of physical activity, and mental component of quality of life ( < .05). IVR treatment may be an effective method as an adjunctive therapy with other exercise trainings in fibromyalgia.
Author Gulsen, C.
Ozkul, C.
Akcali, D. T.
Eldemir, K.
Apaydin, Y.
Soke, F.
Guclu-Gunduz, A.
Author_xml – sequence: 1
  givenname: C.
  orcidid: 0000-0001-5830-438X
  surname: Gulsen
  fullname: Gulsen, C.
  organization: Gazi University
– sequence: 2
  givenname: F.
  orcidid: 0000-0002-8457-1198
  surname: Soke
  fullname: Soke, F.
  organization: Gazi University
– sequence: 3
  givenname: K.
  orcidid: 0000-0002-1167-8971
  surname: Eldemir
  fullname: Eldemir, K.
  organization: Gazi University
– sequence: 4
  givenname: Y.
  orcidid: 0000-0001-6630-2632
  surname: Apaydin
  fullname: Apaydin, Y.
  organization: Gazi University
– sequence: 5
  givenname: C.
  orcidid: 0000-0001-9367-9910
  surname: Ozkul
  fullname: Ozkul, C.
  organization: Gazi University
– sequence: 6
  givenname: A.
  orcidid: 0000-0001-8464-1929
  surname: Guclu-Gunduz
  fullname: Guclu-Gunduz, A.
  email: arzuguclu@hotmail.com
  organization: Gazi University
– sequence: 7
  givenname: D. T.
  orcidid: 0000-0003-3590-5531
  surname: Akcali
  fullname: Akcali, D. T.
  organization: Gazi University
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32543290$$D View this record in MEDLINE/PubMed
BookMark eNqFkbtuFTEURS0URB7wCSCXNBOOx_OEBhSFhxSJBmrrzPgYjOzxxfYkDCVfjq_uDQUFVN6y1jrF3ufsZAkLMfZUwKWAAV4IaAAa2V7WUJevvq9HgAfsTIzNWMlONCclF6baQ6fsPKVvAHIAGB6xU1m3jSzCGft1bQzNmQfDzercxq33FJO9JX5rY17R8UjobN54LiF7WjKfg5_sQprf2fyV0w-Ks03E7cKNnWLwG7ovFvkOsy14esmRR1x08PZnkeaw5BicKzFHi-4xe2jQJXpyfC_Y57fXn67eVzcf3324enNTzbLrciU6MwF1tW4R9DgDQdshmmnoRS9aJClbMhpHUdcS-hFo0NiLSYyT1nVrpLxgzw93dzF8Xyll5W2ayTlcKKxJ1Y0olcpOjgV9dkTXyZNWu2g9xk3d91aA9gDMMaQUyfxBBKj9Pup-H7XfRx33Kd6rv7zZ5lLTvhK07r_264NtFxOix7sQnVYZNxeiKQ2XFZT894nf9KCq3w
CitedBy_id crossref_primary_10_3389_fnbeh_2022_933483
crossref_primary_10_1007_s00520_022_07568_4
crossref_primary_10_2196_40705
crossref_primary_10_2196_59922
crossref_primary_10_1007_s11136_022_03261_5
crossref_primary_10_1093_pm_pnab217
crossref_primary_10_1016_j_apmr_2021_10_022
crossref_primary_10_1055_a_2344_7769
crossref_primary_10_1089_g4h_2023_0193
crossref_primary_10_3389_fpsyg_2022_886015
crossref_primary_10_1177_20552076241304904
crossref_primary_10_1097_MD_0000000000035872
crossref_primary_10_3390_ijerph182211806
crossref_primary_10_3390_ijerph20021335
crossref_primary_10_3390_healthcare12060701
crossref_primary_10_1016_j_scad_2024_12_009
crossref_primary_10_1097_AJP_0000000000001110
crossref_primary_10_1080_10400435_2025_2458260
crossref_primary_10_1111_jocn_16397
crossref_primary_10_3390_jpm11111167
crossref_primary_10_3390_ijerph17249439
crossref_primary_10_1089_g4h_2020_0162
crossref_primary_10_3390_healthcare11121708
crossref_primary_10_3390_ijerph191710821
crossref_primary_10_31459_turkjkin_1475057
crossref_primary_10_1080_10833196_2021_1903209
crossref_primary_10_2196_48354
crossref_primary_10_1089_g4h_2021_0232
crossref_primary_10_56294_ri202224
crossref_primary_10_59564_amrj_02_02_012
Cites_doi 10.5455/ijtrr.000000148
10.2340/16501977-2268
10.1016/j.apmr.2009.06.021
10.1519/JSC.0000000000000258
10.3758/BF03195337
10.3233/NRE-172355
10.2217/pmt-2016-0006
10.1016/j.apmr.2010.09.006
10.1016/j.pain.2012.01.020
10.1001/archinte.167.20.2192
10.1164/ajrccm.166.1.at1102
10.1016/j.apmr.2017.12.014
10.1002/pmrj.12206
10.1016/j.apmr.2003.12.033
10.5606/ArchRheumatol.2019.7244
10.2340/16501977-0814
10.1097/AJP.0000000000000196
10.2196/medinform.7271
10.1111/sms.13502
10.1186/s12877-016-0302-6
10.1006/ijhc.1999.0343
10.1186/s42358-018-0011-2
10.1155/2013/580460
10.1080/03630242.2016.1153017
10.3390/ijerph16183249
10.3109/03009749609069212
10.5935/1806-0013.20160088
10.1097/00005650-199206000-00002
10.1007/s11916-011-0214-2
10.1001/archneur.1989.00520460115022
10.1016/j.maturitas.2015.07.022
10.1089/cyber.2014.0202
10.1017/S1368980012002996
10.1016/j.ctim.2017.06.004
10.1007/s00296-011-1892-0
10.1089/g4h.2019.0023
10.7717/peerj.3211
10.1177/0269215516651978
10.3233/BMR-150594
10.1097/00007632-199912010-00004
10.1002/acr.20140
10.5350/Sleep.Hypn.2017.19.0155
10.1007/s00482-017-0203-4
10.1136/annrheumdis-2016-209724
10.1177/0269215518768393
10.1249/MSS.0b013e3181fca1ea
10.1136/bjsports-2017-098673
10.2147/NDT.S179038
10.1007/s00296-007-0484-5
10.1016/j.ejpain.2003.11.016
10.1136/bmj.325.7357.185
10.1186/s12891-019-2642-9
10.1016/j.apergo.2018.01.009
ContentType Journal Article
Copyright 2020 RESNA 2020
Copyright_xml – notice: 2020 RESNA 2020
DBID AAYXX
CITATION
CGR
CUY
CVF
ECM
EIF
NPM
7X8
DOI 10.1080/10400435.2020.1772900
DatabaseName CrossRef
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
MEDLINE - Academic
DatabaseTitle CrossRef
MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
MEDLINE - Academic
DatabaseTitleList
MEDLINE - Academic
MEDLINE
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
Discipline Occupational Therapy & Rehabilitation
Physical Therapy
EISSN 1949-3614
EndPage 263
ExternalDocumentID 32543290
10_1080_10400435_2020_1772900
1772900
Genre Research Article
Randomized Controlled Trial
Journal Article
GroupedDBID ---
.7F
.QJ
04C
0BK
0R~
23N
2DF
30N
36B
4.4
53G
5GY
6PF
AAENE
AAJMT
AALDU
AAMIU
AAPUL
AAQRR
AAWTL
ABCCY
ABFIM
ABHAV
ABIVO
ABJNI
ABLIJ
ABPAQ
ABPEM
ABTAI
ABXUL
ABXYU
ACGFS
ACHQT
ACTIO
ADBBV
ADCVX
ADGTB
ADOJX
AEISY
AEOZL
AGDLA
AGMYJ
AHDZW
AIJEM
AKBVH
AKOOK
ALMA_UNASSIGNED_HOLDINGS
ALQZU
AQRUH
AVBZW
AWYRJ
BLEHA
BMSDO
CCCUG
CE4
DGEBU
DKSSO
EBD
EBS
ECF
ECT
EIHBH
E~A
E~B
F5P
GTTXZ
H13
HF~
HZ~
H~9
H~P
IPNFZ
J.P
KYCEM
LJTGL
M4Z
NA5
NX~
O9-
P2P
RIG
RNANH
ROSJB
RTWRZ
S-T
SNACF
TBQAZ
TDBHL
TEN
TFL
TFT
TFW
TTHFI
TUROJ
TWF
UT5
UU3
WQ9
YCJ
ZGOLN
~S~
AAGDL
AAHIA
AAYXX
ADMLS
ADYSH
AFRVT
AIYEW
AMPGV
CITATION
CGR
CUY
CVF
ECM
EIF
NPM
7X8
TASJS
ID FETCH-LOGICAL-c366t-16fb0e62d5a0d9c0e056aafb871715ae335efda912230790e8da71b19bdd25f33
ISSN 1040-0435
1949-3614
IngestDate Mon Jul 21 11:15:40 EDT 2025
Wed Feb 19 02:26:03 EST 2025
Tue Jul 01 01:17:54 EDT 2025
Thu Apr 24 23:09:54 EDT 2025
Wed Dec 25 09:05:56 EST 2024
IsPeerReviewed true
IsScholarly true
Issue 3
Keywords aerobic exercise
exercise
pilates
immersive virtual reality
fibromyalgia
Language English
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c366t-16fb0e62d5a0d9c0e056aafb871715ae335efda912230790e8da71b19bdd25f33
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ObjectType-Undefined-3
ORCID 0000-0001-9367-9910
0000-0002-8457-1198
0000-0001-5830-438X
0000-0003-3590-5531
0000-0001-8464-1929
0000-0001-6630-2632
0000-0002-1167-8971
PMID 32543290
PQID 2414003639
PQPubID 23479
PageCount 8
ParticipantIDs informaworld_taylorfrancis_310_1080_10400435_2020_1772900
crossref_citationtrail_10_1080_10400435_2020_1772900
pubmed_primary_32543290
crossref_primary_10_1080_10400435_2020_1772900
proquest_miscellaneous_2414003639
ProviderPackageCode CITATION
AAYXX
PublicationCentury 2000
PublicationDate 2022-05-04
PublicationDateYYYYMMDD 2022-05-04
PublicationDate_xml – month: 05
  year: 2022
  text: 2022-05-04
  day: 04
PublicationDecade 2020
PublicationPlace United States
PublicationPlace_xml – name: United States
PublicationTitle Assistive technology
PublicationTitleAlternate Assist Technol
PublicationYear 2022
Publisher Taylor & Francis
Publisher_xml – name: Taylor & Francis
References cit0033
Winkelmann A. (cit0057) 2017; 31
cit0034
cit0031
cit0032
cit0030
Shahrbanian S. (cit0050) 2012; 2
Gülşen Ç. (cit0023) 2018; 77
cit0039
cit0037
cit0038
cit0035
cit0036
cit0022
cit0020
cit0021
cit0028
cit0029
cit0026
cit0027
cit0024
cit0025
cit0011
cit0055
cit0012
cit0056
cit0053
cit0010
cit0054
cit0051
cit0052
Burckhardt C. S. (cit0007) 1991; 18
cit0019
cit0017
cit0018
cit0015
cit0016
cit0013
cit0014
cit0058
cit0044
cit0001
cit0045
cit0042
cit0043
cit0040
cit0041
Arnold B. L. (cit0002) 1998; 33
cit0008
cit0009
cit0006
cit0048
Bidonde J. (cit0004) 2017; 6
cit0005
cit0049
cit0046
cit0003
cit0047
References_xml – ident: cit0042
  doi: 10.5455/ijtrr.000000148
– ident: cit0025
  doi: 10.2340/16501977-2268
– volume: 2
  start-page: 1408
  issue: 5
  year: 2012
  ident: cit0050
  publication-title: European Journal of Experimental Biology
– ident: cit0001
  doi: 10.1016/j.apmr.2009.06.021
– ident: cit0006
  doi: 10.1519/JSC.0000000000000258
– ident: cit0030
  doi: 10.3758/BF03195337
– ident: cit0015
  doi: 10.3233/NRE-172355
– ident: cit0041
  doi: 10.2217/pmt-2016-0006
– ident: cit0048
  doi: 10.1016/j.apmr.2010.09.006
– ident: cit0024
  doi: 10.1016/j.pain.2012.01.020
– ident: cit0045
  doi: 10.1001/archinte.167.20.2192
– ident: cit0003
  doi: 10.1164/ajrccm.166.1.at1102
– ident: cit0019
  doi: 10.1016/j.apmr.2017.12.014
– ident: cit0033
  doi: 10.1002/pmrj.12206
– volume: 33
  start-page: 323
  issue: 4
  year: 1998
  ident: cit0002
  publication-title: Journal of Athletic Training
– ident: cit0040
  doi: 10.1016/j.apmr.2003.12.033
– ident: cit0029
  doi: 10.5606/ArchRheumatol.2019.7244
– ident: cit0049
  doi: 10.2340/16501977-0814
– ident: cit0021
  doi: 10.1097/AJP.0000000000000196
– ident: cit0022
  doi: 10.2196/medinform.7271
– volume: 77
  start-page: 1835
  issue: 2
  year: 2018
  ident: cit0023
  publication-title: Annals of the Rheumatic Diseases
– ident: cit0037
  doi: 10.1111/sms.13502
– ident: cit0032
  doi: 10.1186/s12877-016-0302-6
– volume: 18
  start-page: 728
  issue: 5
  year: 1991
  ident: cit0007
  publication-title: The Journal of Rheumatology
– ident: cit0039
  doi: 10.1006/ijhc.1999.0343
– ident: cit0011
  doi: 10.1186/s42358-018-0011-2
– ident: cit0009
  doi: 10.1155/2013/580460
– ident: cit0018
  doi: 10.1080/03630242.2016.1153017
– ident: cit0047
  doi: 10.3390/ijerph16183249
– ident: cit0056
  doi: 10.3109/03009749609069212
– ident: cit0028
  doi: 10.5935/1806-0013.20160088
– ident: cit0053
  doi: 10.1097/00005650-199206000-00002
– ident: cit0008
  doi: 10.1007/s11916-011-0214-2
– ident: cit0031
  doi: 10.1001/archneur.1989.00520460115022
– ident: cit0013
  doi: 10.1016/j.maturitas.2015.07.022
– ident: cit0055
  doi: 10.1089/cyber.2014.0202
– ident: cit0027
  doi: 10.1017/S1368980012002996
– ident: cit0012
  doi: 10.1016/j.ctim.2017.06.004
– ident: cit0020
  doi: 10.1007/s00296-011-1892-0
– ident: cit0052
  doi: 10.1089/g4h.2019.0023
– ident: cit0010
  doi: 10.7717/peerj.3211
– ident: cit0051
  doi: 10.1177/0269215516651978
– ident: cit0017
  doi: 10.3233/BMR-150594
– ident: cit0036
  doi: 10.1097/00007632-199912010-00004
– ident: cit0058
  doi: 10.1002/acr.20140
– ident: cit0026
  doi: 10.5350/Sleep.Hypn.2017.19.0155
– volume: 31
  start-page: 255
  issue: 3
  year: 2017
  ident: cit0057
  publication-title: Der Schmerz
  doi: 10.1007/s00482-017-0203-4
– ident: cit0035
  doi: 10.1136/annrheumdis-2016-209724
– ident: cit0014
  doi: 10.1177/0269215518768393
– ident: cit0038
  doi: 10.1249/MSS.0b013e3181fca1ea
– ident: cit0034
  doi: 10.1136/bjsports-2017-098673
– ident: cit0054
  doi: 10.2147/NDT.S179038
– ident: cit0005
  doi: 10.1007/s00296-007-0484-5
– ident: cit0044
  doi: 10.1016/j.ejpain.2003.11.016
– volume: 6
  start-page: CD012700
  issue: 6
  year: 2017
  ident: cit0004
  publication-title: The Cochrane Database of Systematic Reviews
– ident: cit0043
  doi: 10.1136/bmj.325.7357.185
– ident: cit0016
  doi: 10.1186/s12891-019-2642-9
– ident: cit0046
  doi: 10.1016/j.apergo.2018.01.009
SSID ssj0038008
Score 2.4344912
Snippet This trial was designed to evaluate the effects of fully immersive virtual reality (IVR) treatment combined with exercise training in fibromyalgia patients....
SourceID proquest
pubmed
crossref
informaworld
SourceType Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage 256
SubjectTerms aerobic exercise
Exercise
Exercise Therapy - methods
Fatigue - therapy
fibromyalgia
Fibromyalgia - therapy
Humans
immersive virtual reality
Pain
pilates
Quality of Life
Treatment Outcome
Virtual Reality
Title Effect of fully immersive virtual reality treatment combined with exercise in fibromyalgia patients: a randomized controlled trial
URI https://www.tandfonline.com/doi/abs/10.1080/10400435.2020.1772900
https://www.ncbi.nlm.nih.gov/pubmed/32543290
https://www.proquest.com/docview/2414003639
Volume 34
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1La9wwEBbb9NJLH-lr-0KFtpdiV7Zs7aq3EJKGQkMpG0hPRrLkYnB2Q-INbI75F_23Hb1sL5uSPi5GaFeW2Pk0mpmd-YTQG650ViZCRklFWZSlUkZTUbKorCZyYgo3mTTFyV8O2cFR9vk4Px6Nfg6ylpatjMvLa-tK_kWq0AdyNVWyfyHZ7qXQAW2QLzxBwvD8Ixl76mGw90wUffW-tlFokwt0UZ_ZwhAwCa2d3eeTwzrAGQ5J5-HGJRP2qMBzXpysRPOjFoFv9dwVQ8OBphYn9aVWIbe9gaa98WNo3YKsjcqA-duNiP2nZeODPbtxF9bxdJ_7Xc9eY7L1XZ5H17lzKlbKcR18j4dhCvBwTVJgH6acbdwYMlC6xKaYOtqSWLs-nvGIMldgGjS1D3vWQ0feqd2cDU7w1KnMjcPBZVMmVm3RPIZVQqfxLgjpT8MuR9F_cgvdTqFlVCglh-GQp2BnuypLv_RQHDYlH66dYM3sWSPF_b1rY02c2X101_smeMcB7QEa6fk2ejvkocYzR0KB3-FvaxTv2-jeV7_jw3ceoiuHT7yosMUn7vCJPT6xxyfu8IkDPrHBJw74xPUcD_GJAz4_YoF7dOIendii8xE62t-b7R5E_s6PqKSMtVHCKkk0S1UuiOIl0WCgC1FJ8OsnSS40pbmulOBJaioYONFTJSaJTLhUKs0rSh-jrflirp8iTIRkvGJTKUkJRj-HVyiaMy20mJTwkjHKgkiK0v9a5l6Wpkg8b26QZGEkWXhJjlHcDTt1jDA3DeBDeRet3QqV2wUFvWHs6wCOAvS--TNPzPVieV6A5Z0ZMinKx-iJQ023HGoYLmD4s_-Y-Tm602_jF2irPVvql2B_t_KV3Qm_AOUQ2E0
linkProvider Taylor & Francis
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1Lb9QwELZQOcCFQnl0C4VBAm5ZJXHirLmhimqBdoXQVuot8hNFbJOqzVZqj_xyZuJktYtU9dBToijj2PHE_mYy8w1jH6R1mUmUjhLPRZSlWkcTZURkfKELStwUmpKTj2diepJ9P81P13JhKKySbGgfiCK6tZo-bnJGDyFxeCTN4zmadyleIoAYo9n-MJeiIF3n8WxYjTkCopAO14Ux8nzI4rmtmY39aYO99HYM2u1Fh9vMDKMIISh_xstWj83NfwSP9xvmU_akh6rwJejWM_bA1Tvs4zotMcwDJwF8gl8bjN87bPtnrwDDPc_Z38CUDI0H6sA1VJ3THJdbuKouKI8FEMGSWQCr8HfALqPt7iyQwxiGAlFQ1eDR0G_OrtXid6Wgp4e9_AwKcPe1zVl1g0J9IP4CT7vyJC_YyeHX-cE06ktARIYL0UaJ8Dp2IrW5iq00sUO8ppTXaOYVSa4c57nzVskkpYB2GbuJVUWiE6mtTXPP-Uu2VTe122UQKy2kFxOtY4MYUGITlufCKacKg42MWDZMfGn6t0VlOhZl0tOoDvNR0nyU_XyM2Hgldh4IQu4SkOtaVbadZ8aHMiolv0P2_aCCJS4D9G9H1a5ZXpYIxDLiFuJyxF4F3Vx1hxPhAYrv3ePJ79ij6fz4qDz6Nvvxmj1OKQmEwj6zN2yrvVi6fYRmrX7bfXv_AJtlLQ0
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1Lb9NAEF6hIiEuFMorPAcJuDmyvfY6yw0BUXlFFWolbqt9IovUrhoHqT3yy5mxvVGDVPXQU6LIs7E9491v1t98w9hr6XxhM22SLHCRFLkxyUxbkdhQmYoKN4Wh4uTvC7F_VHz5WUY24WqkVVIOHQahiH6upof7xIXIiMNPCjxeYnaX40-ED1PM2m8KKrSkKo50ESdjjnhoqIbrWYy8jEU8lw2ztTxtiZdeDkH7pWi-y0y8iIGB8nu67szUnv-n73itq7zL7oxAFd4PkXWP3fDNHntzUZQYDgdFAngLP7b0vvfY7sHo_njMffZ30EmGNgBt-Z9B3W-Z42QLf-pTqmIBxK-UFMCG_A54xpi5ewe0XQyxPRTUDQRM89vjM738VWsYxWFX70ADrr2uPa7P0Wik4S_xa9-c5AE7mn86_LCfjA0gEsuF6JJMBJN6kbtSp07a1CNa0zoYTPKqrNSe89IHp2WWE51dpn7mdJWZTBrn8jJw_pDtNG3jHzNItREyiJkxqUUEKHEIx0vhtdeVxUEmrIh-V3a8W9SkY6myUUQ1-kORP9TojwmbbsxOBnmQqwzkxaBSXb8vE4YmKopfYfsqRqDCSYDe7OjGt-uVQhhWkLIQlxP2aAjNzelwkjtA8yfX-OeX7NbBx7n69nnx9Sm7nVMFCHE-i2dspztd--eIyzrzon_y_gG_aSux
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Effect+of+fully+immersive+virtual+reality+treatment+combined+with+exercise+in+fibromyalgia+patients%3A+a+randomized+controlled+trial&rft.jtitle=Assistive+technology&rft.au=Gulsen%2C+C.&rft.au=Soke%2C+F.&rft.au=Eldemir%2C+K.&rft.au=Apaydin%2C+Y.&rft.date=2022-05-04&rft.pub=Taylor+%26+Francis&rft.issn=1040-0435&rft.eissn=1949-3614&rft.volume=34&rft.issue=3&rft.spage=256&rft.epage=263&rft_id=info:doi/10.1080%2F10400435.2020.1772900&rft.externalDocID=1772900
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1040-0435&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1040-0435&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1040-0435&client=summon