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...
Saved in:
Published in | Assistive technology Vol. 34; no. 3; pp. 256 - 263 |
---|---|
Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Taylor & Francis
04.05.2022
|
Subjects | |
Online Access | Get 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 |