eng Oriental Scientific Publishing Company Biomedical and Pharmacology Journal 0974-6242 2025-12-30 18 4 2862 2872 10.13005/bpj/3300 68753 article Vaishnavi Giridharan 1 Majitha Parveen 2 Kamatchi Kaviraja 1 Eliza giftson Titus Elumalai 3 Elakkiya Rajaram 1 Ijaj Rahman 1 1Faculty of Physiotherapy, Dr. MGR Educational and Research Institute, Chennai, Tamil Nadu, India Department of Physiotherapy, Physiotherapy Center, Chennai, Tamil Nadu, India Department of Physiotherapy, Annaii Medical college and Hospital, Chennai, Tamil Nadu, India The goal of this study is to assess the effectiveness of Virtual Reality Game-Based Exercise and Proprioceptive Training in addressing neck pain and enhancing neck proprioception in students with forward head posture. Forward head posture is a prevalent position adopted by many individuals due to their frequent use of computers or smartphones. This condition involves the forward positioning of the head, which contributes to an increase in cervical lordosis and thoracic kyphosis. Proprioceptive input from the neck muscles is crucial for maintaining postural control. This forward head posture affects proprioceptive feedback from the neck muscles and results in deficits in postural control as well as neck pain. An experimental study was carried out on individuals with forward head posture. A total of 30 participants were chosen based on specific selection criteria, with a pre-test conducted using the Joint Position Error Test to assess neck proprioception and the visual analogue scale to measure neck pain. Treatment was administered over a period of 8 weeks, five days a week. The 30 participants were split into two groups, each consisting of 15 individuals. Group A participated in Virtual Reality Training, which included interventions for neck pain lasting 25 minutes and neck proprioception lasting 20 minutes, while Group B engaged in Proprioceptive Training for both neck pain and neck proprioception, consisting of CJPS for 10 minutes, cervical motion sense for 10 minutes, gaze stability for 10 minutes, and a swiss ball stabilization exercise for 15 minutes. When analyzing the data between Group A and Group B, both groups showed significant differences between the pre-test and post-test results. However, Group A exhibited a more pronounced significance than Group B. Hence Virtual Reality Game Based Exercise was more effective than Proprioceptive Training on treating neck pain and neck proprioception among patients with forward head posture. https://biomedpharmajournal.org/vol18no4/managing-forward-head-posture-role-of-vr-gaming-and-proprioceptive-training-in-neck-pain-and-proprioception/ Forward Head Posture Joint Position Error Test Neck Pain Proprioception Proprioceptive Training Virtual Reality