The VIGOR Study - Virtual Immersive Gaming to Optimize Recovery in Low Back Pain

Inclusion Criteria: * 18-60 years of age * Low back pain that has been ongoing for at least half the days in the last 6 months * Average pain intensity of greater than 3 over the past week on a 0-10 Numerical Rating Scale * Disability greater than 4 on Roland and Morris Disability Questionnaire * Agrees with statement "It is not really safe for a person with my back problem to be physically active" or Tampa Scale of Kinesiophobia score greater than 36 * Has sought care or consultation from a health care provider for back pain * Meets category 1, 2, or 3 on the Classification System of the Quebec Task Force on Spinal Disorders which reflects low back pain without neurological signs * Working proficiency in English Exclusion Criteria: * Has a personal history of the following neurological disorders: Alzheimers, Amyotrophic Lateral Sclerosis, Multiple Sclerosis, Parkinsons, Neuropathy, Stroke, Seizures * Has a personal history of the following cardiorespiratory disorders: Congestive heart failure, heart attack in past 2 years * Has a personal history of the following musculoskeletal disorders: Rheumatoid Arthritis, Muscular Dystrophy, pathologic fractures of the spine, avascular necrosis or osteonecrosis, severe osteoarthritis * History of spine surgery or a hip arthroplasty * Has active cancer * Has a chronic disease that may restrict movement or preclude safe participation * Has used opioids within 30 days prior to study enrollment * Reports being pregnant, lactating, or that they anticipate becoming pregnant within 2-months * Reports pending litigation related to CLBP * Has current drug or alcohol use or dependence that, in the opinion of the PIs, would interfere with adherence to study requirements * Has significant visual impairment that would prevent virtual reality headset use * Has significant motion sickness that would prevent virtual reality headset use