Decreasing pediatric pain and agitation during botulinum toxin injections for spasticity with virtual reality: Lessons learned from clinical use

Chau, Brian; Chi, Bradley; Wilson, Thaddeus

doi:10.3233/prm-180534

Cited by 12 publications

(35 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A number of clinical studies have demonstrated the benefit of VR distraction analgesia, including wound-dressing changes for burn patients, 6,11-20 venipuncture, 21-28 chemotherapy administration, 29 cystoscopy and urologic surgery, 2,30 episiotomy repair, 31 injections, 32,33 lumbar punctures, 34 and dental procedures. 35 A recent meta-analysis of VR use in acute procedural pain management supported its incorporation as nonpharmacologic analgesia.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Virtual Reality as Distraction Analgesia for Office‐Based Procedures: A Randomized Crossover‐Controlled Trial

Gray

Goldrich

McKee

et al. 2020

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

Objective The purpose of this study was to explore the use of immersive and interactive virtual reality (VR) for analgesia, anxiety reduction, and overall satisfaction in patients undergoing outpatient postoperative debridements. Study Design Randomized crossover-controlled trial. Setting Academic outpatient clinic. Subjects and Methods Adult patients who had functional endoscopic sinus surgery and skull base surgery and were undergoing office-based postoperative nasal endoscopy and debridement were recruited and followed for 2 consecutive office visits. Participants were randomized to receive either the control or experimental analgesia for the first postoperative visit (PO1) and crossed over into the opposite treatment arm during the second postoperative visit (PO2). Outcomes included procedural pain, anxiety and satisfaction scores, procedural time, and reflexive head movements per minute (RHM). Results Eighty-two participants were recruited. At PO1, 39 received standard analgesia, and 43 received an immersive VR experience. At PO1, the VR group experienced significantly less anxiety ( P = .043) and fewer RHM ( P = .00016) than the control group. At PO2, the VR group experienced significantly fewer RHM ( P = .0002). At PO2, patients who received the experimental treatment after initially receiving the control treatment had significantly decreased pain, anxiety, and RHM. This effect was not seen in the second group. Overall, 69.51% of patients felt that the VR treatment was better; 19.51% thought that it was the same; and 9.76% found it to be worse. Conclusion VR technology holds promise as a nonpharmacologic analgesic and anxiolytic intervention for otolaryngology office-based procedures. Further study of VR use in other procedures is warranted. Level of Evidence: 1, randomized controlled trial.

show abstract

mentioning

confidence: 99%

“…administration, 29 cystoscopy and urologic surgery, 2,30 episiotomy repair, 31 injections, 32,33 lumbar punctures, 34 and dental procedures. 35 A recent meta-analysis of VR use in acute procedural pain management supported its incorporation as nonpharmacologic analgesia.…”

mentioning

confidence: 99%

Virtual Reality as Distraction Analgesia for Office‐Based Procedures: A Randomized Crossover‐Controlled Trial

Gray

Goldrich

McKee

et al. 2020

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…A total of 18 studies were deemed suitable for inclusion in this review [17][18][19][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39]. The article selection process is outlined in Figure 1.…”

Section: General Description Of Studiesmentioning

confidence: 99%

“…The descriptive data collated from the eligible studies are reported in Table S1 (Multimedia Appendix 1). All 18 studies were conducted and published between 2004 and 2018: 50% (9/18) of studies were specifically focused on the pediatric population; 72% (13/18) of studies compared virtual reality against standard analgesia as the comparator/control group [18,19,26,[29][30][31][32][33][34][35][36]38,39]; 28% (5/18) of studies compared virtual reality to no analgesia [17,25,27,28,37]. Overall, only 1 study of 18 (6%) received a bias assessment score less than 7 out of 10.…”

Section: General Description Of Studiesmentioning

confidence: 99%

“…Of the 18, 22% (4 studies) measured pain reduction in patients undergoing dressing changes or hydrotherapy for burns or wounds [18,26,33,39]; 39% (7 studies) looked at patients undergoing venipuncture, port access, or injections [19,25,27,29,30,32,35]; 39% (7 studies) measured pain outcomes in patients undergoing various invasive procedures (5 studies) [17,31,34,36,38] or other miscellaneous acute conditions (2 studies) [28,37].…”

Section: Indications For Virtual Reality Utilizationmentioning

confidence: 99%

See 1 more Smart Citation

The Effectiveness of Virtual Reality in Managing Acute Pain and Anxiety for Medical Inpatients: Systematic Review (Preprint)

Smith¹,

Warty²,

Sursas³

et al. 2020

Preprint

View full text Add to dashboard Cite

BACKGROUND A recent surge in interest at understanding alternative options to pharmacological analgesia for managing acute pain has resulted in the development of a new research field that explores the feasibility of using Virtual Reality (VR) in pain relief regimes within clinical environments. OBJECTIVE To review the current evidence for the efficacy of VR as an analgesic in the management of acute pain in an inpatient setting. METHODS A comprehensive search was conducted till January 2019 on PubMed, Ovid Medline, EMBASE, and Cochrane Database of Systematic reviews as per the PRISMA guidelines. Search terms included ‘virtual reality', ‘vr’, and 'pain'. Primary articles with a focus on acute pain in the clinical setting were considered for the following review. Primary and secondary outcome measures: Quantification of outcomes for acute pain patients in relation to analgesic and anxiolytic effect, modulation of physiological indicators of pain, and adverse effects resultant of VR technology. RESULTS 18 studies were deemed eligible for inclusion in this systematic review. 66.7% (12/18) of studies demonstrated significant reductions in pain with the utilization of VR. 27.8% (5/18) of studies screened for side effects with incidence rates of up to 5.2%. 44.4% (8/18) of studies assessed the effects of VR on procedural anxiety with 50% (4/8) of these demonstrating significant reductions in it. Finally, 38.9% (7/18) of studies evaluated the effects of VR on physiological indicators of pain with 28.6% (2/7) demonstrating significant changes. CONCLUSIONS The available evidence suggests that VR therapy can facilitate analgesia in acute pain in a variety of inpatient settings. In addition, it has the added potential to provide procedural anxiolysis and has a low incidence of side effects associated with it. Further large-scale prospective studies are required to establish its utility in this setting.

show abstract

Safety of virtual reality use in children: a systematic review

Bexson,

Oldham,

Wray

2024

Eur J Pediatr

View full text Add to dashboard Cite

Decreasing pediatric pain and agitation during botulinum toxin injections for spasticity with virtual reality: Lessons learned from clinical use

Abstract: VR was helpful in reducing BoNT procedure-related discomfort in a majority of patients. Challenges with VR setup, patient tolerance, and selecting viewing experiences were identified to guide further research and use of VR in a clinical environment.

Cited by 12 publications

References 21 publications

Virtual Reality as Distraction Analgesia for Office‐Based Procedures: A Randomized Crossover‐Controlled Trial

Virtual Reality as Distraction Analgesia for Office‐Based Procedures: A Randomized Crossover‐Controlled Trial

The Effectiveness of Virtual Reality in Managing Acute Pain and Anxiety for Medical Inpatients: Systematic Review (Preprint)

Safety of virtual reality use in children: a systematic review

Contact Info

Product

Resources

About