Evaluation of pain in pediatric upper extremity conditions

Ho, Emily S.; Campos, Anne Ayling; Klar, Karen; Davidge, Kristen M.

doi:10.1016/j.jht.2018.02.004

Cited by 2 publications

(2 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These children reported experiencing less pain or discomfort using HMD-VR than during usual therapy which is consistent with previous immersive VR research, for example, during occupational therapy with paediatric burn patients [ 13, 42 ], and using virtual reality hypnosis with paediatric fracture patients [ 43 ]. The distress associated with pain can impact negatively on patients’ physical and psychological outcomes including limiting their ROM during ULI therapy [ 44 ], increasing their risk of Post-Traumatic Stress Disorder after a burn injury [ 45 ] or reducing confidence in the care team [ 7 ]. These physiotherapists instead reported increased ROM in all children using HMD-VR, a finding consistent with other work [ 46 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Immersive virtual reality in children with upper limb injuries: Findings from a feasibility study

Phelan

Furness

Dunn

et al. 2021

PRM

View full text Add to dashboard Cite

PURPOSE: Children who sustain Upper Limb Injuries (ULIs), including fractures and burns, may undergo intensive rehabilitation. The discomfort of therapy can reduce their compliance, limit their range of motion (ROM) and lead to chronic pain. Virtual Reality (VR) interventions have been found to reduce anticipated and procedural pain. This feasibility study aimed to explore perceptions and impacts of a custom-made, fully immersive Head-Mounted Display VR (HMD-VR) experience within a United Kingdom (UK) National Health Service (NHS) outpatient rehabilitation service for children with ULIs. METHODS: Ten children aged 9–16 in one UK Children’s hospital trialled HMD-VR during one rehabilitation session. They, their parents (n = 10), and hospital physiotherapy staff (n = 2) were interviewed about their perceptions of pain, difficulty, enjoyability, therapeutic impacts, benefits, and limitations. Children rated the sessions on enjoyability, difficulty, and pain compared to usual rehabilitation exercises. Physiotherapists were asked to provide range of motion readings. RESULTS: Inductive thematic analysis of interview data generated three themes, ‘Escape through Engagement’; ‘Enhanced Movement’; and ‘Adaptability and Practicality’. Children rated the session as more enjoyable, less difficult and painful than their usual rehabilitation exercises. Findings suggested that HMD-VR was an engaging, enjoyable experience that distracted children from the pain and boredom of therapy. Also, it seemed to enhance the movement they achieved. Participants perceived it was useful for rehabilitation and adaptable to individual needs and other patient groups. Suggestions were made to increase adaptability and build in practical safeguards. CONCLUSION: Findings from this small-scale feasibility study suggested HMD-VR was perceived as usable, acceptable, and effective with potential for further development. Future work could include larger scale trials.

show abstract

Section: Discussionmentioning

confidence: 99%

“…The pain and discomfort of current therapeutic exercises can reduce compliance and, therefore, the range of motion patients achieve. This increases the risk of chronic pain and can reduce patients’ confidence in the care team [ 7 ]. Therefore, tackling rehabilitation pain is important in enhancing long-term outcomes for this group.…”

Section: Introductionmentioning

confidence: 99%