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

Phelan, Ivan; Furness, Penny; Dunn, Heather D; Carrion-Plaza, Alicia; Matsangidou, Maria; Dimitri, Paul; Lindley, Shirley A

doi:10.3233/prm-190635

Cited by 18 publications

(18 citation statements)

References 48 publications

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“…The magnitude of pain reduction was sustained with repeated VR use over different physiotherapy sessions (Hoffman et al, 2001; Sharar et al, 2007). Consistent with other findings, Hoffman et al (2014) and Phelan et al (2021) found that children reported less pain with VR during physiotherapy.…”

Section: Resultssupporting

confidence: 85%

“…All randomised trials reported that VR distraction led to a significant reduction for pain intensity (Ali et al, 2021;Schmitt et al, 2011;Sharar et al, 2007), pain unpleasantness (Schmitt et al, 2011;Sharar et al, 2007;Soltani et al, 2018) and time spent thinking about pain (Schmitt et al, 2011;Sharar et al, 2007;Soltani et al, 2018) magnitude of pain reduction was sustained with repeated VR use over different physiotherapy sessions (Hoffman et al, 2001;Sharar et al, 2007). Consistent with other findings, Hoffman et al (2014) and Phelan et al (2021) found that children reported less pain with VR during physiotherapy.…”

Section: Virtual Reality Adjunct To Standard Analgesia Improves Pain ...supporting

confidence: 65%

“…Ali et al (2021) conducted a between‐subject randomised trial, comparing VR‐based physiotherapy to traditional therapy. Phelan et al (2021) administered VR to all subjects, without a comparison group.…”

Section: Resultsmentioning

confidence: 99%

“…Five randomised controlled trials, one mixed methods feasibility trial and one case study investigated the use of VR distraction during physiotherapy for burn (Ali et al, 2021;Hoffman et al, 2001Hoffman et al, , 2014Schmitt et al, 2011;Sharar et al, 2007;Soltani et al, 2018) or upper limb (Phelan et al, 2021) injuries (Table 2). Five studies were conducted a within-subject design, comparing VR distraction and analgesia to standard analgesia during range-of-motion exercises (Hoffman et al, 2001(Hoffman et al, , 2014Schmitt et al, 2011;Sharar et al, 2007;Soltani et al, 2018).…”

Section: Use Of Virtual Reality With Children Receiving Physiotherapymentioning

confidence: 99%

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Use of virtual reality in managing paediatric procedural pain and anxiety: An integrative literature review

Addab

Hamdy

Thorstad

et al. 2022

Journal of Clinical Nursing

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Aims: This integrative review aimed to identify, analyse and synthesise studies investigating the clinical efficacy of virtual reality (VR) distraction for children undergoing varying painful and anxiety-inducing medical procedures across different hospital settings and to identify implications for research and clinical practice.Background: Virtual reality has been leveraged as a distraction tool in the healthcare setting to help patients manage procedural pain and anxiety. Initial studies in the burn wound care setting using VR as a non-pharmacological analgesia led to the use of VR during other medical procedures.Design: An integrative review of the literature was conducted following the PRISMA guidelines across four electronic databases. Published studies between 2000 and 2020 investigating the clinical efficacy of VR in managing paediatric procedural pain or anxiety were included for review.Results: Reviewed studies collectively included 2,174 patients aged 6 months-18 years used VR during burn wound care, post-burn physiotherapy, dental, needle-related and other procedures. Additionally, ten studies included samples with adults, for which paediatric data could not be isolated (n = 507). Overall, studies supported the efficacy of VR in managing procedural pain and anxiety in the paediatric setting. Conclusion:Virtual reality is redefining pain management by immersing children in a virtual world, reducing pain and anxiety at the hospital. A notable gap was the neglected use of VR in children with chronic conditions receiving orthopaedic procedures as part of their standard care.Relevance to Clinical Practice: Ultimately, VR distraction will reduce the fear associated with medical interventions, preventing increased pain sensitivity, exacerbated anxiety and healthcare avoidance in adulthood. Nurses will play an important role in ensuring the smooth integration of VR in clinical practice by championing the technology and transferring evidence-based methods for VR use.

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Section: Resultssupporting

confidence: 85%

Section: Virtual Reality Adjunct To Standard Analgesia Improves Pain ...supporting

confidence: 65%

Section: Resultsmentioning

confidence: 99%

Section: Use Of Virtual Reality With Children Receiving Physiotherapymentioning

confidence: 99%

See 2 more Smart Citations

Use of virtual reality in managing paediatric procedural pain and anxiety: An integrative literature review

Addab

Hamdy

Thorstad

et al. 2022

Journal of Clinical Nursing

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“…School-age children are the most vigorous period of the development of various physiological functions in their lives [ 10 ]. There is a big difference in the anatomy, injury mechanism and healing characteristics of adults [ 11 ]. Fracture injuries in children are often accompanied by bone damage.…”

Section: Introductionmentioning

confidence: 99%

Compliance of functional exercises in school-age children with limb fractures: implication for nursing countermeasures

Liu

Wang

et al. 2022

BMC Pediatr

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Background Functional exercises is very essential to the recovery of patients with fracture. We aimed to evaluate the compliance of functional exercises in school-age children with limb fracture, to provide evidence to the clinical management and nursing care of children with limb fracture. Methods School-age children with limb fractures treated in our hospital from January 1, 2020 to June 30, 2021 were selected. The characteristics and postoperative functional exercise compliance of included children were analyzed. Pearson correlation and Logistic regression analysis were conducted to analyze the influencing factors of compliance to functional exercises. Results A total of 328 children with limb fracture were included, the incidence of compliance to functional exercise was only 35.98%. Pearson correlation analysis showed that age(r = 0.707), only child of family(r = 0.537), guardians(r = 0.642) and type of temperament(r = 0.635) were correlated with compliance to functional exercises in school-age children with limb fractures (all p < 0.05). Logistic regression analysis indicated that age ≤ 10y (OR2.913, 95%CI2.091 ~ 3.611), only child of family (OR2.006, 95%CI1.683 ~ 2.558), guarded by grandparents (OR1.512, 95%CI1.201 ~ 2.118), non-easy-going temperament (OR4.127, 95%CI3.811 ~ 4.902) were the influencing factors of non-compliance to functional exercises in children with limb fracture (all p < 0.05). Conclusions School-age children have poor compliance with functional exercises after limb fractures, and there are many influencing factors. For children with those risks, health care providers should actively intervene in nursing to improve children’s exercise compliance and the rehabilitation effect.

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An analysis of clinical outcomes and essential parameters for designing effective games for upper limb rehabilitation: A scoping review

Moulaei,

Bahaadinbeigy,

Haghdoostd

et al. 2023

Health Science Reports

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Background and Aims: Upper limb disabilities are one of the most common disabilities among different groups of people who always need rehabilitation. One of the important methods in helping to carry out efficient rehabilitation processes and exercises is the use of games. The aim of this study is to identify the parameters necessary to design a successful rehabilitation game and the outcomes of using these games in upper limb disabilities rehabilitation.Methods: This scoping review was conducted by searching the Web of Science, PubMed, and Scopus. The eligibility criteria were: any form of game-based upper limb rehabilitation, published in a peer-reviewed journal, published in English, and not include articles that did not focus upper limb disabilities rehabilitation games, review, meta-analysis, or conference papers. Analysis of collected data was done using descriptive statistics (frequency and percentage). Results:The search strategy retrieved 537 relevant articles. Finally, after removing irrelevant and repetitive articles, 21 articles were included in this study. Among the six categories of diseases or complications of upper limb disabilities, games were mostly designed for stroke patients. Smart wearables, robots and telerehabilitation were three technologies that were used for rehabilitation along with games. Sports and shooters were the most used games for upper limb disability rehabilitation.Among 99 necessary parameters for designing and implementing a successful rehabilitation game in ten categories. "Increasing the patient's motivation to perform rehabilitation exercises", "Game difficulty levels", "Enjoying and the attractiveness of the game for patients", and "Providing positive or negative audiovisual feedback" were the most important parameters. "Improvement in musculoskeletal performance" and "Increasing users' enjoyment/joy of therapeutic exercises and their motivation to perform these exercises" were the most important positive outcomes,

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

Cited by 18 publications

References 48 publications

Use of virtual reality in managing paediatric procedural pain and anxiety: An integrative literature review

Use of virtual reality in managing paediatric procedural pain and anxiety: An integrative literature review

Compliance of functional exercises in school-age children with limb fractures: implication for nursing countermeasures

An analysis of clinical outcomes and essential parameters for designing effective games for upper limb rehabilitation: A scoping review

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