Two Virtual Reality Pilot Studies for the Treatment of Pediatric CRPS

Won, Andrea Stevenson; Tataru, Christine; Cojocaru, Cristina M.; Krane, Elliot J.; Bailenson, Jeremy N.; Niswonger, Sarah; Golianu, Brenda

doi:10.1111/pme.12755

Cited by 38 publications

(41 citation statements)

References 5 publications

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“…It can be easily used particularly in paediatric care units because it appeals to various age groups and can be adapted to mobile phones. VR can be used during wound care, preoperative anxiety, chemotherapy, port access, chronic pain treatment, dental and routine medical practices (Arane, Behboudi, & Goldman, 2017;Atzori et al, 2018;Gold, Kim, Kant, Joseph, & Rizzo, 2006;Gupta, Scott, & Dukewich, 2018;Hoffman, Doctor, Patterson, Carrougher, & Furness, 2000;Hoffman et al, 2001Hoffman et al, , 2006Hoffman et al, , 2014Hua, Qiu, Yao, Zhang, & Chen, 2015;Jeffs, 2007;Jeffs et al, 2014;Jin, Choo, Gromala, Shaw, & Squire, 2016;Morris, Louw, & Grimmer-Somers, 2009;Nilsson, Finnström, Kokinsky, & Enskär, 2009;Ryu et al, 2017;Windich-Biermeier, Sjoberg, Dale, Eshelman, & Guzzetta, 2007;Won et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Effects of virtual reality on pain, fear and anxiety during blood draw in children aged 5–12 years old: A randomised controlled study

Gerçeker

Ayar

Özdemir

et al. 2020

Journal of Clinical Nursing

112

108

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Aim and objectives Virtual reality (VR) can be used during painful procedures in children. The aim of this study was to evaluate the effects of two different VR methods on procedure‐related pain, fear and anxiety of children aged 5–12 years old during blood draw. Methods This randomised controlled study used parallel trial design guided by the CONSORT checklist, see Supporting Information. The sample of children (n = 136) was allocated to the VR‐Rollercoaster (n = 45), VR‐Ocean Rift (n = 45) and control group (n = 46) using blocked randomisation. The primary outcome was pain scores after the blood draw and fear and anxiety scores before and after the blood draw. Before the blood draw, fear and anxiety scores were assessed using self‐report and reports from the parents and the researcher using the Child Fear Scale and Children's Anxiety Meter. After the blood draw, level of pain experienced was assessed using the Wong–Baker Faces Pain Rating Scale and the fear and anxiety levels experienced by the children during the blood draw were re‐evaluated. Results Pain scores were found to be lower in the VR‐Rollercoaster group and the VR‐Ocean Rift group. A statistical difference was found between groups according to self‐, parent‐ and researcher‐reported fear and anxiety scores after blood draw. While being in VR‐Rollercoaster and VR‐Ocean Rift group reduced children's fear and anxiety, being in the control group increased fear levels by 20% and anxiety levels by 34.1%. Conclusions VR is an effective method in reducing procedure‐related pain, fear and anxiety in children aged 5–12 years old during blood draw. Relevance to clinical practice Evidence‐based guidelines and protocols should be created for nonpharmacological methods such as VR for procedural pain and anxiety in children.

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Section: Introductionmentioning

confidence: 99%

Effects of virtual reality on pain, fear and anxiety during blood draw in children aged 5–12 years old: A randomised controlled study

Gerçeker

Ayar

Özdemir

et al. 2020

Journal of Clinical Nursing

112

108

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“…A medical professional can now easily interact with virtual patient tissues. [74][75][76][77] In medical, there is a requirement of proper communication for the better treatment of the patient. 78,79 It provides better visualization and measurements of the patient part by creating a cross-section in any plane.…”

Section: Virtual Reality Applications In Medical Fieldmentioning

confidence: 99%

Virtual reality applications toward medical field

Javaid

Haleem

2020

Clinical Epidemiology and Global Health

183

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Background/objectives: Virtual Reality (VR) is a developing technology, which seems to have extensive applications in different areas such as entertainment, sports, gaming and simulation. In the current scenario, due to Computer-generated imagery and content aim at simulating a real presence through senses capability, it has functional applications in the medical field. So, there are requirements to study its applicability in the medical field. Methods: Relevant papers on VR in the context of the medical field are identified and studied. This paper is a literature review based analysis, where we are trying to find how this technology is going to solve a medicalrelated problem in saving the life of the patient and what are the significant applications. Results: VR provides a simulated environment to interact with the 3D world. Medical professionals are developing and implementing this technology for training, diagnosis and virtual treatment during a critical situation. The study sees that there is good potential for VR in the medical field. We also studied the processes involved in implementing this technology in the medical field. Finally, this paper identifies fourteen major applications of VR in the medical field with description. This technology is helping to create quality healthcare services during complicated cases. Conclusions: VR is used effectively for better surgical technique. It creates detailed virtual models of a patient's anatomy. It helps physicians to effectively move around and view virtual 3D images from different angles. This technology is currently applied in cardiology and Neurology for monitoring and improves patient outcomes. It plays a significant role to help physician related to trauma and other fractures. VR is an emerging technology which can also be used in hospitals and clinics for rehabilitation & training approaches. The applications of this technology are in virtual guides and to fulfil different other virtual goals in the medical field. It seems like an efficient technology to teach body fitness and help create a positive impact on doctors and the patient. This technology leads to creative and exciting discoveries in the medical field.

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“…Eleven studies evaluated participants with upper phantom limb pain, [7,15,16,17,18,19,20,21,22,23,24] one study evaluated participants with upper and lower phantom limb pain. [25] One study evaluated upper limb complex regional pain syndrome, [26] one study evaluated lower limb complex regional pain syndrome, [27] and two studies evaluated upper and lower limb complex regional pain syndrome. [28,29]…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Virtual limbs were presented on a computer screen in eight studies and on a virtual reality head-mounted display in 10 studies. Movement of virtual limbs was controlled by movements of the affected (painful) limb in five studies [15,19,25,27,31] or movements of the non-affected (non-painful) limb in nine studies. [7,16,17,18,21,22,23,24,30] In one study a virtual arm was controlled by movement of the participant's affected (painful) arm but the virtual hand and fingers were controlled by the participant's non-affected (non-painful) hand and fingers.…”

Section: Treatment Characteristicsmentioning

confidence: 99%

See 1 more Smart Citation

Managing limb pain using virtual reality: a systematic review of clinical and experimental studies

Wittkopf

Lloyd

Johnson

2018

Disability and Rehabilitation

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The use of virtual representations of body parts to reduce pain is promising. However, due to the poor methodological quality and limitations of primary studies, we could not find conclusive evidence. Implications for rehabilitation Virtual reality has been increasingly used in the rehabilitation of painful and dysfunctional limbs. Virtual reality can be used to distract attention away from acute pain and may also provide corrective psychological and physiological environments. Virtual representation of body parts has been used to provide a corrective re-embodiment of painful dysmorphic body parts, and primary research shows promising results.

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Two Virtual Reality Pilot Studies for the Treatment of Pediatric CRPS

Cited by 38 publications

References 5 publications

Effects of virtual reality on pain, fear and anxiety during blood draw in children aged 5–12 years old: A randomised controlled study

Effects of virtual reality on pain, fear and anxiety during blood draw in children aged 5–12 years old: A randomised controlled study

Virtual reality applications toward medical field

Managing limb pain using virtual reality: a systematic review of clinical and experimental studies

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