Virtual reality analgesia for burn joint flexibility: A randomized controlled trial.

Soltani, Maryam; Drever, Sydney; Hoffman, Hunter G.; Sharar, Sam R.; Wiechman, Shelley A.; Jensen, Mark P.; Patterson, David R.

doi:10.1037/rep0000239

Cited by 38 publications

(42 citation statements)

References 40 publications

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“…Virtual Reality (VR) is showing promise as an innovative distraction technique for pain management among children undergoing medical procedures (Hoffman, 1998; Hoffman et al, 2000a; Bailey and Bailenson, 2017; Atzori et al, 2018b,c). VR reduces the cognitive component of pain (time spent thinking about pain), but also reduces the affective component (pain unpleasantness) and the sensory component (worst pain), as consistently shown in studies with adult and pediatric participants with burn injuries (Hoffman, 1998; Hoffman et al, 2000a,b, 2011; Atzori et al, 2018a; Soltani et al, 2018). Unlike traditional distractions, VR allows the user to be immersed in a computer-generated environment, wearing a Head Mounted Display (HMD), or similar goggles, that occlude the patient’s view of the hospital treatment room and blocks sounds of the real environment (Hoffman, 2004).…”

Section: Introductionmentioning

confidence: 65%

Virtual Reality Analgesia During Venipuncture in Pediatric Patients With Onco-Hematological Diseases

et al. 2018

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Background: Venipuncture is described by children as one of the most painful and frightening medical procedures. Objective: To evaluate the effectiveness of Virtual Reality (VR) as a distraction technique to help control pain in children and adolescents undergoing venipuncture. Methods: Using a within-subjects design, fifteen patients (mean age 10.92, SD = 2.64) suffering from oncological or hematological diseases received one venipuncture with "No VR" and one venipuncture with "Yes VR" on two separate days (treatment order randomized). "Time spent thinking about pain", "Pain Unpleasantness", "Worst pain" the quality of VR experience, fun during the venipuncture and nausea were measured. Results: During VR, patients reported significant reductions in "Time spent thinking about pain," "Pain unpleasantness," and "Worst pain". Patients also reported significantly more fun during VR, and reported a "Strong sense of going inside the computer-generated world" during VR. No side effects were reported. Conclusion: VR can be considered an effective distraction technique for children and adolescents' pain management during venipuncture. Moreover, VR may elicit positive emotions, more than traditional distraction techniques. This could help patients cope with venipuncture in a non-stressful manner. Additional research and development is needed.

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Section: Introductionmentioning

confidence: 65%

Virtual Reality Analgesia During Venipuncture in Pediatric Patients With Onco-Hematological Diseases

et al. 2018

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“…While the use of immersive VR for the management of acute pain conditions has been relatively well-established (e.g., Schmitt et al, 2011;Soltani et al, 2018), the evidence to support the use of VR in chronic pain is less conclusive. While much preliminary and proof-of-concept research shows promise (e.g., Harvie et al, 2015;Matamala-Gomez et al, 2018;Stanton et al, 2018), rigorous randomized controlled trials with larger samples are required for a consistent demonstration that chronic pain treatment in virtual environments is superior to conventional treatments (Crosbie et al, 2007;Boesch et al, 2015), and many such trials are already in development.…”

Section: Introductionmentioning

confidence: 99%

Immersive Virtual Reality for Clinical Pain: Considerations for Effective Therapy

Donegan

Ryan

Świdrak

et al. 2020

Front. Virtual Real.

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Immersive virtual reality is transforming medical and psychological research and treatment, including the treatment of clinical pain. In this short perspective paper, we present some of the methodological difficulties that are rarely discussed in the literature of pain research when using virtual reality. These often-unmentioned problems can confound research investigations or interfere with the therapeutic efficacy in clinical trials. We propose practical solutions based on our research experience. We first outline the mechanisms of, and challenges to, the sensations of embodiment and presence, which are critical to creating effective virtual reality illusions, before discussing the particular considerations that need to be contemplated when working with patients with clinical pain. Finally, we discuss some upcoming technological advances that may influence significantly this rapidly expanding field in the near future.

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“…There has been considerable research on the analgesic benefits of digital playing for cancer pain (170,171), burn victims (172)(173)(174), pediatric patients (171,175) and amputees (176), albeit mostly targeting younger players. In pain management, the focus of playing such games is typically on patient education, distraction, or self-management-for example, evoking analgesia through active engagement with VR or digital games (170,171,176,177).…”

Section: Gamesmentioning

confidence: 99%

Play the Pain: A Digital Strategy for Play-Oriented Research and Action

et al. 2021

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The value of understanding patients' illness experience and social contexts for advancing medicine and clinical care is widely acknowledged. However, methodologies for rigorous and inclusive data gathering and integrative analysis of biomedical, cultural, and social factors are limited. In this paper, we propose a digital strategy for large-scale qualitative health research, using play (as a state of being, a communication mode or context, and a set of imaginative, expressive, and game-like activities) as a research method for recursive learning and action planning. Our proposal builds on Gregory Bateson's cybernetic approach to knowledge production. Using chronic pain as an example, we show how pragmatic, structural and cultural constraints that define the relationship of patients to the healthcare system can give rise to conflicted messaging that impedes inclusive health research. We then review existing literature to illustrate how different types of play including games, chatbots, virtual worlds, and creative art making can contribute to research in chronic pain. Inspired by Frederick Steier's application of Bateson's theory to designing a science museum, we propose DiSPORA (Digital Strategy for Play-Oriented Research and Action), a virtual citizen science laboratory which provides a framework for delivering health information, tools for play-based experimentation, and data collection capacity, but is flexible in allowing participants to choose the mode and the extent of their interaction. Combined with other data management platforms used in epidemiological studies of neuropsychiatric illness, DiSPORA offers a tool for large-scale qualitative research, digital phenotyping, and advancing personalized medicine.

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Virtual reality analgesia for burn joint flexibility: A randomized controlled trial.

Cited by 38 publications

References 40 publications

Virtual Reality Analgesia During Venipuncture in Pediatric Patients With Onco-Hematological Diseases

Virtual Reality Analgesia During Venipuncture in Pediatric Patients With Onco-Hematological Diseases

Immersive Virtual Reality for Clinical Pain: Considerations for Effective Therapy

Play the Pain: A Digital Strategy for Play-Oriented Research and Action

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