Virtual reality, music, and pain: developing the premise for an interdisciplinary approach to pain management

Honzel, Emily; Murthi, Sarah B.; Brawn-Cinani, Barbara; Colloca, Giancarlo; Kier, Craig; Varshney, Amitabh; Colloca, Luana

doi:10.1097/j.pain.0000000000001539

Cited by 43 publications

(39 citation statements)

References 82 publications

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“…Immersive virtual reality is a promising new non-opioid psychological pain distraction technique. There is growing evidence that adjunctive immersive virtual reality distraction can significantly reduce how much pain patients experience during a growing number of different painful medical procedures e.g., during urological endoscopies, physical therapy after surgery for cerebral palsy, venipuncture for onco-therapy, and pediatric dental procedures (Hoffman et al, 2011; Garrett et al, 2014; Scheffler et al, 2017; Atzori et al, 2018a,b; Indovina et al, 2018; Honzel et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Immersive Virtual Reality as an Adjunctive Non-opioid Analgesic for Pre-dominantly Latin American Children With Large Severe Burn Wounds During Burn Wound Cleaning in the Intensive Care Unit: A Pilot Study

Hoffman

Rodriguez

González

et al. 2019

Front. Hum. Neurosci.

115

144

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Background/Aim: Using a within-subjects, within-wound care design, this pilot study tested for the first time, whether immersive virtual reality (VR) can serve as an adjunctive non-opioid analgesic for children with large severe burn wounds during burn wound cleaning in the ICU, in a regional burn center in the United States, between 2014–2016. Methods: Participants included 48 children from 6 years old to 17 years of age with >10% TBSA burn injuries reporting moderate or higher worst pain during no VR on Day 1. Forty-four of the 48 children were from developing Latin American countries. Patients played adjunctive SnowWorld, an interactive 3D snowy canyon in virtual reality during some portions of wound care, vs. No VR during comparable portions of the same wound care session (initial treatment condition randomized). Using Graphic Rating scales, children's worst pain ratings during “No VR” (treatment as usual pain medications) vs. their worst pain during “Yes VR” was measured during at least 1 day of wound care, and was measured for up to 10 study days the patient used VR. Results: VR significantly reduced children's “worst pain” ratings during burn wound cleaning procedures in the ICU on Day 1. Worst pain during No VR = 8.52 (SD = 1.75) vs. during Yes VR = 5.10 (SD = 3.27), t (47) = 7.11, p < 0.001, SD = 3.33, CI = 2.45–4.38, Cohen's d = 1.03 (indicating large effect size). Patients continued to report the predicted pattern of lower pain and more fun during VR, during multiple sessions. Conclusion: Immersive virtual reality can help reduce the pain of children with large severe burn wounds during burn wound cleaning in the Intensive Care Unit. Additional research and development is recommended.

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Section: Introductionmentioning

confidence: 99%

Immersive Virtual Reality as an Adjunctive Non-opioid Analgesic for Pre-dominantly Latin American Children With Large Severe Burn Wounds During Burn Wound Cleaning in the Intensive Care Unit: A Pilot Study

Hoffman

Rodriguez

González

et al. 2019

Front. Hum. Neurosci.

115

144

View full text Add to dashboard Cite

show abstract

“…While the literature on VR use in both acute and chronic pain has grown rapidly in the past decade, our knowledge of the efficacy of VR in the treatment of chronic pain remains particularly lacking (Honzel et al, 2019;Mallari et al, 2019;Trost et al, 2021). However, in this assessment, VR did not demonstrate greater effectiveness in one group over the other (i.e., acute vs. chronic pain groups).…”

Section: Pain Acuity and Chronicitymentioning

confidence: 69%

Effect of Immersive Virtual Reality on Pain and Anxiety at a Veterans Affairs Health Care Facility

Rawlins

Veigulis

Hebert

et al. 2021

Front. Virtual Real.

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Objectives: The primary objective of this evaluation is to determine the impact of virtual reality (VR) distraction on acute and chronic pain in Veterans within the Veterans Affairs Health Care System (VA). A secondary objective is to determine the impact of VR on the experience of stress and anxiety in Veterans utilizing VR for the indication of pain. A third objective is to develop an understanding of the Veteran experience of using VR in a healthcare setting.Methods: This prospective, pretest-posttest mixed methods assessment was performed at a VA medical center from August 30, 2019 to November 23, 2020. VR experiences lasted between 10 and 30 min utilizing an immersive head-mounted display with multiple, autonomously chosen virtual environments. Qualitative data was collected concurrently to provide context to quantitative measures which included pain scores and stress/anxiety levels. Data from 79 participants was included in this analysis. Data included pre- and post-VR session Defense and Veterans Pain Rating Scale and stress/anxiety levels.Results: Results for the cohort demonstrated a statistically significant decrease in pain intensity (p <0 .001) with an average 12% decrease in pain levels and an 92% reduction in anxiety for those in concurrent pain.Conclusion: VR as a non-pharmacological adjunct or alternative modality, appears to be a viable option for improving pain management and reducing anxiety in Veteran populations across various age ranges, and levels of acuity and chronicity. VR was found to be an effective distraction from pain, a pleasurable experience for the majority, and opened the door to other non-pharmacological modalities in a Veteran population.

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“…Dikkati başka yöne çekmeye dayanan bilişseldavranışçı girişimler, ameliyat öncesi, sırası ve sonrasında ağrı ve anksiyetenin azaltılmasında öncelikli olarak tercih edilmekte ve bu yöntemlerin olumlu etkileri bilinmektedir (21). Bu amaçla kullanılan yöntemlerden bazıları görselişitsel dikkat dağıtıcılar gibi pasif (22)(23)(24), video oyunları ve sanal gerçeklik uygulamaları gibi aktif dikkati başka yöne çekme teknikleridir (24)(25)(26). Hastalardaki ağrı ve anksiyete iyileşmeyi olumsuz etkilemekte ve taburculuğu geciktirebilmektedir (27).…”

Section: Discussionunclassified

Lipom eksizyonu sırasında stres küpü kullanımının ağrı ve anksiyete üzerine etkisi

2021

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Lokal anestezi altında gerçekleştirilen cerrahi işlemlerde bireylerde oluşan ağrı ve anksiyete yönetilmesi gereken önemli sağlık bakım sorunlarındandır. Bu araştırma lipom eksizyonu sırasında stres küpü kullanılarak dikkati başka yöne çekmenin ağrı ve anksiyete üzerine etkisinin değerlendirilmesi amacı ile gerçekleştirilmiştir. Gereç ve Yöntem: Araştırma 1 Ekim 2019-1 Mart 2020 tarihleri arasında gerçekleştirilmiştir. Lokal anestezi altında lipom eksizyonu yapılacak, 18 yaşından büyük, yeterli görme, işitme ve konuşma işlevlerine sahip, Türkçe bilen, çalışmaya katılmayı kabul eden bireyler çalışmaya dahil edilmiştir. Verilerin toplanmasında Kişisel Bilgi Formu, Durumluk Kaygı Envanteri ve Sayısal Derecelendirme Ölçeği kullanılmıştır. Çalışma müdahale grubunda 46 kontrol grubunda 46 olmak üzere toplam 92 bireyle gerçekleştirilmiştir. Müdahale grubu lipom eksizyonu sırasında stres küpü kullanmış, kontrol grubu hastanedeki rutin tedavisini almıştır. Bulgular: Katılımcıların %68,5'i erkek, %31,5'i kadındır. Araştırmaya katılan bireylerin yaş ortalaması müdahale (41,67±11,48) ve kontrol (44,59±13,83) grubunda benzerdir (p=0,275). Eksizyon işlemi sırasındaki ağrı şiddeti ortalamaları bakımından müdahale (2,67±1,69) ve kontrol (4,46±2,82) grubu arasında istatistiksel anlamlı bir fark vardır (p<0,001). Eksizyon işlemi öncesi müdahale (38,63±5,24) ve kontrol (40,39±6,04) grubunun anksiyete puan ortalamaları benzerdir (p=0,139). Girişim sonrası gruplar arasında (Müdahale grubu=42,63±5,26; Kontrol grubu= 41,76±5,50) anksiyete puan ortalamaları arasında anlamlı fark yoktur (p=0,440). Sonuç: Bu araştırma sonucunda yapılan girişimin lipom eksizyonu sırasındaki ağrıyı azalttığı ancak anksiyete üzerine etkisinin olmadığı belirlenmiştir. Bu girişimin lokal anestezi altında gerçekleştirilen lipom eksiyonlarında işlem sırasındaki ağrının azaltılmasında rutin olarak kullanılması önerilmiştir.

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Virtual reality, music, and pain: developing the premise for an interdisciplinary approach to pain management

Cited by 43 publications

References 82 publications

Immersive Virtual Reality as an Adjunctive Non-opioid Analgesic for Pre-dominantly Latin American Children With Large Severe Burn Wounds During Burn Wound Cleaning in the Intensive Care Unit: A Pilot Study

Immersive Virtual Reality as an Adjunctive Non-opioid Analgesic for Pre-dominantly Latin American Children With Large Severe Burn Wounds During Burn Wound Cleaning in the Intensive Care Unit: A Pilot Study

Effect of Immersive Virtual Reality on Pain and Anxiety at a Veterans Affairs Health Care Facility

Lipom eksizyonu sırasında stres küpü kullanımının ağrı ve anksiyete üzerine etkisi

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