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Published in: Current Pain and Headache Reports 8/2018

01-08-2018 | Psychological and Behavioral Aspects of Headache and Pain (D Buse, Section Editor)

Virtual Reality as a Clinical Tool for Pain Management

Authors: Ali Pourmand, Steven Davis, Alex Marchak, Tess Whiteside, Neal Sikka

Published in: Current Pain and Headache Reports | Issue 8/2018

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Abstract

Purpose of Review

To evaluate the use of virtual reality (VR) therapies as a clinical tool for the management of acute and chronic pain.

Recent Findings

Recent articles support the hypothesis that VR therapies can effectively distract patients who suffer from chronic pain and from acute pain stimulated in trials. Clinical studies yield promising results in the application of VR therapies to a variety of acute and chronic pain conditions, including fibromyalgia, phantom limb pain, and regional specific pain from past injuries and illnesses.

Summary

Current management techniques for acute and chronic pain, such as opioids and physical therapy, are often incomplete or ineffective. VR trials demonstrate a potential to redefine the approach to treating acute and chronic pain in the clinical setting. Patient immersion in interactive virtual reality provides distraction from painful stimuli and can decrease an individual’s perception of the pain. In this review, we discuss the use of VR to provide patient distraction from acute pain induced from electrical, thermal, and pressure conditions. We also discuss the application of VR technologies to treat various chronic pain conditions in both outpatient and inpatient settings.
Literature
1.
go back to reference Arane K, Behboudi A, Goldman RD. Virtual reality for pain and anxiety management in children. Can Fam Phys 2017;63(12):932–934 and 935–937. Arane K, Behboudi A, Goldman RD. Virtual reality for pain and anxiety management in children. Can Fam Phys 2017;63(12):932–934 and 935–937.
2.
go back to reference •• Li L, Yu F, Shi D, Shi J, Tian Z, Yang J, et al. Application of virtual reality technology in clinical medicine. Am J Transl Res. 2017;9(9):3867–80. A good review of the different VR modalities available for clinical use includes therapeutic effects and advantages/disadvantages. PubMedPubMedCentral •• Li L, Yu F, Shi D, Shi J, Tian Z, Yang J, et al. Application of virtual reality technology in clinical medicine. Am J Transl Res. 2017;9(9):3867–80. A good review of the different VR modalities available for clinical use includes therapeutic effects and advantages/disadvantages. PubMedPubMedCentral
3.
go back to reference Gerardi M, Cukor J, Difede J, Rizzo A, Rothbaum BO. Virtual reality exposure therapy for post-traumatic stress disorder and other anxiety disorders. Curr Psychiatry Rep. 2010;12(4):298–305.CrossRefPubMed Gerardi M, Cukor J, Difede J, Rizzo A, Rothbaum BO. Virtual reality exposure therapy for post-traumatic stress disorder and other anxiety disorders. Curr Psychiatry Rep. 2010;12(4):298–305.CrossRefPubMed
4.
go back to reference Pourmand A, Davis S, Lee D, Barber S, Sikka N. Emerging utility of virtual reality as a multidisciplinary tool in clinical medicine. Games Health J. 2017;6(5):263–70.CrossRefPubMed Pourmand A, Davis S, Lee D, Barber S, Sikka N. Emerging utility of virtual reality as a multidisciplinary tool in clinical medicine. Games Health J. 2017;6(5):263–70.CrossRefPubMed
5.
6.
go back to reference •• .Won AS, Bailey J, Bailenson J, Tataru C, Yoon IA, Golianu B. Immersive Virtual Reality for Pediatric Pain. Children (Basel) 2017;4(7):https://doi.org/10.3390/children4070052. This source provides a strong explanation of the qualities of a VR device and treatment that make it effective. •• .Won AS, Bailey J, Bailenson J, Tataru C, Yoon IA, Golianu B. Immersive Virtual Reality for Pediatric Pain. Children (Basel) 2017;4(7):https://​doi.​org/​10.​3390/​children4070052. This source provides a strong explanation of the qualities of a VR device and treatment that make it effective.
7.
go back to reference Melzack R. Pain mechanisms: a new theory. Science (New York, NY). 1965;150(3699):971–9.CrossRef Melzack R. Pain mechanisms: a new theory. Science (New York, NY). 1965;150(3699):971–9.CrossRef
8.
go back to reference Triberti S, Repetto C, Riva G. Psychological factors influencing the effectiveness of virtual reality-based analgesia: a systematic review. Cyberpsychol Behav Soc Netw. 2014 Jun;17(6):335–45.CrossRefPubMed Triberti S, Repetto C, Riva G. Psychological factors influencing the effectiveness of virtual reality-based analgesia: a systematic review. Cyberpsychol Behav Soc Netw. 2014 Jun;17(6):335–45.CrossRefPubMed
9.
go back to reference Dowell D, Haegerich TM, Chou RCDC. Guideline for prescribing opioids for chronic pain—United States. 2016 JAMA. 2016 Apr 19;315(15):1624–45.PubMed Dowell D, Haegerich TM, Chou RCDC. Guideline for prescribing opioids for chronic pain—United States. 2016 JAMA. 2016 Apr 19;315(15):1624–45.PubMed
10.
go back to reference Smith A, Carlow K, Biddulph T, Murray B, Paton M, Harvie DS. Contextual modulation of pain sensitivity utilising virtual environments. Br J Pain. 2017;11(2):71–80.CrossRefPubMedPubMedCentral Smith A, Carlow K, Biddulph T, Murray B, Paton M, Harvie DS. Contextual modulation of pain sensitivity utilising virtual environments. Br J Pain. 2017;11(2):71–80.CrossRefPubMedPubMedCentral
11.
go back to reference Weeth A, Muhlberger A, Shiban Y. Was it less painful for knights? Influence of appearance on pain perception. Eur J Pain. 2017 Nov;21(10):1756–62.CrossRefPubMed Weeth A, Muhlberger A, Shiban Y. Was it less painful for knights? Influence of appearance on pain perception. Eur J Pain. 2017 Nov;21(10):1756–62.CrossRefPubMed
12.
go back to reference Demeter N, Josman N, Eisenberg E, Pud D. Who can benefit from virtual reality to reduce experimental pain? A crossover study in healthy subjects. Eur J Pain. 2015 Nov;19(10):1467–75.CrossRefPubMed Demeter N, Josman N, Eisenberg E, Pud D. Who can benefit from virtual reality to reduce experimental pain? A crossover study in healthy subjects. Eur J Pain. 2015 Nov;19(10):1467–75.CrossRefPubMed
13.
go back to reference Gutierrez-Maldonado J, Gutierrez-Martinez O, Loreto-Quijada D, Nieto-Luna R. The use of virtual reality for coping with pain with healthy participants. Psicothema. 2012 Nov;24(4):516–22.PubMed Gutierrez-Maldonado J, Gutierrez-Martinez O, Loreto-Quijada D, Nieto-Luna R. The use of virtual reality for coping with pain with healthy participants. Psicothema. 2012 Nov;24(4):516–22.PubMed
15.
go back to reference Sharar SR, Alamdari A, Hoffer C, Hoffman HG, Jensen MP, Patterson DR. Circumplex model of affect: a measure of pleasure and arousal during virtual reality distraction analgesia. Games Health J. 2016 Jun;5(3):197–202.CrossRefPubMedPubMedCentral Sharar SR, Alamdari A, Hoffer C, Hoffman HG, Jensen MP, Patterson DR. Circumplex model of affect: a measure of pleasure and arousal during virtual reality distraction analgesia. Games Health J. 2016 Jun;5(3):197–202.CrossRefPubMedPubMedCentral
16.
go back to reference Treede RD, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R, et al. A classification of chronic pain for ICD-11. Pain. 2015 Jun;156(6):1003–7.PubMedPubMedCentral Treede RD, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R, et al. A classification of chronic pain for ICD-11. Pain. 2015 Jun;156(6):1003–7.PubMedPubMedCentral
17.
go back to reference Kroenke K, Krebs EE, Bair MJ. Pharmacotherapy of chronic pain: a synthesis of recommendations from systematic reviews. Gen Hosp Psychiatry. 2009;31(3):206–19.CrossRefPubMed Kroenke K, Krebs EE, Bair MJ. Pharmacotherapy of chronic pain: a synthesis of recommendations from systematic reviews. Gen Hosp Psychiatry. 2009;31(3):206–19.CrossRefPubMed
18.
go back to reference Pekyavas NO, Ergun N. Comparison of virtual reality exergaming and home exercise programs in patients with subacromial impingement syndrome and scapular dyskinesis: short term effect. Acta Orthop Traumatol Turc. 2017;51(3):238–42.CrossRefPubMed Pekyavas NO, Ergun N. Comparison of virtual reality exergaming and home exercise programs in patients with subacromial impingement syndrome and scapular dyskinesis: short term effect. Acta Orthop Traumatol Turc. 2017;51(3):238–42.CrossRefPubMed
19.
go back to reference Botella C, Garcia-Palacios A, Vizcaíno Y, Herrero R, Baños RM, Belmonte MA. Virtual reality in the treatment of fibromyalgia: a pilot study. Cyberpsychol Behav Soc Networking. 2013;16(3):215–23.CrossRef Botella C, Garcia-Palacios A, Vizcaíno Y, Herrero R, Baños RM, Belmonte MA. Virtual reality in the treatment of fibromyalgia: a pilot study. Cyberpsychol Behav Soc Networking. 2013;16(3):215–23.CrossRef
20.
go back to reference De Tommaso M, Ricci K, Laneve L, Savino N, Antonaci V, Livrea P. Virtual visual effect of hospital waiting room on pain modulation in healthy subjects and patients with chronic migraine. Pain Res Treat. 2013;2013:515730.PubMedPubMedCentral De Tommaso M, Ricci K, Laneve L, Savino N, Antonaci V, Livrea P. Virtual visual effect of hospital waiting room on pain modulation in healthy subjects and patients with chronic migraine. Pain Res Treat. 2013;2013:515730.PubMedPubMedCentral
21.
go back to reference Shiri S, Feintuch U, Weiss N, Pustilnik A, Geffen T, Kay B, et al. A virtual reality system combined with biofeedback for treating pediatric chronic headache—a pilot study. Pain Med. 2013;14(5):621–7.CrossRefPubMed Shiri S, Feintuch U, Weiss N, Pustilnik A, Geffen T, Kay B, et al. A virtual reality system combined with biofeedback for treating pediatric chronic headache—a pilot study. Pain Med. 2013;14(5):621–7.CrossRefPubMed
22.
go back to reference Ortiz-Catalan M, Guðmundsdóttir RA, Kristoffersen MB, Zepeda-Echavarria A, Caine-Winterberger K, Kulbacka-Ortiz K, et al. Phantom motor execution facilitated by machine learning and augmented reality as treatment for phantom limb pain: a single group, clinical trial in patients with chronic intractable phantom limb pain. Lancet. 2016;388(10062):2885–94.CrossRefPubMed Ortiz-Catalan M, Guðmundsdóttir RA, Kristoffersen MB, Zepeda-Echavarria A, Caine-Winterberger K, Kulbacka-Ortiz K, et al. Phantom motor execution facilitated by machine learning and augmented reality as treatment for phantom limb pain: a single group, clinical trial in patients with chronic intractable phantom limb pain. Lancet. 2016;388(10062):2885–94.CrossRefPubMed
23.
go back to reference •• Jones T, Moore T, Choo J. The impact of virtual reality on chronic pain. PLoS ONE 2016;11(12). This serves as a great example of a VR study with an immersive interactive gaming platform resulting in relatively strong statistics demonstrating the effectiveness of the treatment on a good size sample pool. •• Jones T, Moore T, Choo J. The impact of virtual reality on chronic pain. PLoS ONE 2016;11(12). This serves as a great example of a VR study with an immersive interactive gaming platform resulting in relatively strong statistics demonstrating the effectiveness of the treatment on a good size sample pool.
24.
go back to reference Wiederhold BK, Gao K, Sulea C, Wiederhold MD. Virtual reality as a distraction technique in chronic pain patients. Cyberpsychol Behav Soc Networking. 2014;17(6):346–52.CrossRef Wiederhold BK, Gao K, Sulea C, Wiederhold MD. Virtual reality as a distraction technique in chronic pain patients. Cyberpsychol Behav Soc Networking. 2014;17(6):346–52.CrossRef
26.
go back to reference Garrett B, Taverner T, Masinde W, Gromala D, Shaw C, Negraeff M. A rapid evidence assessment of immersive virtual reality as an adjunct therapy in acute pain management in clinical practice. Clin J Pain. 2014 Dec;30(12):1089–98.CrossRefPubMed Garrett B, Taverner T, Masinde W, Gromala D, Shaw C, Negraeff M. A rapid evidence assessment of immersive virtual reality as an adjunct therapy in acute pain management in clinical practice. Clin J Pain. 2014 Dec;30(12):1089–98.CrossRefPubMed
27.
go back to reference Tashjian VC, Mosadeghi S, Howard AR, Lopez M, Dupuy T, Reid M, et al. Virtual reality for management of pain in hospitalized patients: results of a controlled trial. JMIR Ment Health. 2017 Mar 29;4(1):e9.CrossRefPubMedPubMedCentral Tashjian VC, Mosadeghi S, Howard AR, Lopez M, Dupuy T, Reid M, et al. Virtual reality for management of pain in hospitalized patients: results of a controlled trial. JMIR Ment Health. 2017 Mar 29;4(1):e9.CrossRefPubMedPubMedCentral
28.
go back to reference Mosadeghi S, Reid MW, Martinez B, Rosen BT, Spiegel BM. Feasibility of an immersive virtual reality intervention for hospitalized patients: an observational cohort study. JMIR Ment Health. 2016;3(2):e28.CrossRefPubMedPubMedCentral Mosadeghi S, Reid MW, Martinez B, Rosen BT, Spiegel BM. Feasibility of an immersive virtual reality intervention for hospitalized patients: an observational cohort study. JMIR Ment Health. 2016;3(2):e28.CrossRefPubMedPubMedCentral
Metadata
Title
Virtual Reality as a Clinical Tool for Pain Management
Authors
Ali Pourmand
Steven Davis
Alex Marchak
Tess Whiteside
Neal Sikka
Publication date
01-08-2018
Publisher
Springer US
Published in
Current Pain and Headache Reports / Issue 8/2018
Print ISSN: 1531-3433
Electronic ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-018-0708-2

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