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  4. A Therapeutic Matrix: Virtual Reality as a Clinical Tool for Spinal Cord Injury-Induced Neuropathic Pain

A Therapeutic Matrix: Virtual Reality as a Clinical Tool for Spinal Cord Injury-Induced Neuropathic Pain

Brain Sciences, 2021 · DOI: https://doi.org/10.3390/brainsci11091201 · Published: September 12, 2021

Spinal Cord InjuryAssistive TechnologyPain Management

Simple Explanation

Neuropathic pain (NP) is a chronic, debilitating, and resistant form of pain that often occurs after spinal cord injuries (SCI). Current treatments are not very effective, so alternative approaches are needed. Virtual reality (VR) may help by providing experiences that reduce the effects of long-term NP through multisensory modulation of the sense of agency and ownership. VR techniques could be systematically adopted in pain research and management procedures, showing encouraging preliminary results in SCI.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Not specified

Key Findings

  • 1
    VR can modulate the sense of ownership of the whole body or single body parts by altering the congruity of multisensory information.
  • 2
    The perception of control while using VR positively influences pain tolerance and promotes adaptive behaviors.
  • 3
    Combining VR with motor imagery and neuromodulatory techniques can induce analgesia after SCI.

Research Summary

Neuropathic pain following spinal cord injuries is difficult to treat. VR offers an alternative by providing illusory or reality-like experiences. VR modulates body ownership and agency, increasing pain tolerance and promoting adaptive behaviors. Combined VR approaches, such as motor imagery and neuromodulation, show promising results for pain reduction.

Practical Implications

Clinical Pain Management

VR can be integrated into clinical practice as a non-pharmacological tool for managing chronic pain.

Rehabilitation Programs

VR can be used to improve functional outcomes by reinserting the body into the flow of experience.

Personalized Treatment

VR treatments can be tailored to include somatotopically focal stimulation of non-affected body parts to boost embodiment.

Study Limitations

  • 1
    Non-uniform protocols
  • 2
    Small experimental groups
  • 3
    Aspects such as time since injury, type and level of lesion, and residual sensorimotor abilities are often not adequately assessed.

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