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  4. Immersive virtual reality for chronic neuropathic pain after spinal cord injury: a pilot, randomized, controlled trial

Immersive virtual reality for chronic neuropathic pain after spinal cord injury: a pilot, randomized, controlled trial

PAIN Reports, 2024 · DOI: http://dx.doi.org/10.1097/PR9.0000000000001173 · Published: October 8, 2024

Spinal Cord InjuryAssistive TechnologyPain Management

Simple Explanation

This study explores using virtual reality (VR) to help with nerve pain (neuropathic pain) in people with spinal cord injuries (SCI). The study looks at different VR environments to see if they can reduce pain. Participants were put into three groups: one used scenic VR, another somatic VR, and a control group. They participated in weekly VR sessions over a month and were assessed to measure any changes in their pain levels. The findings suggest that VR environments, especially scenic ones, can help reduce neuropathic pain in people with SCI. The level of enjoyment and the feeling of being present in the VR environment also play a role in how much pain is reduced.

Study Duration
8 weeks
Participants
22 participants with NP caused by SCI
Evidence Level
Randomized, controlled trial

Key Findings

  • 1
    Scenic VR participants showed reduced Neuropathic Pain Symptom Inventory scores postintervention and at follow-up, suggesting pain reduction.
  • 2
    Higher enjoyment and presence scores in VR were associated with decreased pain-change scores, indicating that a person's experience in VR can affect pain relief.
  • 3
    The somatic group reported greater improvements in quality of life according to the Patient’s Global Impression of Change (PGIC) visual analog scale (VAS) when compared with scenic and control groups postintervention.

Research Summary

This pilot study investigated the analgesic effects of different IVR environments (scenic, somatic) compared with a control environment and explored psychomotor properties influencing pain attenuation in individuals with neuropathic pain post spinal cord injury. The study found a significant interaction effect between VR environment and time point on Neuropathic Pain Symptom Inventory scores, with scenic VR participants exhibiting reduced scores postintervention and at follow-up. Both scenic and somatic VR environments showed short-term pain reductions, and enjoyment and presence in the VR environment were associated with decreased pain scores.

Practical Implications

Personalized VR Therapy

Tailoring IVR therapies to individual patient preferences can optimize both enjoyment and presence, leading to greater pain relief.

Non-Pharmacological Pain Intervention

IVR is highlighted as a valuable nonpharmacological pain intervention, offering an alternative to traditional pharmacological treatments.

Technology Development

The study informs further technology development for neuropathic pain management, particularly in creating more comfortable and accessible VR headsets for individuals with severe disabilities.

Study Limitations

  • 1
    Small sample size
  • 2
    Attrition rate due to study interruptions by the COVID-19 pandemic
  • 3
    Uncomfortable to use for long periods

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