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  4. Pain Reduction after Short Exposure to Virtual Reality Environments in People with Spinal Cord Injury

Pain Reduction after Short Exposure to Virtual Reality Environments in People with Spinal Cord Injury

International Journal of Environmental Research and Public Health, 2021 · DOI: 10.3390/ijerph18178923 · Published: August 25, 2021

Spinal Cord InjuryAssistive TechnologyPain Management

Simple Explanation

This study investigates if virtual reality (VR) can help reduce neuropathic pain in people with spinal cord injuries. Participants were exposed to different VR environments and their pain levels were measured before and after. The study found that short VR sessions could indeed lower pain. Two types of VR environments were used: scenery (nature scenes) and somatic (simulated body movements). Both types led to pain reduction, and there was no significant difference in their effectiveness. The study also looked at how immersed participants felt in the VR environments. It found that a higher sense of immersion was linked to greater pain reduction, suggesting that the more engaged someone is with the VR, the more pain relief they might experience.

Study Duration
Not specified
Participants
8 individuals with chronic NP after SCI
Evidence Level
Pilot study with a comparison pre- and post-intervention

Key Findings

  • 1
    Short-term exposure to both scenery and somatic VR environments resulted in a significant reduction in neuropathic pain intensity in people with spinal cord injury.
  • 2
    There was no significant difference in pain reduction between the scenery and somatic VR interventions.
  • 3
    A statistically significant negative correlation was found between immersive tendencies (ITQ score) and pain reduction after the scenery VR intervention, suggesting that greater immersion is associated with greater pain relief.

Research Summary

This pilot study investigated the immediate effect of VR in reducing neuropathic pain (NP) in people with spinal cord injury (SCI). Eight individuals with chronic NP after SCI underwent consecutive exposure to scenery and somatic virtual environments (VE). The results showed a significant reduction in pain levels after short exposure to both scenery and somatic VEs, with no significant difference between the two intervention types. This suggests that VR can be a viable therapy for NP in people with SCI. The study also found a significant negative correlation between immersive tendencies and the change in pain after the scenery VR intervention, indicating that higher immersion is associated with greater pain reduction. However, presence did not show a significant correlation with pain reduction.

Practical Implications

Pain Management Tool

VR can be used as a pain management tool among individuals with neuropathic pain.

Immersive Tendencies

Therapeutic response to VR intervention is influenced by the immersive tendencies of the viewer.

Personalized Approach

Understanding immersive tendencies may allow for a more personalized approach to prescription of VR-based pain therapies.

Study Limitations

  • 1
    Small number of participants
  • 2
    Short duration of the VE
  • 3
    Lack of a placebo control group

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