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  4. Virtual walking therapy in neuropathic spinal cord injury pain: a feasibility study

Virtual walking therapy in neuropathic spinal cord injury pain: a feasibility study

Spinal Cord Series and Cases, 2024 · DOI: https://doi.org/10.1038/s41394-024-00667-w · Published: July 23, 2024

Spinal Cord InjuryAssistive TechnologyPain Management

Simple Explanation

This study explores the use of virtual walking (VW) therapy for chronic neuropathic pain in patients with spinal cord injury (SCI). Current treatments for this type of pain are often not effective. The study aims to see if a new virtual walking setup developed at the Swiss Paraplegic Centre is feasible and acceptable for SCI patients with chronic neuropathic pain. The researchers measured patient satisfaction, acceptance, adherence to the therapy, and changes in pain intensity and distribution before and after the virtual walking sessions.

Study Duration
5 weeks or 2 weeks
Participants
Four patients with spinal cord injury and neuropathic pain
Evidence Level
Feasibility Study

Key Findings

  • 1
    The study found good satisfaction and acceptance of virtual walking therapy among the participants.
  • 2
    Support, duration, and the number of sessions were perceived well and acceptable by the patients.
  • 3
    One patient experienced improvements in pain intensity, pain quality, and pain distribution after the therapy.

Research Summary

This feasibility study investigated the use of virtual walking (VW) therapy for chronic neuropathic pain in spinal cord injury (SCI) patients. Four patients with SCI and neuropathic pain participated in the VW therapy, and their satisfaction, acceptance, and adherence were assessed. The results suggest that VW is a feasible tool for patients with SCI-related chronic neuropathic pain and warrants further investigation in larger studies.

Practical Implications

Future Research

Further studies with more patients are needed to draw conclusions about the effectiveness and therapeutic outcome on pain.

Therapy Improvement

Patient feedback regarding wheelchair-related noise and the third-person perspective will be considered to improve the therapy setup.

Clinical Practice

Virtual walking may be a feasible non-pharmacological treatment option for chronic neuropathic pain in SCI patients.

Study Limitations

  • 1
    Small sample size may limit the generalizability of the findings.
  • 2
    The study lacked a control group.
  • 3
    The heterogeneity of SCI and pain conditions may influence the outcomes.

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