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Virtual Reality as a Clinical Tool for Pain Management

  • Psychological and Behavioral Aspects of Headache and Pain (D Buse, Section Editor)
  • Published:
Current Pain and Headache Reports Aims and scope Submit manuscript

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.

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References

Papers of particular interest, published recently, have been highlighted as: •• Of major importance

  1. 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. •• 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.

    PubMed  PubMed Central  Google Scholar 

  3. 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.

    Article  PubMed  Google Scholar 

  4. 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.

    Article  PubMed  Google Scholar 

  5. Li A, Montano Z, Chen VJ, Gold JI. Virtual reality and pain management: current trends and future directions. Pain Manag. 2011 Mar;1(2):147–57.

    Article  PubMed  PubMed Central  Google Scholar 

  6. •• .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. Melzack R. Pain mechanisms: a new theory. Science (New York, NY). 1965;150(3699):971–9.

    Article  CAS  Google Scholar 

  8. 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.

    Article  PubMed  Google Scholar 

  9. 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  CAS  Google Scholar 

  10. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  11. 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.

    Article  PubMed  CAS  Google Scholar 

  12. 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.

    Article  PubMed  CAS  Google Scholar 

  13. 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  Google Scholar 

  14. Johnson S, Coxon M. Sound can enhance the analgesic effect of virtual reality. R Soc Open Sci. 2016;3(3):150567.

    Article  PubMed  PubMed Central  Google Scholar 

  15. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  16. 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.

    PubMed  PubMed Central  Google Scholar 

  17. 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.

    Article  PubMed  Google Scholar 

  18. 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.

    Article  PubMed  Google Scholar 

  19. 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.

    Article  Google Scholar 

  20. 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.

    PubMed  PubMed Central  Google Scholar 

  21. 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.

    Article  PubMed  Google Scholar 

  22. 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.

    Article  PubMed  Google Scholar 

  23. •• 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. 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.

    Article  Google Scholar 

  25. Jin W, Choo A, Gromala D, Shaw C, Squire PA. Virtual reality game for chronic pain management: a randomized, controlled clinical study. Stud Health Technol Informatics. 2016;220:154–60. https://doi.org/10.3233/978-1-61499-625-5-154.

    Article  Google Scholar 

  26. 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.

    Article  PubMed  Google Scholar 

  27. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  28. 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.

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Department of Emergency Medicine, George Washington University School of Medicine and Health Sciences, 2120 L St., Washington, DC, 20037, USA

    Ali Pourmand, Steven Davis, Alex Marchak, Tess Whiteside & Neal Sikka

Authors
  1. Ali Pourmand
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  2. Steven Davis
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  3. Alex Marchak
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  4. Tess Whiteside
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  5. Neal Sikka
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Corresponding author

Correspondence to Ali Pourmand.

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Conflict of Interest

Ali Pourmand, Steven Davis, Alex Marchak, Tess Whiteside, and Neal Sikka declare no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

This article is part of the Topical Collection on Psychological and Behavioral Aspects of Headache and Pain

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Pourmand, A., Davis, S., Marchak, A. et al. Virtual Reality as a Clinical Tool for Pain Management. Curr Pain Headache Rep 22, 53 (2018). https://doi.org/10.1007/s11916-018-0708-2

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  • DOI: https://doi.org/10.1007/s11916-018-0708-2

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