Evidence map›Paper›PMID 33226346›Full record

ArticleJMIR rehabilitation and assistive technologies2020

Virtual Reality in Pain Rehabilitation for Youth With Chronic Pain: Pilot Feasibility Study.

Anya Griffin, Luke Wilson, Amanda B Feinstein, Adeline Bortz, Marissa S Heirich, Rachel Gilkerson, Jenny Fm Wagner, Maria Menendez, Thomas J Caruso, Samuel Rodriguez and 3 more

Open access · goldAbstract read
In one paragraph

Article in JMIR rehabilitation and assistive technologies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
8.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 57 citations in OpenAlex.

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  15. System Architecture for VR Yoga Therapy Platform with 6-DoF Whole-Body Avatar Tracking.... IEEE International Conference on Artificial Intelligence and Virtual Reality. IEEE International Conference on Artificial Intelligence and Virtual Reality · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Anya GriffinDepartment of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States.ORCID https://orcid.org/0000-0003-1508-1336
Luke WilsonMighty Immersion, Inc., New York, NY, United States.ORCID https://orcid.org/0000-0002-1512-3690
Amanda B FeinsteinDepartment of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States.ORCID https://orcid.org/0000-0002-6110-0254
Adeline BortzPGSP-Stanford University Psy.D. Consortium, Stanford, CA, United States.ORCID https://orcid.org/0000-0003-4144-0611
Marissa S HeirichDepartment of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States.ORCID https://orcid.org/0000-0003-0266-5471
Rachel GilkersonLucile Packard Children's Hospital, Stanford, CA, United States.ORCID https://orcid.org/0000-0003-4032-239X
Jenny Fm WagnerLucile Packard Children's Hospital, Stanford, CA, United States.ORCID https://orcid.org/0000-0002-0717-2513
Maria MenendezLucile Packard Children's Hospital, Stanford, CA, United States.ORCID https://orcid.org/0000-0001-9857-1589
Thomas J CarusoDepartment of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States.ORCID https://orcid.org/0000-0002-0723-5262
Samuel RodriguezDepartment of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States.ORCID https://orcid.org/0000-0002-8549-1069
Srinivas NaiduDepartment of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States.ORCID https://orcid.org/0000-0001-6491-650X
Brenda GolianuDepartment of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States.ORCID https://orcid.org/0000-0003-0731-9535
Laura E SimonsDepartment of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States.ORCID https://orcid.org/0000-0002-3395-9483
Stanford University · USLucile Packard Children's Hospital · USImmersion (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the field of pain, virtual reality (VR) technology has been increasingly common in the context of procedural pain management. As an interactive technology tool, VR has the potential to be extended beyond acute pain management to chronic pain rehabilitation with a focus on increasing engagement with painful or avoided movements.

objectiveWe outline the development and initial implementation of a VR program in pain rehabilitation intervention to enhance function in youth with chronic pain.

methodsWe present the development, acceptability, feasibility, and utility of an innovative VR program (Fruity Feet) for pediatric pain rehabilitation to facilitate increased upper and lower extremity engagement. The development team was an interdisciplinary group of pediatric experts, including physical therapists, occupational therapists, pain psychologists, anesthesiologists, pain researchers, and a VR software developer. We used a 4-phase iterative development process that engaged clinicians, parents, and patients via interviews and standardized questionnaires.

resultsThis study included 17 pediatric patients (13 female, 4 male) enrolled in an intensive interdisciplinary pain treatment (IIPT) program, with mean age of 13.24 (range 7-17) years, completing a total of 63 VR sessions. Overall reports of presence were high (mean 28.98; max 40; SD 4.02), suggestive of a high level of immersion. Among those with multisession data (n=8), reports of pain (P<.001), fear (P=.003), avoidance (P=.004), and functional limitations (P=.01) significantly decreased. Qualitative analysis revealed (1) a positive experience with VR (eg, enjoyed VR, would like to utilize the VR program again, felt VR was a helpful tool); (2) feeling distracted from pain while engaged in VR; (3) greater perceived mobility; and (4) fewer clinician-observed pain behaviors during VR. Movement data support the targeted impact of the Fruity Feet compared to other available VR programs.

conclusionsThe iterative development process yielded a highly engaging and feasible VR program based on qualitative feedback, questionnaires, and movement data. We discuss next steps for the refinement, implementation, and assessment of impact of VR on chronic pain rehabilitation. VR holds great promise as a tool to facilitate therapeutic gains in chronic pain rehabilitation in a manner that is highly reinforcing and fun.

Indexed as

adolescentschronic pain managementdigital health careimmersive technologyvirtual reality

Identifiers

PMID33226346
PMCPMC7721555
OpenAlexW3097162570

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.