Evidence map›Paper›PMID 34037530›Full record

ArticleJournal of medical Internet research2021

Assessing the Feasibility of an Open-Source Virtual Reality Mirror Visual Feedback Module for Complex Regional Pain Syndrome: Pilot Usability Study.

Andrea Stevenson Won, Ariana C Barreau, Mark Gaertner, Tristan Stone, Joshua Zhu, Cheng Yao Wang, Sean Mackey

Open access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 5% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Extended reality in anesthesia: a narrative review.Korean journal of anesthesiology · 2025
    Review
  7. Virtual Reality Interventions and Chronic Pain: Scoping Review.Journal of medical Internet research · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
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

7 authors at 4 institutions in 1 country.

Andrea Stevenson WonDepartment of Communication, Cornell University, Ithaca, NY, United States.ORCID 0000-0001-5240-6166
Ariana C BarreauCarle Illinois College of Medicine, University of Illinois Urbana-Champaign, Urbana, IL, United States.ORCID 0000-0002-6474-3263
Mark GaertnerDepartment of Neurology, University of California, Los Angeles, Los Angeles, CA, United States.ORCID 0000-0001-5156-1359
Tristan StoneDepartment of Computer Science, Cornell University, Ithaca, NY, United States.ORCID 0000-0002-0643-1579
Joshua ZhuDepartment of Information Science, Cornell University, Ithaca, NY, United States.ORCID 0000-0002-1116-9528
Cheng Yao WangDepartment of Information Science, Cornell University, Ithaca, NY, United States.ORCID 0000-0003-3229-4341
Sean MackeyStanford Neuroscience and Pain Lab, Stanford University, Palo Alto, CA, United States.ORCID 0000-0001-7744-5348
Cornell University · USStanford University · USUniversity of California, Los Angeles · USUniversity of Illinois Urbana-Champaign · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComplex regional pain syndrome (CRPS) is a rare and severe chronic pain condition, with effective treatment options not established for many patients. The underlying pathophysiology remains unclear, but there is a growing appreciation for the role of central mechanisms which have formed the basis for brain-based therapies such as transcranial magnetic stimulation and mirror visual feedback (MVF). MVF has been deployed in the treatment of CRPS using both conventional mirrors and virtual reality (VR).

objectiveThe aim of this study was to further investigate the use of VR in the treatment of patients with unilateral upper limb CRPS. VR has the potential advantage of more flexible and more motivating tasks, as well as the option of tracking patient improvement through the use of movement data.

methodsWe describe the development, acceptability, feasibility, and usability of an open-source VR program MVF module designed to be used with consumer VR systems for the treatment of CRPS. The development team was an interdisciplinary group of physical therapists, pain researchers, and VR researchers. Patients recruited from a pain clinic completed 3-5 visits each to trial the system and assessed their experiences in pre- and post-treatment questionnaires.

resultsAll 9 (100%) participants were able to use the system for 3, 4, or 5 trials each. None of the participants quit any trial due to cybersickness. All 9 (100%) participants reported interest in using the module in the future. Participants' reported average pain scores in the affected limb were not significantly different from baseline during treatment or after treatment (P=.16). We did not find a statistically significant effect on participants' self-reported average pain scores.

conclusionsWe propose that this module could be a useful starting point for modification and testing for other researchers. We share modifications to make this module usable with standalone headsets and finger tracking. Next steps include adapting this module for at-home use, or for use with participants with lower limb pain.

Indexed as

Complex Regional Pain SyndromesVirtual RealityFeasibility StudiesFeedback, SensoryHumansPilot Projectscomplex regional pain syndromeCRPSmirror visual feedbackopen sourcepainvirtual reality

Identifiers

PMID34037530
PMCPMC8190641
OpenAlexW3138284317

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.