Evidence map›Paper›PMID 35536641›Full record

ReviewJMIR serious games2022

Virtual Reality Applications in Chronic Pain Management: Systematic Review and Meta-analysis.

Lisa Goudman, Julie Jansen, Maxime Billot, Nieke Vets, Ann De Smedt, Manuel Roulaud, Philippe Rigoard, Maarten Moens

3 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in JMIR serious games, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 104 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 6 pooled it
41.4field-weighted citation impact, top 1% 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.

NCT06361706 nacompletednot on this mapstarted 2023, after this paper: background citation

Desenvolupament i Avaluació de l'Experiència en Realitat Virtual en la Prova Pilot Per a Pacients Amb Dolor Crònic i Sensibilització Central Als Centres d'Atenció Primària de Badalona Serveis Assistencials

TypeinterventionalSponsorBadalona Serveis AssistencialsRan2023 to 2026Enrolled128ConditionsChronic Pain, Central SensitizationArmsVR-Enhanced Psychoeducational Program for Chronic Pain
NCT07630350 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Use of Virtual Reality in Outpatient Management of Pediatric Chronic Pain of Head, Neck and Upper Extremity

TypeinterventionalSponsorElizabeth PickleRan2026 to 2027Enrolled20ConditionsChronic Pain ManagementArmsVirtual reality gaming, Physical therapy exercises
NCT07777679 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Randomized Controlled Pilot Trial Evaluating Virtual Reality-Based Cognitive Behavioral Therapy (VR-CBT) as a Prehabilitation Intervention for Adult Spinal Deformity Surgery

TypeinterventionalSponsorUniversity of California, IrvineRan2026 to 2028Enrolled80ConditionsDegenerative Spine Disease, Spinal Stenosis LumbarArmsVirtual Reality-Based CBT Prehabilitation (VR-CBT), CBT Prehabilitation without Virtual Reality
3 · Its place in the literature

Who cites it

104 citing papers in PubMed, 6 syntheses or guidelines pooled it, 204 citations in OpenAlex.

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44 more citing papers are in PubMed but not listed here.

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

8 authors at 3 institutions in 2 countries.

Lisa Goudman *Department of Neurosurgery, Universitair Ziekenhuis Brussel, Jette, Belgium.ORCID https://orcid.org/0000-0002-2271-9855
Julie Jansen *Department of Neurosurgery, Universitair Ziekenhuis Brussel, Jette, Belgium.ORCID https://orcid.org/0000-0002-4578-3665
Maxime BillotPRISMATICS, Poitiers University Hospital, Poitiers, France.ORCID https://orcid.org/0000-0003-0979-2182
Nieke VetsDepartment of Neurosurgery, Universitair Ziekenhuis Brussel, Jette, Belgium.ORCID https://orcid.org/0000-0003-3983-6756
Ann De SmedtSTIMULUS, Vrije Universiteit Brussel, Jette, Belgium.ORCID https://orcid.org/0000-0003-0252-0600
Manuel RoulaudPRISMATICS, Poitiers University Hospital, Poitiers, France.ORCID https://orcid.org/0000-0003-3348-7137
Philippe RigoardPRISMATICS, Poitiers University Hospital, Poitiers, France.ORCID https://orcid.org/0000-0001-9432-5807
Maarten MoensDepartment of Neurosurgery, Universitair Ziekenhuis Brussel, Jette, Belgium.ORCID https://orcid.org/0000-0003-0577-5449
Vrije Universiteit Brussel · BEUniversité de Poitiers · FRInstitut Pprime · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVirtual reality (VR) is a computer technology that immerses a user in a completely different reality. The application of VR in acute pain settings is well established. However, in chronic pain, the applications and outcome parameters influenced by VR are less clear.

objectiveThis review aimed to systematically identify all outcome parameters that are reported in relation to VR in patients with chronic pain.

methodsA total of 4 electronic databases (PubMed, Scopus, Web of Science, and Embase) were searched for relevant studies. Multilevel random-effect meta-analyses were performed, whereby the standardized mean difference was chosen as the effect size to denote the difference between measurements before and after a VR intervention.

resultsThe initial database search identified 1430 studies, of which 41 (2.87%) were eventually included in the systematic review. Evidence has been found for the effects of VR on pain, functioning, mobility, functional capacity, psychological outcomes, quality of life, neuropsychological outcomes, and physical sensations. The overall effect size (a total of 194 effect sizes from 25 studies) based on a three level meta-analysis was estimated at 1.22 (95% CI 0.55-1.89; z=3.56; P<.001), in favor of improvements after a VR intervention. When categorizing effect sizes, the overall effect sizes were reported as follows: 1.60 (95% CI 0.83-2.36; z=4.09; P<.001) for the effect of VR on pain (n=31), 1.40 (95% CI 0.13-2.67; z=2.17; P=.03) for functioning (n=60), 0.49 (95% CI -0.71 to 1.68; z=0.80; P=.42) for mobility (n=24), and 0.34 (95% CI -1.52 to 2.20; z=0.36; P=.72) for functional capacity (n=21).

conclusionsThis systematic review revealed a broad range of outcome variables influenced by an intervention of VR technology, with statistically significant pain relief and improvements in functioning. These findings indicate that VR not only has applications in acute pain management but also in chronic pain settings, whereby VR might be able to become a promising first-line intervention as complementary therapy for patients with chronic pain.

trial registrationPROSPERO International Prospective Register of Systematic Reviews CRD42021227016; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=227016.

Indexed as

chronic painclinical outcomesimmersive technologiesmobile phonemultilevel meta-analysissystematic reviewvirtual reality

Identifiers

PMID35536641
PMCPMC9131143
OpenAlexW4280498736

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.