Evidence map›Paper›PMID 35904872›Full record

Trial reportJournal of medical Internet research2022

Effect of Virtual Reality Hypnosis on Pain Threshold and Neurophysiological and Autonomic Biomarkers in Healthy Volunteers: Prospective Randomized Crossover Study.

Claire Terzulli, Meggane Melchior, Laurent Goffin, Sylvain Faisan, Coralie Gianesini, Denis Graff, André Dufour, Edouard Laroche, Chloé Chauvin, Pierrick Poisbeau

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07338292 (VIrtual Reality Induced Pain and anxiEty Relief in Outpatient UROlogical Procedures), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 22% 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.

NCT07338292 narecruitingnot on this mapstarted 2025, after this paper: background citation

VIrtual Reality Induced Pain and anxiEty Relief in Outpatient UROlogical Procedures: a Post-marketing Clinical Investigation of REALICA

TypeinterventionalSponsorIstituto Oncologico Veneto IRCCSRan2025 to 2026Enrolled56ConditionsUrologic Diseases, Prostate Biopsy, Flexible Cystoscopy, CircumcisionArmsREALICA, Clinical Practice
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
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  3. Article
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  5. Review
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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

10 authors at 4 institutions in 1 country.

Claire Terzulli *HypnoVR, Strasbourg, France.ORCID 0000-0002-0471-2182
Meggane Melchior *Institut des Neurosciences Cellulaires et Intégratives, Centre National de la Recherche Scientifique, University of Strasbourg, Strasbourg, France.ORCID 0000-0002-0999-7279
Laurent GoffinICube Laboratory, University of Strasbourg, Strasbourg, France.ORCID 0000-0001-8937-7979
Sylvain FaisanICube Laboratory, University of Strasbourg, Strasbourg, France.ORCID 0000-0003-3763-9425
Coralie GianesiniHypnoVR, Strasbourg, France.ORCID 0000-0002-0705-9158
Denis GraffHypnoVR, Strasbourg, France.ORCID 0000-0002-1012-6139
André DufourLaboratoire de Neurosciences Cognitives et Adaptatives, Centre National de la Recherche Scientifique, University of Strasbourg, Strasbourg, France.ORCID 0000-0002-9349-8164
Edouard Laroche *ICube Laboratory, University of Strasbourg, Strasbourg, France.ORCID 0000-0002-0607-6861
Chloé Chauvin *HypnoVR, Strasbourg, France.ORCID 0000-0003-4222-9148
Pierrick Poisbeau *Institut des Neurosciences Cellulaires et Intégratives, Centre National de la Recherche Scientifique, University of Strasbourg, Strasbourg, France.ORCID 0000-0002-6089-9201
Institut des Neurosciences Cellulaires et Intégratives · FRUniversité de Strasbourg · FRInstitute for Translational Medicine and Liver Disease · FRLaboratoire de Neurosciences Cognitives et Adaptatives · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVirtual reality hypnosis (VRH) is a promising tool to reduce pain. However, the benefits of VRH on pain perception and on the physiological expression of pain require further investigation.

objectiveIn this study, we characterized the effects of VRH on the heat pain threshold among adult healthy volunteers while monitoring several physiological and autonomic functions.

methodsSixty healthy volunteers were prospectively included to receive nociceptive stimulations. The first set of thermal stimuli consisted of 20 stimulations at 60°C (duration 500 milliseconds) to trigger contact heat evoked potentials (CHEPs). The second set of thermal stimuli consisted of ramps (1°C/second) to determine the heat pain threshold of the participants. Electrocardiogram, skin conductance responses, respiration rate, as well as the analgesia nociception index were also recorded throughout the experiment.

resultsData from 58 participants were analyzed. There was a small but significant increase in pain threshold in VRH (50.19°C, SD 1.98°C) compared to that in the control condition (mean 49.45°C, SD 1.87; P<.001, Wilcoxon matched-pairs signed-rank test; Cohen d=0.38). No significant effect of VRH on CHEPs and heart rate variability parameters was observed (all P>0.5; n=22 and n=52, respectively). During VRH, participants exhibited a clear reduction in their autonomic sympathetic tone, as shown by the lower number of nonspecific skin conductance peak responses (P<.001, two-way analysis of variance; n=39) and by an increase in the analgesia nociception index (P<.001, paired t-test; n=40).

conclusionsThe results obtained in this study support the idea that VRH administration is effective at increasing heat pain thresholds and impacts autonomic functions among healthy volunteers. As a nonpharmacological intervention, VRH has beneficial action on acute experimental heat pain. This beneficial action will need to be evaluated for the treatment of other types of pain, including chronic pain.

Indexed as

HypnosisVirtual RealityAdultBiomarkersCross-Over StudiesHumansPainPain ThresholdProspective StudiesBiomarkersanalgesiaautonomic changesheat painhypnosisnervous systempainphysiologicalthermal painvirtual reality

Identifiers

PMID35904872
PMCPMC9377475
OpenAlexW4285365916

What OpenQuestion holds

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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.