Evidence map›Paper›PMID 38363591›Full record

ArticleJMIR formative research2024

Effects of Embodiment in Virtual Reality for Treatment of Chronic Pain: Pilot Open-Label Study.

Adam Saby, Anthony Alvarez, David Smolins, James Petros, Lincoln Nguyen, Michael Trujillo, Oytun Aygün

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04060875 (Research Protocol for Karuna Labs Inc.), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 16% 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.

NCT04060875 completednot on this map

Research Protocol for Karuna Labs Inc.: Safety and Efficacy of Virtual Reality Graded Motor Imagery for Chronic Pain

TypeobservationalSponsorKaruna Labs Inc.Ran2017 to 2021Enrolled24ConditionsChronic Pain, Low Back Pain, Fibromyalgia, Upper Extremity DysfunctionArmsKaruna Labs Virtual Reality Software
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. 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 5 institutions in 1 country.

Adam Saby *Department of Emergency Medicine, Occupational Health Division, University of California Los Angeles, Los Angeles, CA, United States.ORCID https://orcid.org/0000-0003-3213-2043
Anthony AlvarezKaruna Labs, San Francisco, CA, United States.ORCID https://orcid.org/0000-0003-4006-1345
David SmolinsRemedy Medical Group, San Mateo, CA, United States.ORCID https://orcid.org/0009-0005-1247-0047
James PetrosAllied Pain and Spine, San Jose, CA, United States.ORCID https://orcid.org/0009-0004-8235-1118
Lincoln NguyenKaruna Labs, San Francisco, CA, United States.ORCID https://orcid.org/0009-0001-6890-5135
Michael TrujilloKaruna Labs, San Francisco, CA, United States.ORCID https://orcid.org/0000-0001-6939-9388
Oytun AygünKaruna Labs, New York, NY, United States.ORCID https://orcid.org/0000-0002-4909-8876
Laguna Research · USDigiLens (United States) · USInternational Spine, Pain & Performance · USSan Mateo Medical Center · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic pain has long been a major health burden that has been addressed through numerous forms of pharmacological and nonpharmacological treatment. One of the tenets of modern medicine is to minimize risk while providing efficacy. Further, because of its noninvasive nature, virtual reality (VR) provides an attractive platform for potentially developing novel therapeutic modalities.

objectiveThe purpose of this study was to determine the feasibility of a novel VR-based digital therapy for the treatment of chronic pain.

methodsAn open-label study assessed the feasibility of using virtual embodiment in VR to treat chronic pain. In total, 24 patients with chronic pain were recruited from local pain clinics and completed 8 sessions of a novel digital therapeutic that combines virtual embodiment with graded motor imagery to deliver functional rehabilitation exercises over the course of 4 weeks. Pain intensity as measured by a visual analog scale before and after each virtual embodiment training session was used as the primary outcome measure. Additionally, a battery of patient-reported pain questionnaires (Fear-Avoidance Beliefs Questionnaire, Oswestry Low Back Pain Disability Questionnaire, Pain Catastrophizing Scale, and Patient Health Questionnaire) were administered before and after 8 sessions of virtual embodiment training as exploratory outcome measures to assess if the measures are appropriate and warrant a larger randomized controlled trial.

resultsA 2-way ANOVA on session × pre- versus postvirtual embodiment training revealed that individual virtual embodiment training sessions significantly reduced the intensity of pain as measured by the visual analog scale (P<.001). Perceived disability due to lower back pain as measured by the Oswestry Low Back Pain Disability Questionnaire significantly improved (P=.003) over the 4-week course of virtual embodiment regimen. Improvement was also observed on the helplessness subscale of the Pain Catastrophizing Scale (P=.02).

conclusionsThis study provides evidence that functional rehabilitation exercises delivered in VR are safe and may have positive effects on alleviating the symptoms of chronic pain. Additionally, the virtual embodiment intervention may improve perceived disability and helplessness of patients with chronic pain after 8 sessions. The results support the justification for a larger randomized controlled trial to assess the extent to which virtual embodiment training can exert an effect on symptoms associated with chronic pain.

trial registrationClinicalTrials.gov NCT04060875; https://clinicaltrials.gov/ct2/show/NCT04060875.

Indexed as

centralized painchronic paindicentralized paindigital therapeuticsFear-Avoidance Beliefs QuestionnaireOswestryOswestry Low Back Pain Disability QuestionnairepainPain Catastrophizing ScalePatient Health Questionnairerehabilitationsensorimotorvirtual realityvisual analog scale

Identifiers

PMID38363591
PMCPMC10907942
OpenAlexW4386929303

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.