Evidence map›Paper›PMID 40616335›Full record

Trial reportEuropean journal of pain (London, England)2025

Cluster-Randomised Controlled Trial of At-Home Virtual Reality for People With Chronic Musculoskeletal Pain on the Waiting List.

Syl Slatman, Lieke Heesink, Reinoud Achterkamp, José Broeks, Bram Lemans, Nelson Monteiro de Oliveira, Leonie Brinckate-Oolbekkink, Diede Paarlberg, Heleen Reinders-Messelink, Remko Ter Riet and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of pain (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Trial
  2. Trial
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.

Syl SlatmanBiomedical Signals and Systems Group, Faculty of Electrical Engineering, Mathematics and Computer Science, University of Twente, Enschede, the Netherlands.ORCID https://orcid.org/0000-0002-8529-310X
Lieke HeesinkHealth Technology and Services Research, Faculty of Behavioural, Management and Social Sciences, University of Twente, Enschede, the Netherlands.
Reinoud AchterkampDepartment of Chronic Pain, Roessingh Rehabilitation Center, Enschede, the Netherlands.
José BroeksDepartment of Chronic Pain, Roessingh Rehabilitation Center, Enschede, the Netherlands.
Bram LemansDepartment of Chronic Pain, Roessingh Rehabilitation Center, Enschede, the Netherlands.
Nelson Monteiro de OliveiraNocepta, Ziekenhuisgroep Twente, Hengelo, the Netherlands.
Leonie Brinckate-OolbekkinkDepartment of Pain, Deventer Ziekenhuis, Deventer, the Netherlands.
Diede PaarlbergHealth Technology and Services Research, Faculty of Behavioural, Management and Social Sciences, University of Twente, Enschede, the Netherlands.
Heleen Reinders-MesselinkRehabilitation Center "Revalidatie Friesland", Beetsterzwaag, the Netherlands.
Remko Ter RietNocepta, Ziekenhuisgroep Twente, Hengelo, the Netherlands.
Marjolein StegemanDepartment of Chronic Pain, Roessingh Rehabilitation Center, Enschede, the Netherlands.
Jesper KnoopMusculoskeletal Rehabilitation Research Group, School for Allied Health, HAN University of Applied Sciences, Nijmegen, the Netherlands.
Monique TabakBiomedical Signals and Systems Group, Faculty of Electrical Engineering, Mathematics and Computer Science, University of Twente, Enschede, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVirtual reality (VR) has been introduced as a novel intervention in chronic musculoskeletal pain (CMP) rehabilitation. However, much remains unknown about the effectiveness of VR for CMP. The aim of this study was to examine the effectiveness of VR in daily life versus no treatment for people with CMP who were on a waiting list to receive secondary pain treatment.

methodsThis study employed a cluster-randomised, controlled design. The intervention group received a novel VR application that offers pain education and pain management techniques. This home-based, stand-alone, immersive VR intervention was advised to be used daily for four weeks. The control group received no treatment. Primary outcome measure was health-related quality of life at four weeks; secondary outcome measures included various pain-related variables (e.g., pain self-efficacy). Intervention effectiveness was analysed using linear mixed models.

resultsFifty-three participants were included in this trial (mean age: 55.5 (SD: 15)) of which 70% were women. No significant between-group differences were found at four weeks on physical (mean difference (95% CI): 0.039 (-2.810 to 2.889), p = 0.978) or mental (3.590 (-1.640 to 8.819), p = 0.172) health-related quality of life or any of the secondary outcome measures. DISCUSSION: The pain education VR intervention showed no effect in improving outcomes for people with CMP who were on a waiting list, compared to a no-intervention control group. Future research should investigate for which patients, settings, and timing this VR intervention could be beneficial. SIGNIFICANCE STATEMENT: Prior research showed that VR could be beneficial for people with CMP. However, the results of this study showed that VR is ineffective as stand-alone therapy for people with CMP who were on a waiting list to receive secondary pain treatment.

Indexed as

Chronic PainMusculoskeletal PainPain ManagementVirtual RealityVirtual Reality Exposure TherapyAdultAgedFemaleHumansMaleMiddle AgedPain MeasurementQuality of LifeTreatment OutcomeWaiting Listschronic musculoskeletal pain (CMP)eHealthRCTvirtual reality (VR)

Identifiers

PMID40616335
PMCPMC12228053

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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.