Evidence map›Paper›PMID 41023719›Full record

Trial reportJournal of neuroengineering and rehabilitation2025

Analgesic effects and neural oscillatory mechanisms of music-synchronized virtual reality intervention.

Qi-Hao Yang, Shu-Hao Du, Le Tang, Yong-Hui Zhang, Xue-Qiang Wang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of neuroengineering and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Qi-Hao YangDepartment of Rehabilitation Medicine, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325027, Zhejiang, China.
Shu-Hao DuSchool of Smart Health Care (School of Health & Medical), Zhejiang Dongfang Polytechnic, Wenzhou, Zhejiang, China.
Le TangShuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Yong-Hui ZhangDepartment of Rehabilitation Medicine, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325027, Zhejiang, China.
Xue-Qiang WangDepartment of Rehabilitation Medicine, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325027, Zhejiang, China. wangxueqiang@wmu.edu.cn.

Funding

High-Level Innovation Team of the "Ou-Yue Talent Program" funded by the Wenzhou Science and Technology Bureau 2024R2003National Key R&D Program of China 2024YFC3607600National Natural Science Foundation of China 82372578Yunnan Provincial Major Science and Technology Project 202502AS100005
6 · The paper itself

Abstract

Chronic pain affects over 30% of the global population, yet non-pharmacological interventions with clear neurophysiological mechanisms remain limited. While virtual reality (VR) and music therapy independently show promise in pain management, the neural oscillatory underpinnings of rhythm-synchronized audiomotor integration in VR therapy remain poorly understood. This study aimed to investigate whether music-synchronized virtual reality (MSVR) enhances analgesia through distinct neural mechanisms compared to conventional distraction-based VR or non-immersive interventions. 90 healthy adults (45 female, 22 ± 2 years) were randomized to a single session of: (1) MSVR (rhythm-synchronized visuomotor tasks with music), (2) conventional VR (identical tasks with white noise), or (3) non-immersive 2D control. Pressure pain thresholds (PPT) were measured at five movement-generating muscle sites. Conditioned pain modulation (CPM) efficiency was assessed using PPT and cold-water stimulation. 64-channel EEG recorded theta, alpha, beta, and gamma oscillations. Outcomes included PPT changes, CPM efficiency, cold pain intensity/unpleasantness, and neural spectral power. MSVR significantly increased PPTs across all sites (15-25% vs. control, P < 0.001; superior to VR in upper limbs, P < 0.05) and enhanced CPM efficiency by 18% (vs. control, P = 0.010; vs. VR, P = 0.046). Cold pain intensity decreased by 22% with MSVR (P < 0.05 vs. both groups). MSVR uniquely enhanced parietal alpha oscillations during and post-intervention (P = 0.001). MSVR also induced greater immersion and realism than VR (P < 0.001). MSVR significantly enhances endogenous pain inhibition and elevates pain thresholds more effectively than conventional VR or 2D interventions, primarily through rhythmic audiomotor integration modulating parietal alpha-oscillation modulation. These findings suggest MSVR as a scalable digital therapeutic strategy for pain management.

Indexed as

Chronic PainMusicMusic TherapyPain ManagementVirtual RealityVirtual Reality Exposure TherapyAdultElectroencephalographyFemaleHumansMalePain ThresholdYoung AdultAnalgesiaDigital healthcareElectroencephalographyMusic therapyVirtual reality

Identifiers

PMID41023719
PMCPMC12482736

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.