Evidence map›Paper›PMID 41438885›Full record

Trial reportFrontiers in neurology2025

Sustained symptom reduction in complex regional pain syndrome with a novel home-based virtual reality program: a pilot study.

Miles R Fontenot, Michele Curatolo, Brett R Stacey, Herta Flor, Hunter G Hoffman

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05888142 (Exploring the Role of Immersive Virtual Reality in Managing Upper-limb Complex Regional Pain Syndrome in Adults), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT05888142 nacompletednot on this map

Exploring the Role of Immersive Virtual Reality in Managing Upper-limb Complex Regional Pain Syndrome in Adults

TypeinterventionalSponsorUniversity of WashingtonRan2022 to 2024Enrolled7ConditionsPain, ChronicArmsin clinic pain VR reduction exercises, In clinic VRpain reduction exercises + VR homeworks
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

5 authors.

Miles R FontenotDepartment of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, United States.
Michele CuratoloDepartment of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, United States.
Brett R StaceyDepartment of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, United States.
Herta FlorDepartment of Cognitive and Clinical Neuroscience, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Hunter G HoffmanHuman Photonics Lab, Mechanical Engineering, Center for Human Neuroscience, Department of Psychology, University of Washington, Seattle, WA, United States.

Funding

UW Core Center for Clinical Research of Musculoskeletal ConditionsP30AR072572 · NIAMS · UNIVERSITY OF WASHINGTON · PI JEFFREY G JARVIK, Pradeep Suri · 2017 to 2026
$8.3M
NIAMS NIH HHS P30 AR072572
6 · The paper itself

Abstract

Background: Complex regional pain syndrome (CRPS) often leads to limb disuse, pain catastrophizing, and depression. While physical movement of CRPS affected limbs is essential for improvement, pain discourages movement. Home-based virtual reality (VR) interventions may reduce movement-related pain, improve adherence, and promote sustained symptom reduction. Methods: In this exploratory pilot study, seven patients with CRPS completed a 4-month home-based VR program integrating three treatment modules (1) embodied cyberhands VR physical movement treatment, (2) VR-mindfulness-based-stress-reduction, and (3) VR-pain-neuroscience-education. The primary outcomes were patient-reported global impressions of change in CRPS-related pain and physical ability. Secondary outcomes included central sensitization, cold sensitivity, depression, pain catastrophizing, and upper-limb function. Results: On the primary outcome global impression of change measures, six of seven patients reported sustained improvement in CRPS-related pain and physical ability, with three reporting being "much" or "very much" improved at 4 months. Gains were maintained at 1-year follow-up. Secondary outcomes showed significant improvements at 4 months: central sensitization (CSI: 46.7 ± 11.97 to 38.4 ± 11.53), cold pain threshold (27.12 °C ± 3.89 to 24.56 °C ± 5.56), depression (CES-D: 23.0 ± 11.27 to 15.6 ± 8.85), pain catastrophizing (PCS: 24.3 ± 11.06 to 15.1 ± 9.67), and upper-limb function (QuickDASH: 47.7 ± 20.43 to 34.8 ± 17.47). Improvements were sustained at 1-year follow-up. No serious adverse events occurred, and study adherence was 100%. Conclusion: Results provide preliminary evidence that a home-based VR program may produce sustained improvements in CRPS-related pain, physical ability, and associated symptoms. Larger randomized controlled trials are recommended. Clinical trial registration: The study was registered on September 21, 2024, with the identifier number NCT05888142.

Indexed as

central sensitizationcomplex regional pain syndromehome-based therapypain catastrophizingself-managementvirtual reality

Identifiers

PMID41438885
PMCPMC12719471

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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.