Decreasing Pain Ratings in Chronic Arm Pain Through Changing a Virtual Body: Different Strategies for Different Pain Types

Matamala-Gomez, Marta; Gonzalez, Ana M. Diaz; Slater, Mel; Sanchez-Vives, Maria V.

doi:10.1016/j.jpain.2018.12.001

Cited by 81 publications

(63 citation statements)

References 60 publications

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“…Pain and swelling (evoked by movement) increased when viewing enlarged image, reduced when viewing shrunken image Matamala-Gomez et al [189], N = 9, PC, AL; Moseley et al [183], N = 10, AL a Percentages represent the proportion of individuals with CRPS out of the total CRPS sample who presented with abnormal performance. We reported percentages where available; in other cases, we presented group effects.…”

Section: Visual Perceptionmentioning

confidence: 99%

Neuropsychological Changes in Complex Regional Pain Syndrome (CRPS)

Halicka

Vitterso

Proulx

et al. 2020

Behavioural Neurology

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Complex Regional Pain Syndrome (CRPS) is a poorly understood chronic pain condition of multifactorial origin. CRPS involves sensory, motor, and autonomic symptoms primarily affecting one extremity. Patients can also present with neuropsychological changes such as reduced attention to the CRPS-affected extremity, reminiscent of hemispatial neglect, yet in the absence of any brain lesions. However, this “neglect-like” framework is not sufficient to characterise the range of higher cognitive functions that can be altered in CRPS. This comprehensive literature review synthesises evidence of neuropsychological changes in CRPS in the context of potential central mechanisms of the disorder. The affected neuropsychological functions constitute three distinct but not independent groups: distorted body representation, deficits in lateralised spatial cognition, and impairment of non-spatially-lateralised higher cognitive functions. We suggest that many of these symptoms appear to be consistent with a broader disruption to parietal function beyond merely what could be considered “neglect-like.” Moreover, the extent of neuropsychological symptoms might be related to the clinical signs of CRPS, and rehabilitation methods that target the neuropsychological changes can improve clinical outcomes in CRPS and other chronic pain conditions. Based on the limitations and gaps in the reviewed literature, we provide several suggestions to improve further research on neuropsychological changes in chronic pain.

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Section: Visual Perceptionmentioning

confidence: 99%

Neuropsychological Changes in Complex Regional Pain Syndrome (CRPS)

Halicka

Vitterso

Proulx

et al. 2020

Behavioural Neurology

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“…In this regard, the development of new augmented or VR systems, as well as the use of new 360° videos, through which it is possible to induce embodiment of a full virtual body observed from a first-person perspective (Maselli and Slater, 2013;Aitamurto et al, 2018), and the manipulation of morphological Frontiers in Psychology | www.frontiersin.org characteristics of the represented virtual body (Kilteni et al, 2012b;Serino et al, 2019), offers a potential alternative to the traditional MVFT (Rothgangel and Bekrater-Bodmann, 2019). In this line, a large number of studies have demonstrated that by changing the morphological characteristics of the represented body in VR, it is possible to modulate pain perception in healthy and clinical populations (Matamala-Gomez et al, 2019, 2020 and to improve motor performance in patients with stroke (Ambron et al, 2018). Hence, new VR or 360° video systems offer the possibility to fully reproduce the distorted internal representation of the affected body part while feeling embodied in a full virtual body before starting the rehabilitation process.…”

Section: Cross-modal Illusions In Neurorehabilitation: Mirror Therapymentioning

confidence: 99%

Changing Body Representation Through Full Body Ownership Illusions Might Foster Motor Rehabilitation Outcome in Patients With Stroke

et al. 2020

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How our brain represents our body through the integration of internal and external sensory information so that we can interact with our surrounding environment has become a matter of interest especially in the field of neurorehabilitation. In this regard, there is an increasing interest in the use of multisensory integration techniques-such as the use of body ownership illusions-to modulate distorted body representations after brain damage. In particular, cross-modal illusions such as mirror visual feedback therapy (MVFT) have been widely used for motor rehabilitation. Despite the effectiveness of the MVFT for motor rehabilitation, there are some limitations to fully modify the distorted internal representation of the paretic limb in patients with stroke. A possible explanation for this relies on the physical limitations of the mirror in reproducing upper-limb distortions, which can result in a reduced sense of ownership of the mirrored limb. New digital technologies such as virtual reality (VR) and 360° videos allow researchers to create body ownership illusions by adapting virtual bodies so that they represent specific morphological characteristics including upper-limb distortions. In this manuscript, we present a new rehabilitation approach that employs full virtual body ownership illusions, using a 360° video system, for the assessment and modulation of the internal representation of the affected upper limb in stroke patients. We suggest modifying the internal representation of the upper limb to a normal position before starting motor rehabilitation training.

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“…Some authors used mindfulness as a non-pharmacological approach to manage participant's emotion regulation abilities and to enhance their wellbeing [43,44]. It has been demonstrated that immersive VR can be used as a powerful pain control technique to manage and modulate pain in healthy and clinical populations [72][73][74][75]. This is in line with the study conducted by Tong et al, in which the authors found that the use of an immersive VR combined with a biofeedback system, can be a helpful approach for managing chronic pain on a long-term scale [43].…”

Section: Discussionmentioning

confidence: 99%

The Benefits of emotion Regulation Interventions in Virtual Reality for the Improvement of Wellbeing in Adults and Older Adults: A Systematic Review

Montana

Matamala-Gomez

Maisto

et al. 2020

JCM

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The impact of emotion regulation interventions on wellbeing has been extensively documented in literature, although only in recent years virtual reality (VR) technologies have been incorporated in the design of such interventions, in both clinical and non-clinical settings. A systematic search, following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, was therefore carried out to explore the state of the art in emotion regulation interventions for wellbeing using virtual reality. The literature on this topic was queried, 414 papers were screened, and 11 studies were included, covering adults and older adults. Our findings offer an overview of the current use of VR technologies for the enhancement of emotion regulation (ER) and wellbeing. The results are promising and suggest that VR-based emotion regulation training can facilitate the promotion of wellbeing. An overview of VR-based training interventions is crucial for better understanding how to use these tools in the clinical settings. This review offers a critical debate on the structure of such intervention protocols. It also analyzes and highlights the crucial role played by the selection of the objective and subjective wellbeing assessment measures of said intervention protocols.

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Decreasing Pain Ratings in Chronic Arm Pain Through Changing a Virtual Body: Different Strategies for Different Pain Types

Cited by 81 publications

References 60 publications

Neuropsychological Changes in Complex Regional Pain Syndrome (CRPS)

Neuropsychological Changes in Complex Regional Pain Syndrome (CRPS)

Changing Body Representation Through Full Body Ownership Illusions Might Foster Motor Rehabilitation Outcome in Patients With Stroke

The Benefits of emotion Regulation Interventions in Virtual Reality for the Improvement of Wellbeing in Adults and Older Adults: A Systematic Review

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