Effects of Nintendo Ring Fit Adventure Exergame on Pain and Psychological Factors in Patients with Chronic Low Back Pain

Sato, Takashi; Shimizu, Keisuke; Shiko, Yuki; Kawasaki, Yohei; Orita, Sumihisa; Inage, Kazuhide; Shiga, Yasuhiro; Suzuki, Masahiro; Sato, Masashi; Enomoto, Kazuyuki; Takaoka, Hiromitsu; Mizuki, Norichika; Kim, Geundong; Hozumi, Takashi; Tsuchiya, Ryuto; Otagiri, Takuma; Mukaihata, Tomohito; Furuya, Takeo; Maki, Satoshi; Nakamura, Junichi; Hagiwara, Shigeo; Aoki, Yasuchika; Koda, Masao; Akazawa, Tsutomu; Takahashi, Hiroshi; Takahashi, Kazuhisa; Ohtori, Seiji; Eguchi, Yawara

doi:10.1089/g4h.2020.0180

Cited by 34 publications

(45 citation statements)

References 31 publications

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“…Six studies were conducted in South Korea [26][27][28][29][30][31], one in Brazil [32], one in the USA [33], one in Australia [7], three in Saudi Arabia [34][35][36], one in Turkey [37], and one in Japan [38]. The total number of participants was 765.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…All studies measured pain intensity. It was measured using VAS in nine studies [26][27][28][29]31,[34][35][36]38], 11-point Numeric Pain Rating Scale (11-NPRS) in four studies [7,30,32,37], and The Defense and Veterans Pain Rating Scale (DVPRS) in one study [33]. Four studies measured disability associated with low back pain using the Oswestry Disability Index (ODI) [29][30][31]37], four studies measured kinesiophobia using the 17-item Tampa Scale of Kinesiophobia (17-TSK) [7,35,36,38], and four studies measured body composition using bioelectrical impedance analysis method [27,28,31,38].…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…It was measured using VAS in nine studies [26][27][28][29]31,[34][35][36]38], 11-point Numeric Pain Rating Scale (11-NPRS) in four studies [7,30,32,37], and The Defense and Veterans Pain Rating Scale (DVPRS) in one study [33]. Four studies measured disability associated with low back pain using the Oswestry Disability Index (ODI) [29][30][31]37], four studies measured kinesiophobia using the 17-item Tampa Scale of Kinesiophobia (17-TSK) [7,35,36,38], and four studies measured body composition using bioelectrical impedance analysis method [27,28,31,38]. Other variables assessed more frequently were severity of disability with Roland Morris Disability Questionnaire (RMDQ) in two studies [7,30], isokinetic trunk flexion/extension with a dynamometer in three studies [27,28,31], pain self-efficacy with the 10-item Pain Self-Efficacy (10-PSEQ) in two studies [7,38], pain catastrophizing with Pain Catastrophizing Scale (PCS) in two studies [33,38], and blood serum levels of stress hormones in two studies [35,36].…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Characteristics of the interventions of the included studies are described in Table 2. Regarding the interventions, three studies compared VR with no intervention [7,27,28], two studies with a placebo [31,33], and other study with oral treatment (Nonsteroidal Anti-Inflammatory Drugs (NSAIDs), tramadol, and duloxetine) [38]. In two studies, comparisons consisted of VR versus physiotherapy [30,37].…”

Section: Characteristics Of Interventionsmentioning

confidence: 99%

“…Four of the fourteen studies used Nintendo programs and consoles [7,26,32,38], whereas three studies used other types of video games with sensors and a monitor (Prokin System) [34][35][36]. Five studies used a horse simulator riding [27][28][29][30][31].…”

Section: Characteristics Of Interventionsmentioning

confidence: 99%

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Virtual Reality in the Treatment of Adults with Chronic Low Back Pain: A Systematic Review and Meta-Analysis of Randomized Clinical Trials

Brea-Gómez

Torres‐Sánchez

Ortíz‐Rubio

et al. 2021

IJERPH

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Virtual reality (VR) can present advantages in the treatment of chronic low back pain. The objective of this systematic review and meta-analysis was to analyze the effectiveness of VR in chronic low back pain. This review was designed according to PRISMA and registered in PROSPERO (CRD42020222129). Four databases (PubMed, Cinahl, Scopus, Web of Science) were searched up to August 2021. Inclusion criteria were defined following PICOS recommendations. Methodological quality was assessed with the Downs and Black scale and the risk of bias with the Cochrane Risk of Bias Assessment Tool. Fourteen studies were included in the systematic review and eleven in the meta-analysis. Significant differences were found in favor of VR compared to no VR in pain intensity postintervention (11 trials; n = 569; SMD = −1.92; 95% CI = −2.73, −1.11; p < 0.00001) and followup (4 trials; n = 240; SDM = −6.34; 95% CI = −9.12, −3.56; p < 0.00001); and kinesiophobia postintervention (3 trials; n = 192; MD = −8.96; 95% CI = −17.52, −0.40; p = 0.04) and followup (2 trials; n = 149; MD = −12.04; 95% CI = −20.58, −3.49; p = 0.006). No significant differences were found in disability. In conclusion, VR can significantly reduce pain intensity and kinesiophobia in patients with chronic low back pain after the intervention and at followup. However, high heterogeneity exists and can influence the consistency of the results.

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