Safety and Tolerability of an Innovative Virtual Reality-Based Deep Breathing Exercise in Concussion Rehabilitation: A Pilot Study

Cook, Nathan E.; Huebschmann, Nathan A

doi:10.1080/17518423.2020.1839981

Cited by 11 publications

(11 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…To our knowledge, this is the first study to use VR with a biofeedback device to deliver an intervention that aims to train relaxation skills in children with chronic pain. Although the method has not yet been studied for chronic disease, a few studies suggest that VR is useful to teach self-regulation techniques to children and adolescents, such as deep breathing relaxation (Bossenbroek et al, 2020; Cook et al, 2021). In our study, the intervention combined VR with biofeedback in ways that are consistent with the holistic model for VR program design developed by Ahmadpour et al (2020).…”

Section: Discussionmentioning

confidence: 99%

“…Significant results in adults indicate that further research in children would be interesting (Shahrbanian et al, 2012), although none exists to date. Beyond its distractor potential, a few studies have tested the usefulness of VR in learning self-regulation techniques, such as deep breathing relaxation (Ahmadpour et al, 2020; Bossenbroek et al, 2020; Cook et al, 2021). In this study, the relevance of this tool is based on its capacity to offer an environment to practice relaxation with a biofeedback device and to master relaxation skills in increasingly difficult contexts.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Impact of virtual reality-delivered biofeedback and yoga on pediatric headaches: A pilot study.

Stassart,

Dupuis,

Bouchard

2024

Clinical Practice in Pediatric Psychology

View full text Add to dashboard Cite

Objectives: This study assessed the feasibility and acceptability of two types of innovative approaches, namely biofeedback-assisted relaxation in virtual reality ([VR]-delivered biofeedback) and yoga in the management of pediatric headaches. The secondary aim was to evaluate the preliminary efficacy of both interventions. Method: Children were randomized to three conditions: waiting list, yoga, and VR-delivered biofeedback. Feasibility was assessed by applicability to the pain problem, and acceptability by attendance (missed sessions, dropout rate) and the use of learned strategies in everyday life. Preliminary efficacy was evaluated with questionnaires: frequency of headaches, functional disabilities, pain anxiety, and pain catastrophizing. Mean scale scores postintervention and two months afterward were compared with the baseline with repeated-measures analyses of variance and contrast analyses. Results: A total of 46 children were enrolled; 39 completed the questionnaires at the baseline and participated in interventions. Regarding feasibility, the safety of the interventions seems demonstrated by the absence or infrequency of headaches during sessions. Regarding acceptability, compliance with the sessions was excellent for VR-delivered biofeedback condition and satisfactory for yoga. Most of the children reported using the strategies learned in daily life, even after the interventions. Regarding efficacy, participants reported significantly fewer headaches and functional disabilities postintervention and 2 months later. Minimal or no effects were observed on pain anxiety and pain catastrophizing. Conclusion: This pilot study indicates that VR-delivered biofeedback and yoga exercises may be feasible and acceptable interventions for the treatment of pediatric headaches. Implications for Impact StatementThis study evaluates the feasibility and preliminary efficacy of two innovative interventions for pediatric headaches: virtual reality-delivered biofeedback and yoga exercises. The findings indicate that these interventions are feasible and applicable (good attendance, limited or no discomfort, and positive evaluation) and show preliminary efficacy (improvements in frequency of headaches and functional disabilities).This article was published Online First April 18, 2024. Céline Stassart https://orcid.org/0000-0002-4189-8107This work was supported by funding from the University of Liège. Stéphane Bouchard is the president of and owns equity in Cliniques et Développement In Virtuo, a university spinoff that distributes virtual environments. The terms of this arrangement have been reviewed and approved by the Université du Québec en Outaouais in accordance with its conflict of interest policies. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. Gilles Dupuis and Stéphane Bouchard contributed equally to this work. Our article contained in this submission has not been published elsewher...

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Impact of virtual reality-delivered biofeedback and yoga on pediatric headaches: A pilot study.

Stassart,

Dupuis,

Bouchard

2024

Clinical Practice in Pediatric Psychology

View full text Add to dashboard Cite

show abstract

“…Cuando se midió el impacto del entrenamiento muscular respiratorio combinando enfermedades respiratorias crónicas como fibrosis quística, bronquiolitis obliterante postinfecciosa, bronquiectasias, asma, neuromusculares (distrofia muscular de Duchenne, atrofia muscular espinal, mielomeningocele, distrofia muscular facioescapulohumeral, distrofia muscular de Becker, miopatía de Bethlem, miopatía congénita, enfermedad de Charcot-Marie-Tooth y síndrome de Guillain Barre) y otras condiciones crónicas que se asocian a alteraciones ventilatorias (síndrome de apnea del sueño, obesidad, escoliosis severa, enfermedad cardiaca y renal) se reportaron resultados provechosos sobre la función pulmonar, la fuerza de músculos inspiratorios y espiratorios, el estrés, la fatiga, disnea, capacidad funcional, frecuencia respiratoria y saturación de oxígeno (SpO2) (Molsberger et al, 2014;Rodríguez et al, 2014;Lilik Lestari et al, 2019;Torres et al, 2019;Cook et al, 2021) (NE: 3; GR: D) (Carbonera et al, 2020) (NE: 1+; GR: B).…”

Section: Entrenamiento Muscular Respiratorio En El Paciente Pediátric...unclassified

“…In the physiotherapy group, exercises (isometric training of the abdominal muscles, diaphragmatic breathing exercises and abdominal massage (NE: 1+; GR: B). El entrenamiento ventilatorio o respiratorio que puede ser usada aisladamente en pacientes con asma para para mejorar síntomas respiratorios, fomentar el uso del tórax, el diafragma, para mejorar el intercambio gaseoso, sin efectos sobre la fuerza muscular respiratoria (Misra, 2016;Sankar & Das, 2018;Cook et al, 2021) (NE: 3; GR: D). Finalmente, en paciente con posoperatorio de trasplante pulmonar se propone el uso de dispositivos de umbral (POWERbreathe) con una carga de 30% del PIM dos veces al día durante 2 meses (Yamaga et al, 2021).…”

Section: Entrenamiento Muscular Respiratorio En El Paciente Pediátric...unclassified

Entrenamiento muscular respiratorio en el paciente pediátrico con enfermedad respiratoria crónica

Pereira Rodríguez,

Curvelo Celedón

2023

Mov. cient.

View full text Add to dashboard Cite

Introducción: Los niños con enfermedades respiratorias crónicas se caracterizan por presentar síntomas respiratorios permanentes que ocasionan compromiso pulmonar, debilidad de los músculos respiratorios y periféricos, para lo cual reciben un tratamiento integral que incluye el entrenamiento muscular respiratorio. Objetivo: Analizar los efectos del entrenamiento muscular respiratorio en el paciente pediátrico con enfermedad respiratoria crónica por medio de una revisión de la literatura publicada entre 2010 y 2021. Materiales y métodos: Revisión integrativa de la literatura, en la que se analizó literatura sobre efectos fisiológicos del entrenamiento muscular respiratorio, herramientas de evaluación de la fuerza respiratoria, métodos de entrenamiento y parámetros para prescribir las cargas de trabajo. Los estudios se identificaron y seleccionaron mediante las recomendaciones de la Declaración de PRISMA, además, se valoró el nivel de evidencia y el grado de recomendación de los estudios incluidos a través de la Escala Scottish Intercollegiate Guidelines Network (SIGN). Resultados: El entrenamiento muscular respiratorio ha mostrado ser beneficioso sobre la fuerza muscular respiratoria en pacientes pediátricos con asma, bronquiectasias y enfermedad neuromuscular, sin embargo, en paciente con fibrosis quística la literatura analizada no es concluyente para apoyar o rechazar los efectos de esta estrategia terapéutica. Conclusión: El entrenamiento muscular respiratorio debe ser individualizado en pacientes pediátricos con enfermedad respiratoria crónica de tipo intra o extrapulmonar, por lo que se requiere una evaluación integral que incluya la valoración de la fuerza y la resistencia muscular ventilatoria para prescribir el entrenamiento

show abstract

“…Recent advances in virtual reality (VR) technology have increased our ability to standardize particular examinations and increase user enjoyment. 8,25 Moreover, numerous VR systems can track the eyes during stimuli presentation, 1,2 which can enhance the objectivity of subjective symptom report examinations. Assessments of the oculomotor function appear to be a promising direction for the early diagnosis of SRC 14,31,33 and may be promising tools to aid in the pursuit of rehabilitation services.…”

mentioning

confidence: 99%

Virtual Reality Application for Vestibular/Ocular Motor Screening: Current Clinical Protocol Versus a Novel Prototype

Pavilionis

Adhanom

Moran

et al. 2023

Sports Health: A Multidisciplinary Approach

View full text Add to dashboard Cite

Background: Virtual reality (VR) has been explored to improve baseline and postinjury assessments in sport-related concussion (SRC). Some experience symptoms related to VR, unrelated to concussion. This may deter use of vestibular/ocular motor screening (VOMS) using VR. Baseline VR VOMS symptomatology differentiates baseline from overall symptomatology. Hypothesis: There will be no difference between current clinical manual VOMS (MAN), a clinical prototype (PRO), and VR for symptom provocation change score (SPCS) and near point of convergence (NPC) average score in a healthy population and sex differences among the 3 modes of administration. Study Design: Cohort study. Level of Evidence: Level 3. Methods: A total of 688 National Collegiate Athletic Association Division I student-athletes completed VOMS using 3 methods (MAN, N = 111; female athletes, N = 47; male athletes, N = 64; average age, 21 years; PRO, N = 365; female athletes, N = 154; male athletes, N = 211; average age, 21 years; VR, N = 212; female athletes, N = 78; male athletes, N = 134; average age = 20 years) over a 3-year period (2019-2021) during annual baseline testing. Exclusion criteria were as follows: self-reported motion sickness in the past 6 months, existing or previous neurological insult, attention deficit hyperactivity disorder, learning disabilities, or noncorrected vision impairment. Administration of MAN followed the current clinical protocols, PRO used a novel prototype, and VR used an HTC Vive Pro Eye head mounted display. Symptom provocation was compared using Mann-Whitney U tests across each VOMS subtest with total SPCS and NPC average by each method. Results: MAN had significantly ( P < 0.01) more baseline SPCS (MAN = 0.466 ± 1.165, PRO = 0.163 ± 0.644, VR = 0.161 ± 0.933) and significantly ( P < 0.01) and more SPCS (MAN = 0.396 ± 1.081, PRO = 0.128 ± 0.427, VR = 0.48 ± 0.845) when compared with PRO and VR. NPC average measurements for VR (average, 2.99 ± 0.684 cm) were significantly greater than MAN (average, 2.91 ± 3.35 cm; P < 0.01; Cohen’s d = 0.03) and PRO (average, 2.21 ± 1.81 cm; P < 0.01; Cohen’s d = 0.57). For sex differences, female athletes reported greater SPCS with PRO (female athletes, 0.29 ± 0.87; male athletes, 0.06 ± 0.29; P < 0.01) but not in VR or MAN. Conclusion: Using a VR system to administer the VOMS may not elicit additional symptoms, resulting in fewer false positives and is somewhat stable between sexes. Clinical Relevance: VOMS may allow for standardization among administrators and reduce possible false positives.

show abstract

Safety and Tolerability of an Innovative Virtual Reality-Based Deep Breathing Exercise in Concussion Rehabilitation: A Pilot Study

Cited by 11 publications

References 46 publications

Impact of virtual reality-delivered biofeedback and yoga on pediatric headaches: A pilot study.

Impact of virtual reality-delivered biofeedback and yoga on pediatric headaches: A pilot study.

Entrenamiento muscular respiratorio en el paciente pediátrico con enfermedad respiratoria crónica

Virtual Reality Application for Vestibular/Ocular Motor Screening: Current Clinical Protocol Versus a Novel Prototype

Contact Info

Product

Resources

About