Use of Virtual Reality for Adjunctive Treatment of Adult Burn Pain During Physical Therapy: A Controlled Study

Hoffman, Hunter G.; Patterson, David R.; Carrougher, Gretchen J.

doi:10.1097/00002508-200009000-00010

Cited by 341 publications

(230 citation statements)

References 27 publications

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“…Alternative video material (e.g., sports, comedy) should be available to decrease habituation effects. Next, evidence suggests that video and VR presentations for pain should fully engage the patient by stimulating visual, auditory and tactical senses (Hoffman et al, 2000). Presentations should be designed based on patient characteristics such as age, gender, and ethnicity.…”

Section: Discussionmentioning

confidence: 99%

“…Environments that combine visual and audio stimuli may be more effective in decreasing pain. Hoffman, Patterson, and Carrougher (2000) conducted one of the first controlled investigations testing the efficacy of VR as a method of pain relief in burn patients undergoing physical therapy. VR produced significant decreases in pain intensity, pain unpleasantness, and time spent thinking about pain.…”

Section: Video and Virtual Reality Environmentsmentioning

confidence: 99%

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Pain in its environmental context: Implications for designing environments to enhance pain control

Malenbaum

Keefe

Williams

et al. 2008

Pain

136

102

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There has recently been heightened recognition that environmental factors can influence pain. Clinicians involved in delivering multidisciplinary pain programs often structure the social environment of their treatment settings to help promote adaptive responses to pain. Recent theories of pain (e.g. Craig, 2003, Melzack, 1999, Fields & Basbaum, 1999 highlight the role that sensory stimuli from the environment can play in influencing the pain experience.Despite the awareness if the environment's influence on pain, patients with pain continue to be treated in settings that are devoid of distracting stimuli. The typical treatment room is painted white, lacking decoration, sparsely furnished, and windowless. Patient's auditory stimuli may range from the noise generated by overhead lighting to urgent, loud paging requests, to sounds of other patients suffering. The visual and sensory settings in which we usually treat pain patients probably do little to relieve pain and may exacerbate pain. This paper considers the influence of environmental stimuli including light, nature scenes and sounds, and video and virtual reality (VR) stimuli on pain and examines the implications for designing pain treatment environments to enhance pain control. Literature Review LightLight is an integral part of any building and can vary according to time of day, location of the structure, window number and style, and numerous other structural and environmental elements. Light influences people in the building and available evidence suggests that exposure to light has implications for pain experiences. Walch et al. (2005) recently conducted a prospective study testing the effects of exposure to sunlight on pain medication in 89 patients who had undergone spine surgery. Patients were randomly assigned to a bright or dim room in the hospital. Bright rooms were exposed to 46% more natural light than dim rooms. Patients in the bright rooms required 22% less opioidequivalent analgesic medications which resulted in 21% decrease in medication costs. Bright room patients reported significantly greater decreases in stress and marginally significant decreases in pain. The fact that recovering in a room with more natural light lowered medication intake is noteworthy, particularly since lower medication intake is associated with fewer side effects and lower costs.Exposure to light may enhance recovery from painful medical conditions. Beauchemin and Hays (1998) conducted a retrospective study that examined the impact of natural light exposure Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers

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Section: Discussionmentioning

confidence: 99%

Section: Video and Virtual Reality Environmentsmentioning

confidence: 99%

Pain in its environmental context: Implications for designing environments to enhance pain control

Malenbaum

Keefe

Williams

et al. 2008

Pain

136

102

View full text Add to dashboard Cite

show abstract

“…[2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] It appears that VR may change how the brain physically registers pain, not just the perception of pain stimuli. 2 An interesting study showed that 86% of patients undergoing wound care from a burn injury reported severe to excruciating pain even with therapeutic levels of opioids.…”

mentioning

confidence: 99%

“…2 An interesting study showed that 86% of patients undergoing wound care from a burn injury reported severe to excruciating pain even with therapeutic levels of opioids. 3 The challenges of treating severe pain confront clinicians daily. The search for adjunctive techniques has led to a number of studies where pharmacological agents are combined with behavioral modification approaches.…”

mentioning

confidence: 99%

Virtual Reality as a Distraction Technique in Chronic Pain Patients

Wiederhold

Gao²,

Sulea³

et al. 2014

Cyberpsychology, Behavior, and Social Networking

160

112

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We explored the use of virtual reality distraction techniques for use as adjunctive therapy to treat chronic pain. Virtual environments were specifically created to provide pleasant and engaging experiences where patients navigated on their own through rich and varied simulated worlds. Real-time physiological monitoring was used as a guide to determine the effectiveness and sustainability of this intervention. Human factors studies showed that virtual navigation is a safe and effective method for use with chronic pain patients. Chronic pain patients demonstrated significant relief in subjective ratings of pain that corresponded to objective measurements in peripheral, noninvasive physiological measures.

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“…In the context of burn patients, this virtual world is called SnowWorld, specially created to counter sensations most commonly caused by a burn injury. In some studies, virtual reality used as a technique of distraction during procedures was effective in reducing the intensity of pain in burn patients 55,56 .…”

Section: Non-pharmacological Treatmentmentioning

confidence: 99%

Tratamento da dor em queimados

Castro

Leal

Sakata

2013

Rev. Bras. Anestesiol.

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Background and objectives: Despite advances, inappropriate analgesic treatment for burn patients is still seen. The objective of this review was to collect data on pain management in burn patients. Content:We reviewed the mechanisms of pain, burn patient assessment, as well as pharmacological and non-pharmacological treatment. Conclusion: Pain management in burn patients is still a challenge for the multidisciplinary team. Frequent and continuous evaluation of the patient's response is very important due to the various stages that the hospitalized burn patient goes through, as well as a combination therapy with analgesic and non-pharmacological measures. Understanding the complexity of the pathophysiological, psychological, and biochemical changes a burn patient presents is the fi rst step to achieve success in analgesic management.

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Use of Virtual Reality for Adjunctive Treatment of Adult Burn Pain During Physical Therapy: A Controlled Study

Abstract: Results provided preliminary evidence that VR can function as a strong nonpharmacologic pain reduction technique for adult burn patients during physical therapy and potentially for other painful procedures or pain populations.

Cited by 341 publications

References 27 publications

Pain in its environmental context: Implications for designing environments to enhance pain control

Pain in its environmental context: Implications for designing environments to enhance pain control

Virtual Reality as a Distraction Technique in Chronic Pain Patients

Tratamento da dor em queimados

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