Virtual reality intervention as a support method during wound care and rehabilitation after burns: A systematic review and meta-analysis

Czech, Oliver; Wrzeciono, Adam; Baťalík, BaťalikLadislav; Szczepańska-Gieracha, Szczepanska-GierachaJoanna; Malicka, Iwona; Rutkowski, Sebastian

doi:10.1016/j.ctim.2022.102837

Cited by 27 publications

(31 citation statements)

References 54 publications

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“…It seems that the pain-relief effect during chemotherapy results in reduced anxiety. Such a hypothesis was confirmed by our team in a previous meta-analysis on VR interventions and needle-related procedural pain, fear, and anxiety ( 43 ), likewise in the study on burn wound care ( 44 ). Statistically significant benefits of VR interventions were shown in children's pain levels, where VR significantly decreased symptoms ( n = 3,204 patients, MD = −2.85; 95% CI [−3.57 to −2.14]) as measured by the Wong-Baker Faces Pain Rating Scale and by the Faces Pain Scale-Revised ( n = 2,240 patients, MD = −0.19; 95% CI −0.58 to 0.20).…”

Section: Discussionsupporting

confidence: 62%

Virtual reality in chemotherapy support for the treatment of physical functions, fear, and quality of life in pediatric cancer patients: A systematic review and meta-analysis

Czech

Rutkowski

Kowaluk

et al. 2023

Front. Public Health

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BackgroundAppropriately selected complementary therapies, such as virtual reality (VR) and active video games (AVG), provide support to young patients during the process of cancer treatment. Therefore, this systematic review with meta-analysis aimed to analyze the effects of VR and AVG on fear, physical functions, and quality of life.MethodsA systematic search was performed independently in Scopus, PubMed, Embase, Web of Science and Cochrane Library electronic databases for relevant randomized controlled and crossover studies. From a total of 5,963 records, 11 met the inclusion criteria. After full-text screening two publications were excluded, yet six studies were included in the quantitative analysis because three studies had a large discrepancy in their measured outcomes. For methodological quality assessments, the RoB2 software program was used, while RevMan 5.4.1 was used for statistical analysis and meta-analysis. Standard Mean Difference (SMD) outcome measures were used for the analysis. Statistical heterogeneity was assessed using the I2 statistic with a cut-off value of 50% considering intervention and outcome measures.ResultsOur systematic review includes six randomized controlled studies and three randomized crossover studies. The participants represented both sexes and were children and adolescents (<18 years old) with a diagnosis of cancer. The analysis of the results allows for a careful conclusion that VR has the potential to become an accessory tool in rehabilitation and oncologic treatment. All of the included studies noted a significant advantage of this intervention.ConclusionVR has the potential to be an effective and important tool in the oncologic treatment of children. VR immerses the patient, and as a result, produces a distraction that effectively reduces pain associated with standard oncologic care procedures in children. However, this systematic review and meta-analysis highlights the need for more research into the use of VR as support for pediatric oncologic care.Systematic review registrationPROSPERO database (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=319000), CRD42022319000.

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Section: Discussionsupporting

confidence: 62%

Virtual reality in chemotherapy support for the treatment of physical functions, fear, and quality of life in pediatric cancer patients: A systematic review and meta-analysis

Czech

Rutkowski

Kowaluk

et al. 2023

Front. Public Health

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“… 29 A VR-based cognitive assessment and rehabilitation system has previously been shown to be difficult to implement in aging patients with cancer, 30 therefore, the VR rehabilitation system in this study had undergone refinements to address this issue. With the advances in AI technology in recent years, more-immersive VR, better-augmented VR, and mixed VR modalities now enable patients to become more immersed in the virtual environment, 31 resulting in increased patient compliance and greater beneficial effects of the interventions.…”

Section: Discussionmentioning

confidence: 99%

The use of immersive virtual reality for cancer-related cognitive impairment assessment and rehabilitation: A clinical feasibility study

Zeng

Cheng

et al. 2022

Asia-Pacific Journal of Oncology Nursing

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“…Recent studies have confirmed the positive effects of VR application on both pain intensity and pain anxiety during acute burn treatments and procedures that can cause pain [5][6][7][8][9][10]. While there are several reports on VR applications in burn patients [11], only a few studies have conducted objective evaluations of subjective pain reduction when VR is applied to burn patients.…”

Section: Introductionmentioning

confidence: 97%

Effect of the Application of Virtual Reality on Pain Reduction and Cerebral Blood Flow in Robot-Assisted Gait Training in Burn Patients

Lee

Yeon

Yoo

et al. 2022

JCM

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Burn injuries and their treatment are extremely painful. This study aimed to determine whether virtual reality (VR) could reduce pain during robot-assisted gait training (RAGT) in burn patients by analyzing the cerebral blood flow (CBF) in the prefrontal cortex over time using functional near-infrared spectroscopy (fNIRS). The patients included in this study complained of a pain score ≥5 on a visual analog scale (VAS) during RAGT, which was performed 10 times for 2 weeks. Each session consisted of 15 min of VR application, with a 2-min break, and 15 min without VR. The average values of oxyhemoglobin and deoxyhemoglobin concentrations in the prefrontal cortex on fNIRS were calculated at four stages: temporal delay time with only RAGT, RAGT without VR, temporal delay time with RAGT and VR, and RAGT with VR. The pain scores and CBF were evaluated in sessions 1, 5, and 10 of the RAGT. The mean VAS pain scores were significantly lower (p < 0.05) in the experimental condition than in the control condition. Oxyhemoglobin in the prefrontal lobe significantly increased when RAGT was performed with VR. In conclusion, VR may be a strong nonpharmacological pain reduction technique for burn patients during physical therapy.

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Virtual reality intervention as a support method during wound care and rehabilitation after burns: A systematic review and meta-analysis

Cited by 27 publications

References 54 publications

Virtual reality in chemotherapy support for the treatment of physical functions, fear, and quality of life in pediatric cancer patients: A systematic review and meta-analysis

Virtual reality in chemotherapy support for the treatment of physical functions, fear, and quality of life in pediatric cancer patients: A systematic review and meta-analysis

The use of immersive virtual reality for cancer-related cognitive impairment assessment and rehabilitation: A clinical feasibility study

Effect of the Application of Virtual Reality on Pain Reduction and Cerebral Blood Flow in Robot-Assisted Gait Training in Burn Patients

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