A Pilot Study of At-Home Virtual Reality for Chronic Pain Patients

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Ted Jones, PhD

Abstract

Chronic pain disorders are a common and expensive health problem worldwide. Available treatments for these disorders have been decreasing and new treatments are needed. Virtual reality (VR) has been used for acute and procedural pain for years but systems are only now becoming available for use with chronic pain. In this study patients with a chronic pain disorder were given the option of using either take-home virtual reality equipment for one month or take-home biofeedback equipment for one month. In the VR condition patients were oriented to the “PainCare” app but could access any free content from the internet as well. Qualitative data was gathered on 23 VR patients and 12 biofeedback patients. Pre-post measures of depression, catastrophizing and function were obtained from 17 VR patients and 8 biofeedback patients. Data found that there was a statistically significant decrease in depression and catastrophizing in the VR group but no such decrease was found in the biofeedback group. No significant increase in function was found in either group though the VR group trended in that direction. One hundred percent (100%) of the patients who tried VR reported that they thought it had helped them overall at least a little. Patient ratings of the VR equipment were more favorable than the biofeedback equipment. This non-randomized small sample study suggests that at-home VR use can be used successfully with patients to decrease the important treatment variables of depression and catastrophizing, and perhaps become a significant contribution to the treatment of chronic pain disorders.


 

Article Details

How to Cite
JONES, Ted. A Pilot Study of At-Home Virtual Reality for Chronic Pain Patients. Medical Research Archives, [S.l.], v. 9, n. 5, may 2021. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/2449>. Date accessed: 28 oct. 2021. doi: https://doi.org/10.18103/mra.v9i5.2449.
Section
Research Articles

References

Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. Washington, DC: The National Academies Press; 2011.
Rice AS, Smith BH, Blyth FM. and Pain and the global burden of disease. Pain. 2016; 157: 791– 796.
Schatman ME. The demise of multidisciplinary pain management clinics? Practical Pain Manage. 2006;6:30–41.
Gleber R, Vilke GM, Castillo EM, Brennan J, Oyama L, Coyne CJ. Trends in emergency physician opioid prescribing practices during the United States opioid crisis. Am J Emerg Med. 2020 Apr;38(4):735-740.
Opioid Task Force 2020 Progress Report. Physicians’ progress toward ending the nation’s drug overdose and death epidemic. www.end-overdose-epidemic.org.
Mojtabai R. National trends in long-term use of prescription opioids. Pharmacoepidemiol Drug Saf 2018 May 06;27(5):526-534.
Williams A, Eccleston C, Morley S. Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Database Syst Rev 2012 Nov 14.
Medicaid Strategies for Non-Opioid Pharmacologic and NonPharmacologic Chronic Pain Management. 2019. URL:https://www.medicaid.gov/sites/default/files/federal-policy-guidance/downloads/cib022219. pdf [accessed 2021-02-03]
Hoffman HG, Patterson DR, Carrougher GJ. 2000. Use of virtual reality for adjunctive treatment of adult burn pain during physical therapy: a controlled study. Clin Jrnl Pain, 16(3), 244-250.
Hoffman HG, Patterson DR, Carrougher GJ, Sharar SR. 2001. Effectiveness of virtual reality-based pain control with multiple treatments. Clin Jrnl Pain, 17(3), 229–35.
Maani CV, Hoffman HG, DeSocio PA, Morrow M, Gaylin C, Magula J, et al. 2008. Pain control during wound care for combat-related burn injuries using custom articulated arm mounted virtual reality goggles. Jrnl Cybrthrpy Rehab, 1(2), 193.
Patterson DR, Hoffman HG, Palacios AG, Jensen MJ. 2006. Analgesic effects of posthypnotic suggestions and virtual reality distraction on thermal pain. Jrnl Abnrml Psych, 115, 834–841.
Van Twillert, B, Bremer M, Faber AW. 2007. Computer-generated virtual reality to control pain and anxiety in pediatric and adult burn patients during wound dressing changes. Jrnl Burn Care Resch, 28(5), 694–702.
Chuan A, Zhou JJ, Hou RM, Stevens CJ, Bogdanovych A. Virtual reality for acute and chronic pain management in adult patients: a narrative review. Anaesthesia. 2020 Jul 27.
Mallari B, Spaeth EK, Goh H, Boyd BS. Virtual reality as an analgesic for acute and chronic pain in adults: a systematic review and meta-analysis. J Pain Res. 2019 Jul 3;12:2053-2085.
Matheve T, Bogaerts K, Timmermans A. Virtual reality distraction induces hypoalgesia in patients with chronic low back pain: a randomized controlled trial. J Neuroeng Rehabil. 2020 Apr 22;17(1):55.
Jin W, Choo A, Gromala D, Shaw C, Squire P. A Virtual Reality Game for Chronic Pain Management: A Randomized, Controlled Clinical Study. Stud Health Technol Inform. 2016;220:154-60.
Jones T, Moore TM, Choo J “The Impact of Virtual Reality on Chronic Pain.” PLOS ONE. 2016. December 20, 2016.
Jones T, Skadberg R, Moore TM. (2018) “A Pilot Study of the Impact of Repeated Sessions of Virtual Reality on Chronic Neuropathic Pain.” International Journal of Virtual Reality, 18(01):19-34.
Darnall BD, Krishnamurthy P, Tsuei J, Minor JD. Self-Administered Skills-Based Virtual Reality Intervention for Chronic Pain: Randomized Controlled Pilot Study. JMIR Form Res. 2020 Jul 7;4(7):e17293.
Garcia LM, Birckhead BJ, Krishnamurthy P, Sackman J, Mackey IG, Louis RG, Salmasi V, Maddox T, Darnall BD. An 8-Week Self-Administered At-Home Behavioral Skills-Based Virtual Reality Program for Chronic Low Back Pain: Double-Blind, Randomized, Placebo-Controlled Trial Conducted During COVID-19. J Med Internet Res. 2021 Feb 22;23(2):e26292.
IsHak WW, Wen RY, Naghdechi L, Vanle B, Dang J, Knosp M, Dascal J, Marcia L, Gohar Y, Eskander L, Yadegar J, Hanna S, Sadek A, Aguilar-Hernandez L, Danovitch I, Louy C. Pain and Depression: A Systematic Review. Harv Rev Psychiatry. 2018 Nov/Dec;26(6):352-363.
Eccleston C., Morley S., Williams A. C. D. C. Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Database of Systematic Reviews. 2008;(4)
Schütze R, Rees C, Smith A, Slater H, Campbell JM, O'Sullivan P. How Can We Best Reduce Pain Catastrophizing in Adults With Chronic Noncancer Pain? A Systematic Review and Meta-Analysis. J Pain. 2018 Mar;19(3):233-256.
Darnall BD, Scheman J, Davin S, Burns JW, Murphy JL, Wilson AC, Kerns RD, Mackey SC. Pain Psychology: A Global Needs Assessment and National Call to Action. Pain Med. 2016 Feb;17(2):250-63.
Berry ME, Chapple IT, Ginsberg JP, Gleichauf KJ, Meyer JA, Nagpal ML. Non-pharmacological Intervention for Chronic Pain in Veterans: A Pilot Study of Heart Rate Variability Biofeedback. Glob Adv Health Med. 2014 Mar;3(2):28-33.
Reneau M. Heart Rate Variability Biofeedback to Treat Fibromyalgia: An Integrative Literature Review. Pain Manag Nurs. 2020 Jun;21(3):225-232.
Levis B, Benedetti A, Thombs BD; DEPRESsion Screening Data (DEPRESSD) Collaboration. Accuracy of Patient Health Questionnaire-9 (PHQ-9) for screening to detect major depression: individual participant data meta-analysis. BMJ. 2019 Apr 9;365:l1476.
Sullivan MJ, Bishop SR, Pivik J. The Pain Catastrophizing Scale: Development and validation. Psychol Assess. 1995;7:524–532.
Krebs EE, Lorenz KA, Bair MJ, Damush TM, Wu J, Sutherland JM, Asch SM, Kroenke K. Development and initial validation of the PEG, a three-item scale assessing pain intensity and interference. J Gen Intern Med. 2009 Jun;24(6):733-8.