Virtual Reality Facilitated Exercise Increases Sympathetic Activity and Reduces Pain Perception: A Randomized Crossover Study.
| Autor: | Rodriguez ST, Makarewicz N, Wang EY, Zuniga-Hernandez M; Stanford Chariot Program, Lucile Packard Children's Hospital Stanford, Palo Alto, CA, USA., Titzler J; Stanford Chariot Program, Lucile Packard Children's Hospital Stanford, Palo Alto, CA, USA., Jackson C; Department of Anesthesiology, Perioperative, and Pain Medicine, Division of Pediatric Anesthesiology, Stanford School of Medicine, Stanford, CA, USA., Suen MY; Stanford Chariot Program, Lucile Packard Children's Hospital Stanford, Palo Alto, CA, USA., Rosales O; Stanford University Graduate School of Education, Stanford, CA, USA., Caruso TJ |
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| Jazyk: | angličtina |
| Zdroj: | American journal of physical medicine & rehabilitation [Am J Phys Med Rehabil] 2024 Jun 06. Date of Electronic Publication: 2024 Jun 06. |
| DOI: | 10.1097/PHM.0000000000002550 |
| Abstrakt: | Objective: Both virtual reality (VR) and exercise reduce pain while avoiding the risks of traditional pharmacotherapy. The aim of this study was to assess how VR-facilitated exercise modulates sympathetic activity and pain perception. Design: Healthy adult volunteers were randomized by hand dominance and then subjected to a standardized cold pressor test while experiencing a VR application. After a 5-minute washout, participants were crossed-over and repeated the test on their other hand while undergoing a VR-facilitated exercise application. Sympathetic activation, pain sensation, and pain tolerance data were collected identically during both conditions. Results: 110 participants were analyzed. Sympathetic activity increased in both conditions but was higher in the VR-facilitated exercise condition (p < 0.0001). Pain sensation scores were initially higher with VR-facilitated exercise but dropped below the VR-only condition by the end of the intervention (p = 0.0175). There were no differences in pain tolerance between conditions (p = 0.18). Conclusion: The decrease in pain perception with VR-facilitated exercise condition compared to VR alone indicates VR-facilitated exercise can be a useful tool for managing pain. Though this effect did not translate into higher pain tolerance, VR-facilitated exercise may be a useful intervention in the setting of physical therapy or for patients with chronic pain. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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