Illusion-enhanced Virtual Reality Exercise for Neck Pain: A Replicated Single Case Series

Autor: G. Lorimer Moseley, Bart Michiels, Ann Meulders, Michele Sterling, Daniel S. Harvie, Ross T. Smith
Přispěvatelé: Section Experimental Health Psychology, RS: FPN CPS I, Harvie, Daniel S, Smith, Ross T, Moseley, GL, Meulders, Ann, Michiels, Bart, Sterling, Michele
Rok vydání: 2019
Předmět:
DISABILITY-INDEX
neck pain
law.invention
0302 clinical medicine
Randomized controlled trial
TREATMENT MODALITIES
030202 anesthesiology
law
brain training
Back pain
MIRROR VISUAL FEEDBACK
Range of Motion
Articular

media_common
OF-THE-ART
Neck pain
exercise therapy
Neck Pain
Chronic pain
Virtual Reality
whiplash-associated disorder
Exercise Therapy
BACK-PAIN
illusion
virtual reality
medicine.symptom
Chronic Pain
Range of motion
chronic pain
medicine.medical_specialty
GRADED MOTOR IMAGERY
Imagery
Psychotherapy

media_common.quotation_subject
persistent pain
Illusion
Virtual reality
NONCONSCIOUS ACTIVATION
03 medical and health sciences
MOVEMENT
Physical medicine and rehabilitation
cortical representation
cortical reorganization
medicine
Humans
HAND LOCALIZATION
business.industry
braintraining
Neck exercises
medicine.disease
Anesthesiology and Pain Medicine
PSYCHOMETRIC PROPERTIES
Neurology (clinical)
business
030217 neurology & neurosurgery
Zdroj: Clinical Journal of Pain, 36(2), 101-109. LIPPINCOTT WILLIAMS & WILKINS
ISSN: 1536-5409
0749-8047
Popis: Objectives: Body illusions have shown promise in treating some chronic pain conditions. We hypothesized that neck exercises performed in virtual reality (VR) with visual feedback of rotation amplified would reduce persistent neck pain. Methods: In a multiple-baseline replicated single case series, 8 blinded individuals with persistent neck pain completed a 4-phase intervention (initial n=12, 4 dropouts): (1) "baseline"; (2) "VR" during which participants performed rotation exercises in VR with no manipulation of visual feedback; (3) "VR enhanced" during which identical exercises were performed but visual feedback overstated the range of motion being performed; (4) "follow-up." Primary outcomes were twice-daily measures of pain-free range of motion and pain intensity. During the baseline and follow-up phases, measures were taken but no intervention took place. Results: No differences in primary outcomes were found between VR and baseline, VR enhanced and VR, or VR enhanced and follow-up. Discussion: Our hypothesis, that neck exercises performed in VR with visual feedback of rotation amplified, would reduce persistent neck pain was not supported. Possible explanations and future directions are discussed. ispartof: Clinical Journal Of Pain vol:36 issue:2 pages:101-109 ispartof: location:United States status: published
Databáze: OpenAIRE