Virtual reality for spinal cord injury-associated neuropathic pain: Systematic review
| Autor: | Brian Chau, Phillip Ta, Elizabeth Yeo, Bradley Chi |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Hypnosis medicine.medical_treatment MEDLINE Transcranial Direct Current Stimulation law.invention Randomized controlled trial law medicine Humans Orthopedics and Sports Medicine Spinal cord injury Spinal Cord Injuries Transcranial direct-current stimulation business.industry Virtual Reality Exposure Therapy Rehabilitation Evidence-based medicine medicine.disease Combined Modality Therapy Clinical trial Treatment Outcome Neuropathic pain Physical therapy Neuralgia Female business |
| Zdroj: | Annals of Physical and Rehabilitation Medicine. 62:49-57 |
| ISSN: | 1877-0657 |
| DOI: | 10.1016/j.rehab.2018.09.006 |
| Popis: | Background Treatment of spinal cord injury (SCI)-associated neuropathic pain is challenging, with limited efficacy and no definitive options, and SCI patients often show resistance to pharmacologic treatment. Virtual reality (VR) therapy is a non-invasive, non-pharmacologic alternative with minimal adverse effects. Objective To investigate the effect of VR therapy on SCI-associated neuropathic pain in a systematic review. Methods Articles needed to 1) be written in English; 2) include adult subjects, with at least half the study population with a SCI diagnosis; 3) involve any form of VR therapy; and 4) assess neuropathic pain by quantitative outcome measures. Articles were searched in MEDLINE/PubMed, CINAHL®, EMBASE, and PsycINFO up to April 2018. Reference lists of retrieved articles were hand-searched. Methodologic quality was assessed by the Physiotherapy Evidence Database Score (PEDro) for randomized controlled trials and Modified Downs and Black Tool (D&B) for all other studies. Level of evidence was determined by using a modified Sackett scale. Results Among 333 studies identified, 9 included in this review (n = 150 participants) evaluated 4 methods of VR therapy (virtual walking, VR-augmented training, virtual illusion, and VR hypnosis) for treating neuropathic pain in SCI patients. Each VR method reduced neuropathic pain: 4 studies supported virtual walking, and the other 3 VR methods were each supported by a different study. Combined treatment with virtual walking and transcranial direct current stimulation was the most effective. The quality of studies was a major limitation. Conclusion VR therapy could reduce SCI-associated neuropathic pain, although the clinical significance of this analgesic effect is unclear. Clinical trials evaluating VR therapy as standalone and/or adjunct therapy for neuropathic pain in SCI patients are warranted. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect