Virtual Reality in Pain Rehabilitation for Youth With Chronic Pain: Pilot Feasibility Study

Autor: Griffin, Anya, Wilson, Luke, Feinstein, Amanda B, Bortz, Adeline, Heirich, Marissa S, Gilkerson, Rachel, Wagner, Jenny FM, Menendez, Maria, Caruso, Thomas J, Rodriguez, Samuel, Naidu, Srinivas, Golianu, Brenda, Simons, Laura E
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: JMIR Rehabilitation and Assistive Technologies, Vol 7, Iss 2, p e22620 (2020)
Druh dokumentu: article
ISSN: 2369-2529
DOI: 10.2196/22620
Popis: BackgroundIn the field of pain, virtual reality (VR) technology has been increasingly common in the context of procedural pain management. As an interactive technology tool, VR has the potential to be extended beyond acute pain management to chronic pain rehabilitation with a focus on increasing engagement with painful or avoided movements. ObjectiveWe outline the development and initial implementation of a VR program in pain rehabilitation intervention to enhance function in youth with chronic pain. MethodsWe present the development, acceptability, feasibility, and utility of an innovative VR program (Fruity Feet) for pediatric pain rehabilitation to facilitate increased upper and lower extremity engagement. The development team was an interdisciplinary group of pediatric experts, including physical therapists, occupational therapists, pain psychologists, anesthesiologists, pain researchers, and a VR software developer. We used a 4-phase iterative development process that engaged clinicians, parents, and patients via interviews and standardized questionnaires. ResultsThis study included 17 pediatric patients (13 female, 4 male) enrolled in an intensive interdisciplinary pain treatment (IIPT) program, with mean age of 13.24 (range 7-17) years, completing a total of 63 VR sessions. Overall reports of presence were high (mean 28.98; max 40; SD 4.02), suggestive of a high level of immersion. Among those with multisession data (n=8), reports of pain (P
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