Virtual reality — new possibilities in the treatment of pain

Cover Page


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The purpose of this research is to present virtual reality technology as one of the modern and novel option for pain syndromes treatment. Low back pain is one of the most frequent reasons for seeking medical help. According to the literature 90% of people experience back pain at least once in their life and 10% of them have a chronic course of pain. There may be many reasons for this: inadequate pain treatment, poor compliance with treatment, drug resistance, self-treatment, use of alternative medicine, etc. Pain that bothers a person for a long time significantly reduces the quality of life, affects cognitive functions and emotional state, and leads to a distorted perception of oneself body. Patients with pain contribute significantly to the financial losses of society in the form of lost wages and productivity. Low back pain is recognized worldwide as the most significant condition in relation to the number of years lived with disability. When patients are insensitive to treatment or its effectiveness is low, doctors resort to the use of non-pharmacological approaches. One of the modern and new options is the use of virtual reality. This technology allows the patient to distract himself from his pain and thus be out of the fear of movement. Studying and applying new non-pharmacological pain management methods may allow patients to reduce their medication use and increase compliance with treatment, as well as help to reduce the number of people with chronic pain.

Full Text

Restricted Access

About the authors

Tatiana S. Trepalina

Kazan State Medical University

Author for correspondence.
Email: trepalinats@gmail.com
ORCID iD: 0000-0002-0631-0232
SPIN-code: 8286-3280
Russian Federation, 420012, Kazan, Butlerov str., 49

Eduard Z. Yakupov

Kazan State Medical University

Email: ed_yakupov@mail.ru
ORCID iD: 0000-0003-2965-1424
Russian Federation, 420012, Kazan, Butlerov str., 49

References

  1. Pangarkar S.S., Kang D.G., Sandbrink F. et al. VA/DoD clinical practice guideline: Diagnosis and treatment of low back pain. J. General Intern. Med. 2019; 34 (11): 2620–2629. doi: 10.1007/s11606-019-05086-4.
  2. Thomas J.S., France C.R., Applegate M.E. et al. Feasibility and safety of a virtual reality dodgeball intervention for chronic low back pain: A randomized clinical trial. J. Pain. 2016; 17 (12): 1302–1317. doi: 10.1016/j.jpain.2016.08.011.
  3. Alemanno F., Houdayer E., Emedoli D. et al. Efficacy of virtual reality to reduce chronic low back pain: Proof-of-concept of a non-pharmacological approach on pain, quality of life, neuropsychological and functional outcome. PLoS ONE. 2019; 14 (5). https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0216858 (access date: 01.03.2021). doi: 10.1371/journal.pone.0216858.
  4. Applegate M.E., France C.R., Russ D.W. et al. Determining physiological and psychological predictors of time to task failure on a Virtual Reality Sørensen Test in participants with and without recurrent low back pain: Exploratory study. JMIR Serious Games. 2018; 6 (3). https://games.jmir.org/2018/3/e10522/ (access date: 01.03.2021). doi: 10.2196/10522.
  5. Morelhão P.K., Pinto R.Z., Tufik S. et al. Sleep disturbance and low back pain in older adults: A bidirectional relationship? Pain Med. 2020; 21 (6): 1303–1304. doi: 10.1093/pm/pnz240.
  6. Srinivasa N.R., Daniel B.C., Milton C. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain. 2020; 161 (9): 1976–1982. doi: 10.1097/j.pain.0000000000001939.
  7. Российское межрегиональное общество по изучению боли. Клинические рекомендации. Диагностика и лечение скелетно-мышечных (неспецифических) болей в нижней части спины. Возрастная категория: взрослые. 2021. https://painrussia.ru/news/313/ (дата обращения: 02.06.2021). [Russian Association for the Study of Pain. Klinicheskie rekomendatsii. Diagnosis and treatment of musculoskeletal (non-specific) lower back pain. Vozrastnaya kategoriya: vzroslye. 2021. https://painrussia.ru/news/313/ (access date: 02.06.2021). (In Russ.)]
  8. Ahern M.M., Dean L.V., Stoddard C.C. et al. The effectiveness of virtual reality in patients with spinal pain: A systematic review and meta-analysis. Pain Practice. 2020; 20 (6): 656–675. doi: 10.1111/papr.12885.
  9. Darnall B.D., Krishnamurthy P., Tsuei J. et. al. Self-administered skills-based virtual reality intervention for chronic pain: Randomized controlled pilot study. JMIR Form. Res. 2020; 4 (7). https://games.jmir.org/2018/3/e10522 (access date: 01.03.2021). doi: 10.2196/17293.
  10. Суворов К.А. Системы виртуальной реальности и их применение. T-Comm — Телекоммуникации и транспорт. 2013; (9): 140–143. [Suvorov K.A. Virtual reality systems and their applications. T-Comm — Telekommunikatsii i transport. 2013; (9): 140–143. (In Russ.)]
  11. Hoffman H.G., Doctor J.N., Patterson D.R. et al. Virtual reality as an adjunctive pain control during burn wound care in adolescent patients. Pain. 2000; 85: 305–309. doi: 10.1016/s0304-3959(99)00275-4.
  12. Nambi G., Abdelbasset W.K., Elsayed S.H. et al. Comparative effects of isokinetic training and virtual reality training on sports performances in university football players with chronic low back pain — randomized controlled study. Evid. Based Complement Alternat. Med. 2020; https://www.hindawi.com/journals/ecam/2020/2981273/ (access date: 01.03.2021). doi: 10.1155/2020/2981273.
  13. Tejera D.M., Beltran-Alacreu H., Cano-de-la-Cuerda R. et al. Effects of virtual reality versus exercise on pain, functional, somatosensory and psychosocial outcomes in patients with non-specific chronic neck pain: A randomized clinical trial. Int. J. Environ. Res. Public Health. 2020; 17 (16). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7460130/ (access date: 01.03.2021). doi: 10.3390/ijerph17165950.

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig 1. "Sensorrama" [10]

Download (98KB)
3. Fig 2. The first virtual reality helmet [10]

Download (147KB)
4. Fig 3. "Underwater world" in a virtual reality helmet [13]

Download (125KB)
5. Fig 4. Movement in the cervical spine during exercise: A - head tilt forward; B - head tilt back; C - turns of the head to the sides; D - head tilt to the sides [13]

Download (162KB)

Copyright (c) 2021 Trepalina T.S., Yakupov E.Z.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 75562 от 12 апреля 2019 года.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies