Wittkopf, PG, Lloyd, DM orcid.org/0000-0003-3589-7383 and Johnson, MI (2019) Managing limb pain using virtual reality: a systematic review of clinical and experimental studies. Disability and Rehabilitation, 41 (26). pp. 3103-3117. ISSN 0963-8288
Abstract
Purpose: The aim of this systematic review was to assess the effect of virtual representation of body parts on pain perception in patients with pain and in pain-free participants exposed to experimentally induced pain.
Methods: Databases searched: Medline, PsycInfo, CINAHL, and Web of Science. Studies investigating participants with clinical pain or those who were pain free and exposed to experimentally induced pain were analysed separately.
Results: Eighteen clinical studies and seven experimental studies were included. Randomised controlled clinical trials showed no significant difference between intervention and control groups for pain intensity. Clinical studies with a single group pretest–posttest design showed a reduction in pain after intervention. In the studies including a sample of pain free participants exposed to experimentally induced pain there was an increase in pain threshold when the virtual arm was collocated with the real arm, when it moved in synchrony with the real arm, and when the colour of the stimulated part of the virtual arm became blue. Observing a virtual arm covered with iron armour reduced pain.
Conclusions: The use of virtual representations of body parts to reduce pain is promising. However, due to the poor methodological quality and limitations of primary studies, we could not find conclusive evidence.
Implications for rehabilitation
Virtual reality has been increasingly used in the rehabilitation of painful and dysfunctional limbs.
Virtual reality can be used to distract attention away from acute pain and may also provide corrective psychological and physiological environments.
Virtual representation of body parts has been used to provide a corrective re-embodiment of painful dysmorphic body parts, and primary research shows promising results.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2018 Informa UK Limited, trading as Taylor & Francis Group. This is an Accepted Manuscript of an article published by Taylor & Francis in Disability and Rehabilitation on 5 Sep 2018, available online: https://doi.org/10.1080/09638288.2018.1485183. |
Keywords: | Pain; virtual reality; rehabilitation; experimental pain; embodiment |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Psychology (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 30 Jul 2018 10:04 |
Last Modified: | 30 Jan 2020 07:02 |
Status: | Published |
Publisher: | Taylor & Francis |
Identification Number: | 10.1080/09638288.2018.1485183 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:133928 |