Virtual reality as a treatment for chronic musculoskeletal pain syndromes

被引:2
作者
Pretat, Tiffany [1 ]
Koller, Cinja [1 ]
Hugle, Thomas [1 ]
机构
[1] Univ Hosp Lausanne CHUV, Dept Rheumatol, Lausanne, Switzerland
关键词
Virtual reality; VR; Chronic pain; Fibromyalgia; Chronic musculoskeletal pain syndrome; AUGMENTED REALITY; DISTRACTION; HYPNOSIS; TECHNOLOGY; PERCEPTION; THERAPY; EMOTION; IMPACT; WOMEN;
D O I
10.1016/j.jbspin.2024.105769
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Chronic musculoskeletal pain syndromes, including fibromyalgia, are often resistant to conventional medications and invasive therapies. Central hypersensitization, neurotransmitter dysregulation, and autonomic nervous system abnormalities are key pathomechanisms, frequently resulting in widespread pain and a variety of psychosomatic symptoms. Virtual Reality (VR) applications have demonstrated effectiveness in reducing pain, both during and after interventions, and in chronic conditions such as fibromyalgia and back pain. The proposed mechanisms behind VR's effectiveness include distraction and immersion, coupled with cognitive behavioral therapy, which promote neuroplasticity and alter pain perceptions. Functional MRI studies have shown the impact of VR interventions on specific brain regions. Advances in hardware and software, potentially combined with treatments like biofeedback, could enhance VR's role in managing chronic pain. Currently, VR for musculoskeletal pain syndromes is primarily used within multimodal programs, but it is also available for home use as a standalone health application. Future research should focus on the 'drug-like' effects of VR, requiring controlled trials with comparable study populations and appropriate sham interventions. (c) 2024 Les Auteurs. Publie<acute accent> par Elsevier Masson SAS au nom de Soci o<acute accent>t o<acute accent> Fran o<acute accent>aise de Rhumatologie. Cet article est publie<acute accent> en Open Access sous licence CC BY (http://creativecommons.org/licenses/by/4.0/).
引用
收藏
页数:7
相关论文
共 69 条
[11]   A review of the incidence and risk factors for fibromyalgia and chronic widespread pain in population-based studies [J].
Creed, Francis .
PAIN, 2020, 161 (06) :1169-1176
[12]   Fluctuation of pain is frequent in rheumatoid arthritis and axial spondyloarthritis: A 12 weeks prospective study of 165 patients [J].
Drouet, Juliette ;
Gossec, Laure ;
Jacquemin, Charlotte ;
Fautrel, Bruno ;
Foltz, Violaine ;
Gandjbakhch, Frederique ;
Mitrovic, Stephane ;
Servy, Herve ;
Molto, Anna ;
Hudry, Christophe ;
Sellam, Jeremie ;
Bailly, Florian .
JOINT BONE SPINE, 2022, 89 (03)
[13]   Concomitant fibromyalgia complicating chronic inflammatory arthritis: a systematic review and meta-analysis [J].
Duffield, Stephen J. ;
Miller, Natasha ;
Zhao, Sizheng ;
Goodson, Nicola J. .
RHEUMATOLOGY, 2018, 57 (08) :1453-1460
[14]   Advancing Research and Practice: The Revised APA Division 30 Definition of Hypnosis [J].
Elkins, Gary R. ;
Barabasz, Arreed F. ;
Council, James R. ;
Spiegel, David .
AMERICAN JOURNAL OF CLINICAL HYPNOSIS, 2015, 57 (04) :378-385
[15]   EFFECTS OF HYPNOTIC ANALGESIA AND VIRTUAL REALITY ON THE REDUCTION OF EXPERIMENTAL PAIN AMONG HIGH AND LOW HYPNOTIZABLES [J].
Enea, Violeta ;
Dafinoiu, Ion ;
Opris, David ;
David, Daniel .
INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL HYPNOSIS, 2014, 62 (03) :360-377
[16]  
European Commission, 2021, MDCG 2021-24: guidance on cybersecurity for medical devices Internet
[17]   Passive or interactive virtual reality? The effectiveness for pain and anxiety reduction in pediatric patients [J].
Ferraz-Torres, Marta ;
San Martin-Rodriguez, Leticia ;
Garcia-Vivar, Cristina ;
Soto-Ruiz, Nelia ;
Escalada-Hernandez, Paula .
VIRTUAL REALITY, 2022, 26 (04) :1307-1316
[18]  
Ferreira GE, 2023, BMJ-BRIT MED J, V380, DOI 10.1136/bmj-2022-072415
[19]  
floreovr.com, Floreo Enterprise Internet
[20]   The neurobiology of virtual reality pain attenuation [J].
Gold, Jeffrey I. ;
Belmont, Katharine A. ;
Thomas, David A. .
CYBERPSYCHOLOGY & BEHAVIOR, 2007, 10 (04) :536-544