Modulation of thermal pain-related brain activity with virtual reality: evidence from fMRI

被引:234
作者
Hoffman, HG
Richards, TL
Coda, B
Bills, AR
Blough, D
Richards, AL
Sharar, SR
机构
[1] Univ Washington, Human Interface Technol Lab, Seattle, WA 98195 USA
[2] Univ Washington, Dept Radiol, Seattle, WA 98195 USA
[3] Univ Washington, Dept Pharm, Seattle, WA 98195 USA
[4] Univ Washington, Dept Anesthesiol, Seattle, WA 98104 USA
关键词
analgesia; anterior cingulate cortex; fMRI; pain; somatosensory cortex; virtual reality;
D O I
10.1097/01.wnr.0000127826.73576.91
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
This study investigated the neural correlates of virtual reality analgesia. Virtual reality significantly reduced subjective pain ratings (i.e. analgesia). Using fMRI, pain-related brain activity was measured for each participant during conditions of no virtual reality and during virtual reality (order randomized). As predicted, virtual reality significantly reduced pain-related brain activity in all five regions of interest; the anterior cingulate cortex, primary and secondary somatosensory cortex, insula, and thalamus (p<0.002, corrected). Results showed direct modulation of human brain pain responses by virtual reality distraction.
引用
收藏
页码:1245 / 1248
页数:4
相关论文
共 15 条
[1]   Imaging how attention modulates pain in humans using functional MRI [J].
Bantick, SJ ;
Wise, RG ;
Ploghaus, A ;
Clare, S ;
Smith, SM ;
Tracey, I .
BRAIN, 2002, 125 :310-319
[2]   Improving stereological estimates for the volume of structures identified in three-dimensional arrays of spatial data [J].
Barta, PE ;
Dhingra, L ;
Royall, R ;
Schwartz, E .
JOURNAL OF NEUROSCIENCE METHODS, 1997, 75 (02) :111-118
[3]  
Becerra LR, 1999, MAGN RESON MED, V41, P1044, DOI 10.1002/(SICI)1522-2594(199905)41:5<1044::AID-MRM25>3.0.CO
[4]  
2-M
[5]   Pain perception: Is there a role for primary somatosensory cortex? [J].
Bushnell, MC ;
Duncan, GH ;
Hofbauer, RK ;
Ha, B ;
Chen, JI ;
Carrier, B .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1999, 96 (14) :7705-7709
[6]   Hypnotic analgesia: A constructivist framework [J].
Chapman, CR ;
Nakamura, Y .
INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL HYPNOSIS, 1998, 46 (01) :6-27
[7]   Functional MRI study of thalamic and cortical activations evoked by cutaneous heat, cold, and tactile stimuli [J].
Davis, KD ;
Kwan, CL ;
Crawley, AP ;
Mikulis, DJ .
JOURNAL OF NEUROPHYSIOLOGY, 1998, 80 (03) :1533-1546
[8]   RATIO SCALES OF SENSORY AND AFFECTIVE VERBAL PAIN DESCRIPTORS [J].
GRACELY, RH ;
MCGRATH, P ;
DUBNER, R .
PAIN, 1978, 5 (01) :5-18
[9]   Cortical representation of the sensory dimension of pain [J].
Hofbauer, RK ;
Rainville, P ;
Duncan, GH ;
Bushnell, MC .
JOURNAL OF NEUROPHYSIOLOGY, 2001, 86 (01) :402-411
[10]   Water-friendly virtual reality pain control during wound care [J].
Hoffman, HG ;
Patterson, DR ;
Magula, J ;
Carrougher, GJ ;
Zeltzer, K ;
Dagadakis, S ;
Sharar, SR .
JOURNAL OF CLINICAL PSYCHOLOGY, 2004, 60 (02) :189-195