Austin Philip D
Department of Palliative Care, HammondCare, Greenwich Hospital, Sydney, New South Wales, Australia.
Pain Med. 2022 Jan 3;23(1):105-121. doi: 10.1093/pm/pnab217.
Although virtual reality is shown to have short-term analgesic effects in acute pain settings, its long-term efficacy in chronic pain conditions has not been established. This scoping review aims to provide a summary of virtual reality approaches explored in chronic primary and secondary pain conditions as defined by the International Association for the Study of Pain.
A systematic literature search in Ovid PubMed and Ovid Embase was conducted between January 5 and January 10, 2021, with the use of the Arksey and O'Malley six-step scoping review criteria. Articles were searched via search terms and keywords relating to International Classification of Diseases-defined primary and secondary chronic pain conditions, virtual reality, virtual illusion, distraction, and effects on levels of pain.
Of the 2,118 articles located, 44 were included, which covered a range of primary and secondary chronic pain conditions and used a variety of different computer screen and headset protocols, including gaming, mindfulness, exercise, relaxation, and proprioceptive skills.
Studies show virtual reality to be an effective analgesic intervention for people with chronic pain. Given user satisfaction, a lack of side effects such as cybersickness, and relief of comorbid symptoms, virtual reality has potential as a worthwhile adjunct to chronic pain management programs, thus enabling patients to take control of their symptoms.
尽管虚拟现实已被证明在急性疼痛环境中具有短期镇痛效果,但其在慢性疼痛状况下的长期疗效尚未得到证实。本综述旨在总结国际疼痛研究协会所定义的慢性原发性和继发性疼痛状况中探索的虚拟现实方法。
于2021年1月5日至1月10日期间,在Ovid PubMed和Ovid Embase数据库中进行了系统的文献检索,采用了阿克西和奥马利的六步综述标准。通过与国际疾病分类所定义的原发性和继发性慢性疼痛状况、虚拟现实、虚拟幻觉、分散注意力以及对疼痛程度的影响相关的搜索词和关键词来检索文章。
在所检索到的2118篇文章中,纳入了44篇,这些文章涵盖了一系列原发性和继发性慢性疼痛状况,并使用了各种不同的电脑屏幕和头戴设备方案,包括游戏、正念、锻炼、放松和本体感觉技能。
研究表明虚拟现实对慢性疼痛患者是一种有效的镇痛干预措施。鉴于用户满意度高、不存在诸如晕动症等副作用且能缓解共病症状,虚拟现实有潜力成为慢性疼痛管理项目中一项有价值的辅助手段,从而使患者能够控制自身症状。