虚拟现实技术在慢性下腰痛管理中的应用：一项范围综述
Virtual Reality in the Management of Chronic Low Back Pain: A Scoping Review.
作者信息
Nagpal Ameet S, Raghunandan Aditya, Tata Faye, Kibler Daniel, McGeary Donald
机构信息
Department of Anesthesiology, UT Health San Antonio, San Antonio, TX, United States.
Department of Rehabilitation Medicine, UT Health San Antonio, San Antonio, TX, United States.
出版信息
Front Pain Res (Lausanne). 2022 Mar 7;3:856935. doi: 10.3389/fpain.2022.856935. eCollection 2022.
Abstract
Virtual reality (VR) is a burgeoning treatment option for chronic pain. Its use has been heterogenous in the literature. This scoping review assesses the current literature for the use of VR in the treatment of chronic low back pain (CLBP). The following themes were identified by the analysis: safety and feasibility of VR, quality of life associated with VR treatment for CLBP, efficacy of VR to treat CLBP, and efficacy of VR to treat functional changes associated with CLBP. Gaps were identified after analysis of the extant literature. Although the nascent research uncovered in this scoping review found good evidence for safety and tolerability of VR, more studies of safety, acceptance, and satisfaction are recommended including focused studies of spinal pain risks specific to use of VR. Overall, the methodological quality of studies reviewed in this scoping review was poor and outcomes were limited to short-term posttreatment outcomes.
摘要
虚拟现实（VR）是一种新兴的慢性疼痛治疗选择。其在文献中的应用情况各异。本综述评估了当前关于VR用于治疗慢性下腰痛（CLBP）的文献。分析确定了以下主题：VR的安全性和可行性、VR治疗CLBP相关的生活质量、VR治疗CLBP的疗效以及VR治疗与CLBP相关功能变化的疗效。在分析现有文献后发现了差距。尽管本综述中发现的初步研究为VR的安全性和耐受性提供了充分证据，但建议进行更多关于安全性、接受度和满意度的研究，包括针对VR使用特有的脊柱疼痛风险的重点研究。总体而言，本综述中所审查研究的方法学质量较差，且结果仅限于治疗后的短期结果。
相似文献
1
Virtual Reality in the Management of Chronic Low Back Pain: A Scoping Review.虚拟现实技术在慢性下腰痛管理中的应用：一项范围综述
Front Pain Res (Lausanne). 2022 Mar 7;3:856935. doi: 10.3389/fpain.2022.856935. eCollection 2022.
2
Integration of Conventional and Virtual Reality Approaches in Augmented Reality for Theory-Based Psychoeducational Intervention Design for Chronic Low Back Pain: Scoping Review.在增强现实中整合传统与虚拟现实方法用于慢性腰痛基于理论的心理教育干预设计：范围综述
Interact J Med Res. 2025 Jan 20;14:e59611. doi: 10.2196/59611.
3
Virtual Reality Interventions and Chronic Pain: Scoping Review.虚拟现实干预与慢性疼痛：范围综述
J Med Internet Res. 2025 Feb 18;27:e59922. doi: 10.2196/59922.
4
Virtual reality and chronic low back pain.虚拟现实与慢性下腰痛。
Disabil Rehabil Assist Technol. 2021 Aug;16(6):637-645. doi: 10.1080/17483107.2019.1688399. Epub 2019 Nov 20.
5
A multicenter feasibility randomized controlled trial using a virtual reality application of pain neuroscience education for adults with chronic low back pain.一项使用虚拟现实疼痛神经科学教育应用对慢性下腰痛成人进行的多中心可行性随机对照试验。
Ann Med. 2024 Dec;56(1):2311846. doi: 10.1080/07853890.2024.2311846. Epub 2024 Feb 14.
6
Self-Administered Behavioral Skills-Based At-Home Virtual Reality Therapy for Chronic Low Back Pain: Protocol for a Randomized Controlled Trial.基于自我管理行为技能的慢性腰痛居家虚拟现实疗法：一项随机对照试验方案
JMIR Res Protoc. 2021 Jan 19;10(1):e25291. doi: 10.2196/25291.
7
Virtual reality used to distract children and young people with long-term conditions from pain or pruritus: A scoping review using PAGER.虚拟现实技术曾被用于分散患有慢性疾病的儿童和青少年的注意力，以减轻他们的疼痛或瘙痒感：使用 PAGER 进行的范围综述。
J Clin Nurs. 2024 Feb;33(2):469-480. doi: 10.1111/jocn.16928. Epub 2023 Nov 14.
8
The Effectiveness of Virtual Reality in Patients With Spinal Pain: A Systematic Review and Meta-Analysis.虚拟现实治疗脊柱疼痛患者的效果：系统评价和荟萃分析。
Pain Pract. 2020 Jul;20(6):656-675. doi: 10.1111/papr.12885. Epub 2020 May 21.
9
An 8-Week Self-Administered At-Home Behavioral Skills-Based Virtual Reality Program for Chronic Low Back Pain: Double-Blind, Randomized, Placebo-Controlled Trial Conducted During COVID-19.一项针对慢性下腰痛的 8 周自我管理家庭行为技能为基础的虚拟现实程序：在 COVID-19 期间进行的双盲、随机、安慰剂对照试验。
J Med Internet Res. 2021 Feb 22;23(2):e26292. doi: 10.2196/26292.
10
Get Your Head in the Game: A Replicated Single-Case Experimental Design Evaluating the Effect of a Novel Virtual Reality Intervention in People With Chronic Low Back Pain.专注比赛：一项复制的单病例实验设计，评估新型虚拟现实干预对慢性下背痛患者的效果。
J Pain. 2023 Aug;24(8):1449-1464. doi: 10.1016/j.jpain.2023.03.013. Epub 2023 Apr 6.
引用本文的文献
1
Virtual Reality for Patients With Chronic Musculoskeletal Pain and Disability: An Umbrella Review of Systematic Reviews.虚拟现实用于慢性肌肉骨骼疼痛和残疾患者：系统评价的伞状综述
Health Sci Rep. 2025 Aug 12;8(8):e71163. doi: 10.1002/hsr2.71163. eCollection 2025 Aug.
2
Feasibility and user experience of augmented reality psychoeducation and mindfulness body scan for chronic low back pain.用于慢性下腰痛的增强现实心理教育和正念身体扫描的可行性及用户体验
Front Pain Res (Lausanne). 2025 Jul 1;6:1600637. doi: 10.3389/fpain.2025.1600637. eCollection 2025.
3
Effects of Virtual Reality on Adults Diagnosed with Chronic Non-Specific Low Back Pain: A Systematic Review.虚拟现实对被诊断为慢性非特异性下腰痛的成年人的影响：一项系统综述。
Healthcare (Basel). 2025 Jun 3;13(11):1328. doi: 10.3390/healthcare13111328.
4
Virtual Reality Interventions and Chronic Pain: Scoping Review.虚拟现实干预与慢性疼痛：范围综述
J Med Internet Res. 2025 Feb 18;27:e59922. doi: 10.2196/59922.
5
Integration of Conventional and Virtual Reality Approaches in Augmented Reality for Theory-Based Psychoeducational Intervention Design for Chronic Low Back Pain: Scoping Review.在增强现实中整合传统与虚拟现实方法用于慢性腰痛基于理论的心理教育干预设计：范围综述
Interact J Med Res. 2025 Jan 20;14:e59611. doi: 10.2196/59611.
6
Extended Reality Analgesia Evidence Reviews Often Lack Sufficient Intervention Detail.扩展现实镇痛的证据综述往往缺乏足够的干预细节。
J Med Ext Real. 2024 Dec 17;1(1):290-305. doi: 10.1089/jmxr.2024.0043. eCollection 2024 Dec.
7
Effectiveness of Virtual Reality for Pain Management in Musculoskeletal Disorders Across Anatomical Regions: A Systematic Review and Meta-Analysis.虚拟现实技术对不同解剖区域肌肉骨骼疾病疼痛管理的有效性：一项系统评价与Meta分析
Musculoskeletal Care. 2025 Mar;23(1):e70041. doi: 10.1002/msc.70041.
8
Virtual Reality-Based Training in Chronic Low Back Pain: Systematic Review and Meta-Analysis of Randomized Controlled Trials.虚拟现实慢性下背痛培训：随机对照试验的系统评价和荟萃分析。
J Med Internet Res. 2024 Feb 26;26:e45406. doi: 10.2196/45406.
9
Digital Therapeutics for Improving Effectiveness of Pharmaceutical Drugs and Biological Products: Preclinical and Clinical Studies Supporting Development of Drug + Digital Combination Therapies for Chronic Diseases.用于提高药物和生物制品疗效的数字疗法：支持慢性病药物+数字联合疗法开发的临床前和临床研究
J Clin Med. 2024 Jan 11;13(2):403. doi: 10.3390/jcm13020403.
10
Digital Therapeutics (DTx) Expand Multimodal Treatment Options for Chronic Low Back Pain: The Nexus of Precision Medicine, Patient Education, and Public Health.数字疗法（DTx）拓展慢性腰痛的多模式治疗选择：精准医学、患者教育与公共卫生的关联
Healthcare (Basel). 2023 May 18;11(10):1469. doi: 10.3390/healthcare11101469.
本文引用的文献
1
Utility of Augmented Reality and Virtual Reality in Spine Surgery: A Systematic Review of the Literature.增强现实和虚拟现实在脊柱外科中的应用：文献系统评价。
World Neurosurg. 2022 May;161:e8-e17. doi: 10.1016/j.wneu.2021.08.002. Epub 2021 Aug 9.
2
Short-Term Psychological and Hormonal Effects of Virtual Reality Training on Chronic Low Back Pain in Soccer Players.虚拟现实训练对足球运动员慢性下腰痛的短期心理和激素影响。
J Sport Rehabil. 2021 Feb 16;30(6):884-893. doi: 10.1123/jsr.2020-0075.
3
An 8-Week Self-Administered At-Home Behavioral Skills-Based Virtual Reality Program for Chronic Low Back Pain: Double-Blind, Randomized, Placebo-Controlled Trial Conducted During COVID-19.一项针对慢性下腰痛的 8 周自我管理家庭行为技能为基础的虚拟现实程序：在 COVID-19 期间进行的双盲、随机、安慰剂对照试验。
J Med Internet Res. 2021 Feb 22;23(2):e26292. doi: 10.2196/26292.
4
Virtual reality or isokinetic training; its effect on pain, kinesiophobia and serum stress hormones in chronic low back pain: A randomized controlled trial.虚拟现实或等速训练；对慢性下腰痛疼痛、运动恐惧和血清应激激素的影响：一项随机对照试验。
Technol Health Care. 2021;29(1):155-166. doi: 10.3233/THC-202301.
5
A Graded Exposure, Locomotion-Enabled Virtual Reality App During Walking and Reaching for Individuals With Chronic Low Back Pain: Cohort Gaming Design.一种用于慢性下腰痛患者行走和伸手动作时的分级暴露、具备运动功能的虚拟现实应用程序：群组游戏设计。
JMIR Serious Games. 2020 Aug 10;8(3):e17799. doi: 10.2196/17799.
6
Comparative Effects of Isokinetic Training and Virtual Reality Training on Sports Performances in University Football Players with Chronic Low Back Pain-Randomized Controlled Study.等速训练与虚拟现实训练对慢性腰痛大学生足球运动员运动表现的比较效果——随机对照研究
Evid Based Complement Alternat Med. 2020 Jun 16;2020:2981273. doi: 10.1155/2020/2981273. eCollection 2020.
7
Guideline summary review: an evidence-based clinical guideline for the diagnosis and treatment of low back pain.指南摘要综述：基于证据的下腰痛诊断和治疗临床指南。
Spine J. 2020 Jul;20(7):998-1024. doi: 10.1016/j.spinee.2020.04.006. Epub 2020 Apr 22.
8
Virtual reality distraction induces hypoalgesia in patients with chronic low back pain: a randomized controlled trial.虚拟现实分散注意力可诱导慢性腰背痛患者的镇痛：一项随机对照试验。
J Neuroeng Rehabil. 2020 Apr 22;17(1):55. doi: 10.1186/s12984-020-00688-0.
9
Virtual reality and chronic low back pain.虚拟现实与慢性下腰痛。
Disabil Rehabil Assist Technol. 2021 Aug;16(6):637-645. doi: 10.1080/17483107.2019.1688399. Epub 2019 Nov 20.
10
Is Virtual Reality Effective in Orthopedic Rehabilitation? A Systematic Review and Meta-Analysis.虚拟现实在骨科康复中的应用效果如何？系统评价和荟萃分析。
Phys Ther. 2019 Oct 28;99(10):1304-1325. doi: 10.1093/ptj/pzz093.
Zotero 插件