Departament de Cirurgia i Especialitats Medicoquirúrgiques, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona (UB), c. Casanova, 143, 08036, Barcelona, Spain.
Servei de Cirurgia Ortopèdica i Traumatologia, Hospital Clínic de Barcelona, Universitat de Barcelona (UB), c. Villarroel, 170, 08036, Barcelona, Spain.
Int Orthop. 2024 Jan;48(1):21-30. doi: 10.1007/s00264-023-05911-w. Epub 2023 Aug 11.
This narrative review explores the applications and benefits of immersive virtual reality (VR) in orthopaedics, with a focus on surgical training, patient functional recovery, and pain management.
The review examines existing literature and research studies on immersive VR in orthopaedics, analyzing both experimental and clinical studies.
Immersive VR provides a realistic simulation environment for orthopaedic surgery training, enhancing surgical skills, reducing errors, and improving overall performance. In post-surgical recovery and rehabilitation, immersive VR environments can facilitate motor learning and functional recovery through virtual embodiment, motor imagery during action observation, and virtual training. Additionally VR-based functional recovery programs can improve patient adherence and outcomes. Moreover, VR has the potential to revolutionize pain management, offering a non-invasive, drug-free alternative. Virtual reality analgesia acts by a variety of means including engagement and diverting patients' attention, anxiety reduction, and specific virtual-body transformations.
Immersive virtual reality holds significant promise in orthopaedics, demonstrating potential for improved surgical training, patient functional recovery, and pain management but further research is needed to fully exploit the benefits of VR technology in these areas.
本文通过叙述性综述探讨沉浸式虚拟现实（VR）在骨科中的应用和优势，重点关注手术培训、患者功能恢复和疼痛管理。
综述分析了骨科沉浸式 VR 的现有文献和研究，包括实验和临床研究。
沉浸式 VR 为骨科手术培训提供了逼真的模拟环境，可提高手术技能、减少错误并改善整体表现。在术后康复和恢复过程中，沉浸式 VR 环境可以通过虚拟体现、动作观察期间的运动想象以及虚拟训练促进运动学习和功能恢复。此外，基于 VR 的功能恢复方案可以提高患者的依从性和效果。此外，VR 还有望彻底改变疼痛管理，提供一种非侵入性、无药物的替代方案。虚拟现实镇痛通过多种方式发挥作用，包括吸引和转移患者的注意力、减轻焦虑和特定的虚拟身体变形。
沉浸式虚拟现实在骨科领域具有广阔的应用前景，在手术培训、患者功能恢复和疼痛管理方面具有潜在优势，但仍需要进一步研究以充分利用 VR 技术在这些领域的优势。
