虚拟现实中的视觉反馈操纵会改变慢性下腰痛患者运动诱发的疼痛感知。
Visual feedback manipulation in virtual reality alters movement-evoked pain perception in chronic low back pain.
作者信息
Jordán-López Jaime, Arguisuelas María D, Doménech Julio, Peñalver-Barrios M Lourdes, Miragall Marta, Herrero Rocío, Baños Rosa M, Amer-Cuenca Juan J, Lisón Juan F
机构信息
Department of Biomedical Sciences, School of Health Sciences, Universidad Cardenal Herrera-CEU, CEU Universities, Alfara del Patriarca, Valencia, Spain.
Department of Physiotherapy, School of Health Sciences, Universidad Cardenal Herrera-CEU, CEU Universities, Alfara del Patriarca, Valencia, Spain.
出版信息
Sci Rep. 2025 Jul 1;15(1):20372. doi: 10.1038/s41598-025-08094-z.
Movement-evoked pain in chronic low back pain (LBP) can be influenced by visual cues linked to threatening movements. This study explored whether manipulating visual proprioceptive feedback via virtual reality (VR) alters movement-evoked pain and if individuals with higher pain, kinesiophobia, disability, or catastrophising are more susceptible to these manipulations. Cross-sectional study with 50 patients with non-specific chronic LBP. Participants performed lumbar spine extension until pain onset with and without VR. VR feedback was manipulated to show 10% less (E -) or 10% more (E +) movement than actual extension. Range of motion (ROM) was measured using an electro-goniometer. Within-group differences across control (E), E -, and E + conditions were assessed with Friedman tests. VR underestimation (E -) led to a 20% increase in ROM compared to the control (E; p = 0.002) and a 22% increase compared to overestimation (E +; p < 0.001). Patients with higher kinesiophobia and disability showed greater improvement in the E - condition. Manipulating visual-proprioceptive information through VR altered pain thresholds in chronic LBP. Underestimated movement (E -) delayed pain onset by extending ROM. Kinesiophobia and disability significantly influenced susceptibility to visual feedback.
慢性下腰痛(LBP)中运动诱发的疼痛会受到与威胁性运动相关的视觉线索的影响。本研究探讨了通过虚拟现实(VR)操纵视觉本体感觉反馈是否会改变运动诱发的疼痛,以及疼痛程度较高、有运动恐惧、残疾或灾难化思维的个体是否更容易受到这些操纵的影响。对50例非特异性慢性LBP患者进行横断面研究。参与者在有和没有VR的情况下进行腰椎伸展,直到疼痛发作。VR反馈被操纵为显示比实际伸展少10%(E -)或多10%(E +)的运动。使用电子测角仪测量运动范围(ROM)。通过Friedman检验评估对照组(E)、E -和E +条件下的组内差异。与对照组(E;p = 0.002)相比,VR低估(E -)导致ROM增加20%,与高估(E +;p < 0.001)相比增加22%。运动恐惧和残疾程度较高的患者在E -条件下改善更大。通过VR操纵视觉本体感觉信息改变了慢性LBP的疼痛阈值。运动低估(E -)通过增加ROM延迟了疼痛发作。运动恐惧和残疾显著影响了对视觉反馈的易感性。