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The Effectiveness of Virtual Reality in Patients With Spinal Pain: A Systematic Review and Meta-Analysis.

Publication ,  Journal Article
Ahern, MM; Dean, LV; Stoddard, CC; Agrawal, A; Kim, K; Cook, CE; Narciso Garcia, A
Published in: Pain Pract
July 2020

BACKGROUND: Virtual reality (VR) technologies have been shown to be beneficial in various areas of health care; to date, there are no systematic reviews examining the effectiveness of VR technology for the treatment of spinal pain. PURPOSE: To investigate the effectiveness of VR technology in the management of individuals with acute, subacute, and chronic spinal pain. METHODS: Six electronic databases were searched until November 2019. Randomized controlled trials (RCTs) assessing the effectiveness of VR were eligible for inclusion. Two independent reviewers extracted the data and assessed the risk of bias for each study and the overall quality of evidence. Mean differences of outcomes were pooled as appropriate using random-effects models. RESULTS: Seven RCTs with high risk of bias met review criteria. Quality of evidence ranged from very low to low quality. In patients with chronic neck pain, VR improved global perceived effect (GPE), satisfaction, and general health at short-term follow-up, as well as general health and balance at intermediate-term follow-up compared to kinematic training. VR improved pain intensity and disability at short-term and long-term follow-up compared to conventional proprioceptive training in patients with chronic neck pain. In patients with either subacute or chronic low back pain (LBP), VR improved pain, disability, and fear of movement compared to lumbar stabilization exercises and improved pain compared to conventional physical therapy (at short-term follow-up). In patients with chronic LBP, VR improved pain compared to lumbar stabilization exercises and improved fear of movement compared to conventional physical therapy (at short-term follow-up). CONCLUSION: VR's potential for improvement in outcomes for spinal pain that demonstrated statistical and/or clinical significance (pain intensity, disability, fear of movement, GPE, patient satisfaction, general health status, and balance) highlights the need for more focused, higher-quality research on the efficacy and effectiveness of VR for treatment of patients with spinal pain.

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Published In

Pain Pract

DOI

EISSN

1533-2500

Publication Date

July 2020

Volume

20

Issue

6

Start / End Page

656 / 675

Location

United States

Related Subject Headings

  • Virtual Reality
  • Neck Pain
  • Humans
  • Chronic Pain
  • Back Pain
  • Anesthesiology
  • 4201 Allied health and rehabilitation science
  • 3209 Neurosciences
  • 3202 Clinical sciences
  • 1116 Medical Physiology
 

Citation

APA
Chicago
ICMJE
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Ahern, M. M., Dean, L. V., Stoddard, C. C., Agrawal, A., Kim, K., Cook, C. E., & Narciso Garcia, A. (2020). The Effectiveness of Virtual Reality in Patients With Spinal Pain: A Systematic Review and Meta-Analysis. Pain Pract, 20(6), 656–675. https://doi.org/10.1111/papr.12885
Ahern, Meghan M., Lindsay V. Dean, Carolyn C. Stoddard, Aakriti Agrawal, Kimin Kim, Chad E. Cook, and Alessandra Narciso Garcia. “The Effectiveness of Virtual Reality in Patients With Spinal Pain: A Systematic Review and Meta-Analysis.Pain Pract 20, no. 6 (July 2020): 656–75. https://doi.org/10.1111/papr.12885.
Ahern MM, Dean LV, Stoddard CC, Agrawal A, Kim K, Cook CE, et al. The Effectiveness of Virtual Reality in Patients With Spinal Pain: A Systematic Review and Meta-Analysis. Pain Pract. 2020 Jul;20(6):656–75.
Ahern, Meghan M., et al. “The Effectiveness of Virtual Reality in Patients With Spinal Pain: A Systematic Review and Meta-Analysis.Pain Pract, vol. 20, no. 6, July 2020, pp. 656–75. Pubmed, doi:10.1111/papr.12885.
Ahern MM, Dean LV, Stoddard CC, Agrawal A, Kim K, Cook CE, Narciso Garcia A. The Effectiveness of Virtual Reality in Patients With Spinal Pain: A Systematic Review and Meta-Analysis. Pain Pract. 2020 Jul;20(6):656–675.
Journal cover image

Published In

Pain Pract

DOI

EISSN

1533-2500

Publication Date

July 2020

Volume

20

Issue

6

Start / End Page

656 / 675

Location

United States

Related Subject Headings

  • Virtual Reality
  • Neck Pain
  • Humans
  • Chronic Pain
  • Back Pain
  • Anesthesiology
  • 4201 Allied health and rehabilitation science
  • 3209 Neurosciences
  • 3202 Clinical sciences
  • 1116 Medical Physiology