4.4 Article

Illusion-enhanced Virtual Reality Exercise for Neck Pain A Replicated Single Case Series

期刊

CLINICAL JOURNAL OF PAIN
卷 36, 期 2, 页码 101-109

出版社

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/AJP.0000000000000780

关键词

chronic pain; neck pain; persistent pain; virtual reality; illusion; cortical representation; cortical reorganization; brain training; whiplash-associated disorder; exercise therapy

资金

  1. Physiotherapy Research Foundation
  2. Griffith University
  3. University of South Australia Collaboration Grant
  4. Gold Coast, Australia
  5. Early Career Research Fellowship from the National Health and Medical Research Council of Australia
  6. National Health and Medical Research Council of Australia
  7. International Olympic Committee, Port Adelaide Football Club and Arsenal Football Club
  8. Dancing Giraffe Press (Canberra, Australia)
  9. OPTP (Minneapolis, Minnesota, USA)
  10. Senior Research Fellowship of the Research Foundation Flanders (FWO-Vlaanderen), Belgium [12E3717N]
  11. Vidi grant from the Netherlands Organization for Scientific Research (NWO), The Netherlands [452-17-002]
  12. Research Foundation Flanders (FWO-Vlaanderen), Belgium [G059314N]

向作者/读者索取更多资源

Objectives: Body illusions have shown promise in treating some chronic pain conditions. We hypothesized that neck exercises performed in virtual reality (VR) with visual feedback of rotation amplified would reduce persistent neck pain. Methods: In a multiple-baseline replicated single case series, 8 blinded individuals with persistent neck pain completed a 4-phase intervention (initial n=12, 4 dropouts): (1) baseline; (2) VR during which participants performed rotation exercises in VR with no manipulation of visual feedback; (3) VR enhanced during which identical exercises were performed but visual feedback overstated the range of motion being performed; (4) follow-up. Primary outcomes were twice-daily measures of pain-free range of motion and pain intensity. During the baseline and follow-up phases, measures were taken but no intervention took place. Results: No differences in primary outcomes were found between VR and baseline, VR enhanced and VR, or VR enhanced and follow-up. Discussion: Our hypothesis, that neck exercises performed in VR with visual feedback of rotation amplified, would reduce persistent neck pain was not supported. Possible explanations and future directions are discussed.

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