The Neurobiology of Virtual Reality Pain Attenuation

@article{Gold2007TheNO,
  title={The Neurobiology of Virtual Reality Pain Attenuation},
  author={Jeffrey I. Gold and Katharine A. Belmont and David A. Thomas},
  journal={Cyberpsychology \& behavior : the impact of the Internet, multimedia and virtual reality on behavior and society},
  year={2007},
  volume={10 4},
  pages={
          536-44
        }
}
  • J. Gold, K. Belmont, David A. Thomas
  • Published 21 August 2007
  • Psychology
  • Cyberpsychology & behavior : the impact of the Internet, multimedia and virtual reality on behavior and society
During the past decade, virtual reality (VR) has gained recognition as a means of attenuating pain during medical procedures. However, while investigators have examined the effects of virtual environments on level of distraction, subjective pain intensity, and brain activity, there have been only a handful of investigations into the neurobiological mechanisms associated with VR's efficacy. In an effort to explain how VR may alter pain perception and produce analgesia, as well as to guide the… 

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References

SHOWING 1-10 OF 73 REFERENCES
Using fMRI to Study the Neural Correlates of Virtual Reality Analgesia
TLDR
The rationale behind virtual reality (VR) pain distraction, a new non-pharmacologic adjunctive analgesia, and a brief summary of empirical studies exploring whether VR reduces clinical procedural pain are described.
Virtual Reality as a Pediatric Pain Modulation Technique: A Case Study
TLDR
This case report provides the first evidence that VR may serve as a powerful non-pharmacologic analgesic for children following surgery, with a 16-year-old patient with cerebral palsy participating in a twice-daily physiotherapy program following Single Event Multi-Level Surgery.
Immersive Virtual Reality for Reducing Experimental Ischemic Pain
TLDR
The results show that virtual environments can function as a strong nonpharmacologic pain reduction technique, showing the same pattern of results obtained from recent clinical studies using virtual environments with burn patients during physical therapy.
Virtual reality immersion method of distraction to control experimental ischemic pain.
TLDR
The VR method in pain control was shown to be beneficial and the relatively inexpensive equipment will facilitate the use of VR immersion in clinical situations.
A pilot and feasibility study of virtual reality as a distraction for children with cancer.
TLDR
It is suggested that virtual reality may be a useful tool for distraction during painful medical procedures, but further studies are needed to test potential efficacy and feasibility during other, more distressing medical procedures with larger sample sizes.
Use of Virtual Reality as a Distractor for Painful Procedures in a Patient with Pediatric Cancer: A Case Study
TLDR
Benefit from using VR distraction is suggested, as indicated by lower pain and anxiety ratings, reduced pulse, and fewer observed behavioral indices of distress.
Applications of virtual reality for pain management in burn-injured patients
TLDR
Initial reports are consistent in suggesting that immersive virtual reality is logistically feasible, safe and effective in ameliorating the pain and anxiety experienced in various settings of post-burn pain, and appears applicable to a wide age range of patients and may be particularly well-adapted for use in children.
Water-friendly virtual reality pain control during wound care.
TLDR
An attempt to use water-friendly virtual reality (VR) technology with a burn patient undergoing wound care in a hydrotherapy tub and believes that VR analgesia works by drawing attention away from the wound care, leaving less attention available to process incoming pain signals.
Modulation of thermal pain-related brain activity with virtual reality: evidence from fMRI
TLDR
Results showed direct modulation of human brain pain responses by virtual reality distraction, and virtual reality significantly reduced subjective pain ratings.
Virtual reality as a distraction intervention for older children receiving chemotherapy.
TLDR
Results from this pilot study suggest that VR as a distraction intervention has the potential to enhance positive clinical outcomes and warrants further investigation with both pediatric and adult populations.
...
...