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

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 ma...

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Publicado en:Pain Practice Vol. 20; no. 6; pp. 656 - 676
Autores principales: Ahern, Meghan M., Dean, Lindsay V., Stoddard, Carolyn C., Agrawal, Aakriti, Kim, Kimin, Cook, Chad E., Narciso Garcia, Alessandra
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell Jul2020
Acceso en línea:Ver este registro en EBSCOhost
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        atl: The Effectiveness of Virtual Reality in Patients With Spinal Pain: A Systematic Review and Meta‐Analysis.
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        au:
          Ahern, Meghan M.
          Dean, Lindsay V.
          Stoddard, Carolyn C.
          Agrawal, Aakriti
          Kim, Kimin
          Cook, Chad E.
          Narciso Garcia, Alessandra
        affil: Division of Physical Therapy, Duke University, Durham North Carolina,, U.S.A.
      sug:
        subj:
          Virtual Reality Exposure Therapy
          Back Pain Therapy
          Chronic Pain Therapy
          Pain Management
          Human
          Neck Pain Therapy
          Meta Analysis
          Systematic Review
          Low Back Pain Therapy
          Physical Therapy
      ab: 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.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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