Virtual Reality Pain Control during Physical Therapy Range of Motion Exercises for a Patient with Multiple Blunt Force Trauma Injuries
Virtual Reality Pain Control during Physical Therapy Range of Motion Exercises for a Patient with Multiple Blunt Force Trauma Injuries
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DOI：
10.1089/cpb.2008.0056
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发表时间：
2009-02-01
期刊：
影响因子：
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通讯作者：
Sharar, Sam R.
中科院分区：
文献类型：
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作者：
Hoffman, Hunter G.;Patterson, David R.;Sharar, Sam R.
严重钝力创伤患者（e.例如，在一个实施例中，多处骨折和/或内伤）在医疗过程中经常经历严重到难以忍受的疼痛。我们探讨了沉浸式虚拟现实（VR）的连续使用，以分散他的程序疼痛在物理治疗过程中的多个钝性创伤损伤的患者。患者是一名32岁的男性，在步行时被一辆半卡车撞倒，上肢和下肢受伤后住院。虽然护士在两天内协助患者进行被动活动范围（ROM）腿部练习，但患者总共接受了10分钟的物理治疗，没有分心，并在VR中度过了10分钟（受试者内设计，顺序随机化）。两种治疗条件中每种的3个0 - 10图形评分量表疼痛评分作为主要因变量。患者报告称，使用VR分散注意力时疼痛减轻。物理治疗期间的“疼痛不愉快”评级从“严重”（平均值= 8.5）降至“轻度/中度”（4.5）。第1天VR期间患者的ROM降低1度，但第2天VR期间患者的ROM增加15度。本研究提供的初步证据表明，沉浸式VR可以是一种有效的连续性，非药物性疼痛减轻技术的患者与多钝性创伤损伤经历剧烈疼痛的物理治疗。VR镇痛对钝性创伤患者运动或运动治疗的潜在效用应在对照研究中进行探索。
Patients with severe blunt force trauma injuries (e. g., multiple fractures and/or internal injuries) often experience severe to excruciating pain during medical procedures. We explored the adjunctive use of immersive virtual reality (VR) to distract a patient with multiple blunt trauma injuries from his procedural pain during physical therapy. The patient was a 32-year-old male hospitalized after suffering upper and lower extremity injuries when he was hit by a semi truck as a pedestrian. While a nurse assisted the patient's passive range of motion (ROM) leg exercises over two days, the patient spent a total of 10 minutes of physical therapy with no distraction and 10 minutes in VR (within-subjects design, order randomized). Three 0 to 10 graphic-rating-scale pain scores for each of the two treatment conditions served as the primary dependent variables. The patient reported a reduction in pain when distracted with VR. "Pain unpleasantness" ratings during physical therapy dropped from "severe" (mean = 8.5) to "mild/moderate" (4.5). The patient's ROM was 1 degree less during VR on day 1, but the patient achieved 15 degrees greater ROM during VR on day 2. The present study provides preliminary evidence that immersive VR can be an effective adjunctive, nonpharmacologic pain-reduction technique for a patient with multiple blunt trauma injuries experiencing severe pain during physical therapy. The potential utility of VR analgesia for movement or exercise therapy for patients with blunt force trauma injuries should be explored in controlled studies.