Immersive virtual reality in children with upper limb injuries: Findings from a feasibility study.
Immersive virtual reality in children with upper limb injuries: Findings from a feasibility study.
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DOI：
10.3233/prm-190635
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发表时间：
2021
影响因子：
1.9
通讯作者：
Lindley, Shirley
中科院分区：
文献类型：
--
作者：
Phelan, Ivan;Furness, Penny J;Dunn, Heather D;Carrion-Plaza, Alicia;Matsangidou, Maria;Dimitri, Paul;Lindley, Shirley
遭受上肢损伤（ULI）（包括骨折和烧伤）的儿童可能需要接受强化康复治疗。治疗的不适会降低他们的依从性，限制他们的活动范围（ROM），并导致慢性疼痛。已经发现虚拟现实（VR）干预可以减少预期和程序性疼痛。这项可行性研究旨在探索定制的完全沉浸式头戴式显示器VR（HMD-VR）体验在英国（UK）国家卫生服务（NHS）门诊康复服务中对ULI儿童的感知和影响。英国一家儿童医院的10名9-16岁儿童在一次康复治疗中试用了HMD-VR。他们，他们的父母（n = 10），和医院物理治疗人员（n = 2）进行了采访，他们的看法的疼痛，困难，享受，治疗的影响，好处和局限性。 与常规康复训练相比，孩子们对课程的愉快性、难度和疼痛进行了评分。要求物理治疗师提供活动度读数。归纳专题分析访谈数据产生三个主题，“通过参与逃避”;“增强运动”;和“适应性和实用性”。孩子们认为这次训练比他们平时的康复训练更愉快，难度更小，痛苦更少。研究结果表明，HMD-VR是一种吸引人的，愉快的体验，可以分散儿童对治疗的痛苦和无聊的注意力。而且，它似乎增强了他们所取得的运动。参与者认为这是有用的康复和适应个人需要和其他病人群体。有人建议提高适应性，建立切实可行的保障措施。这项小规模可行性研究的结果表明，HMD-VR被认为是可用的，可接受的，有效的，具有进一步发展的潜力。未来的工作可能包括更大规模的试验。
Children who sustain Upper Limb Injuries (ULIs), including fractures and burns, may undergo intensive rehabilitation. The discomfort of therapy can reduce their compliance, limit their range of motion (ROM) and lead to chronic pain. Virtual Reality (VR) interventions have been found to reduce anticipated and procedural pain. This feasibility study aimed to explore perceptions and impacts of a custom-made, fully immersive Head-Mounted Display VR (HMD-VR) experience within a United Kingdom (UK) National Health Service (NHS) outpatient rehabilitation service for children with ULIs. Ten children aged 9–16 in one UK Children’s hospital trialled HMD-VR during one rehabilitation session. They, their parents (n = 10), and hospital physiotherapy staff (n = 2) were interviewed about their perceptions of pain, difficulty, enjoyability, therapeutic impacts, benefits, and limitations. Children rated the sessions on enjoyability, difficulty, and pain compared to usual rehabilitation exercises. Physiotherapists were asked to provide range of motion readings. Inductive thematic analysis of interview data generated three themes, ‘Escape through Engagement’; ‘Enhanced Movement’; and ‘Adaptability and Practicality’. Children rated the session as more enjoyable, less difficult and painful than their usual rehabilitation exercises. Findings suggested that HMD-VR was an engaging, enjoyable experience that distracted children from the pain and boredom of therapy. Also, it seemed to enhance the movement they achieved. Participants perceived it was useful for rehabilitation and adaptable to individual needs and other patient groups. Suggestions were made to increase adaptability and build in practical safeguards. Findings from this small-scale feasibility study suggested HMD-VR was perceived as usable, acceptable, and effective with potential for further development. Future work could include larger scale trials.