The 3D Immersive Display: Validation of a Virtual Reality Technique for Pain Cont

描述（由申请人提供）：使用虚拟现实进行疼痛控制;此后称为VR镇痛，已被证明在伤口护理、癌症护理、物理治疗和常规医院程序中对急性疼痛的临床治疗有效。基于认知负荷的门理论，VR被认为是有效的，并得到了将VR中的沉浸和存在水平与镇痛效果相关联的研究结果的支持。VR镇痛潜在益处的更广泛测试和扩散的主要障碍是沉浸式显示硬件（特别是头戴式显示器（HMD））的过度成本和技术限制。Firsthand开发了一款手臂安装的高分辨率3D显示器Firsthand ID，与使用HMD的当前护理标准相比，它可以提供高质量的图像和身临其境的体验，并节省大量成本。该项目提出了一项可行性研究，以完善和测试Firsthand ID的性能和可用性特征（目标1），并在实验室热疼痛测试中比较Firsthand ID与当前标准HMD系统的镇痛效果（目标2）。视I期可行性研究的成功而定，我们计划提出一项多中心的急性疼痛第一手ID临床研究。这项研究将通过展示VR疼痛控制的经济、实用和潜在上级显示技术的有效性，为疼痛控制研究和实践的所有领域做出重大贡献。

DESCRIPTION (provided by applicant): The use of virtual reality for pain control; henceforth, referred to as VR analgesia, has been shown to be effective in clinical treatment of acute pain in wound care, cancer care, physical therapy and routine hospital procedures. VR is believed to be effective based on gate theory of cognitive load, supported by findings that correlate levels of immersion and presence in VR to analgesic effects. A major obstacle to the wider testing and proliferation of the potential benefits of VR analgesia is due to the excessive cost and technical limitations of immersive display hardware, specifically head-mounted displays (HMDs). Firsthand has developed an arm mounted high resolution 3D display, the Firsthand ID, which delivers a high quality image and immersive experience at significant cost savings compared to the current standard of care using HMDs. This project proposes a feasibility study to refine and test the performance and usability characteristics of the Firsthand ID (Aim 1), and to compare the analgesic effect of the Firsthand ID to the current standard of care HMD systems in a laboratory thermal pain test (Aim 2). Contingent on success of this Phase I feasibility study, we plan to propose a multi----site clinical study of the Firsthand ID for acute pain. This research will potentially contribute significantly to all areas of pain control research and practice by demonstrating efficacy of a vastly more economical, practical and potentially superior display technology for VR pain control.