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. 2009 Apr;10(4):391-7.
doi: 10.1016/j.jpain.2008.09.016. Epub 2009 Feb 23.

Sustained efficacy of virtual reality distraction

Affiliations

Sustained efficacy of virtual reality distraction

Charles E Rutter et al. J Pain. 2009 Apr.

Abstract

The current study tested whether the effectiveness of distraction using virtual reality (VR) technology in reducing cold pressor pain would maintain over the course of 8 weekly exposures. Twenty-eight adults, 18 to 23 years of age, underwent 1 baseline cold pressor trial and 1 VR distraction trial in randomized order each week. VR distraction led to significant increases in pain threshold and pain tolerance and significant decreases in pain intensity, time spent thinking about pain, and self-reported anxiety, relative to baseline. Repeated exposure did not appear to affect the benefits of VR. Implications for the long-term use of VR distraction as a nonpharmacological analgesic are discussed.

Perspective: This article addresses the concern that the efficacy of virtual reality-assisted distraction from pain could potentially decrease with repeated exposure. The current finding that efficacy did not diminish over several repeated exposures provides support for the use of virtual reality as an adjuvant treatment of pain.

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Figures

Figure 1
Figure 1
Pain Tolerance during Baseline and VR Distraction Trials Across Weekly Sessions (n = 25). Note: Error bars represent standard deviations (SD). To avoid overlap of error bars, +.5 SD is graphed for the VR Distraction condition and −.5 SD is graphed for the Baseline condition.
Figure 2
Figure 2
Pain Threshold during Baseline and VR Distraction Trials Across Weekly Sessions (n = 27). Note: Error bars represent the standard deviations (SD). To avoid overlap of error bars, +.5 SD is graphed for the VR Distraction condition and −.5 SD is graphed for the Baseline condition.
Figure 3
Figure 3
Standardized Mean Difference Scores Across Weekly Sessions

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