Virtual Reality as Complementary Treatment in Pain Relief in Burnt Children (original) (raw)
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Use of virtual reality for treating burned children: case reports
Revista brasileira de enfermagem
To report the use of virtual reality (VR) in pain intensity during dressing change of two burned children hospitalized in a Burn Treatment Center (BTC) in Southern Brazil. Case report on the use of VR during dressing change of two burned children hospitalized in a BTC, from May to July 2016. For assessing pain, a facial pain rating scale was applied at four times: just before the dressing, during the dressing without the use of VR, during the dressing with the VR, and after the use of VR. The use of goggles was easy to apply and well-accepted by the children, and also had a relevant effect reducing pain. VR can become an important nonpharmacological method for treating pain in burned children.
Application of a virtual reality prototype for pain relief of pediatric burn in Taiwan
Journal of Clinical Nursing, 2007
Application of a virtual reality prototype for pain relief of pediatric burn in Taiwan Aim. This study examines the usability and effectiveness of virtual reality in reducing pain in wound-care procedures for pediatric burn patients in Taiwan. Background. Virtual reality has continuously gained prominence in the medical arena, for instance, the telepresence for surgery, the management of mental health disorders and pain control of the paediatric burn. Notwithstanding an increased application of virtual reality in the medical arena in North America, there have been no studies investigating its use for paediatric burn patients in Asia. Methods. This descriptive study has two phases: Phase I: the development of a virtual reality prototype. Phase II: the implementation of the prototype to discern its usability and efficacy with paediatric burn patients at a local hospital. Results. The findings suggest that a significant difference is found in the children's reported pain, with or without the virtual reality intervention, over the three phases: before, during and after the dressing change. However, less pain was noted in the intervention group during and after the dressing change. Conclusion. Adding to the existing clinical value of virtual reality identifies the nature of and different children's responses to pain with the use of virtual reality.
Physical Therapy and Rehabilitation, 2019
Objective: the purpose of this study was to evaluate effectiveness of virtual reality (VR) in decreasing pain and facilitating physical therapy (PT) procedures for adolescent burned Patients. Methods: A two-weeks randomized controlled study including fifty-six adolescent burned patients who randomly divided into two groups. VR group received VR during PT session while control group received PT without VR. Pain was assessed by adolescent pediatric pain tool (APPT) and ROM was assessed by goniometer at the end of each session. Results: The results of study reported highly significant and substantial declines in all pain outcomes (mean total painful areas, pain intensity, sensory, affective, evaluative and temporal dimensions of pain) in VR group compared to control group, p value ≤0.001. The percentage of decrement of pain intensity in VR group was 55.6% while for control group was 15.6%. Regarding ROM measurement, for the first three sessions, the results of the study showed that there was no significant difference between both groups in mean ROM of hip extension, hip abduction, knee extension and ankle dorsiflexion, p value >0.05, however for the last three sessions, there was highly significant difference between both groups, p value <0.05. The percentage of improvement in ROM of Hip extension, hip abduction, dorsiflexion and knee extension in VR group were 14.2%, 85.2%, 26.1% and 82.2% respectively, while for control group the percentage of improvement were 8.3%, 24.7%, 11.8% and 24.1% respectively. Conclusion: Based on the obtained results and previous studies results, our study concluded that virtual reality is powerful analgesic non-pharmacological adjunctive tool that helps in decreasing procedural pain during PT procedures. Its analgesic effects have beneficial effects on ROM of lower extremity of adolescent burned patients.
Virtual Reality Analgesia for Children With Large Severe Burn Wounds During Burn Wound Debridement
Frontiers in Virtual Reality, 2020
The objective of this study was to compare the effect of adjunctive virtual reality vs. standard analgesic pain medications during burn wound cleaning/debridement. Participants were predominantly Hispanic children aged 6–17 years of age, with large severe burn injuries (TBSA = 44%) reporting moderate or higher baseline pain during burn wound care. Using a randomized between-groups design, participants were randomly assigned to one of two groups, (a) the Control Group = pain medications only or (b) the VR Group = pain medications + virtual reality. A total of 50 children (88% Hispanic) with large severe burns (mean TBSA > 10%) received severe burn wound cleaning sessions. For the primary outcome measure of worst pain (intensity) on Study Day 1, using a between groups ANOVA, burn injured children in the group that received virtual reality during wound care showed significantly less pain intensity than the No VR control group, [mean worst pain ratings for the No VR group = 7.46 (SD ...
BMC pediatrics, 2005
The management of burn injuries is reported as painful, distressing and a cause of anxiety in children and their parents. Child's and parents' pain and anxiety, often contributes to extended time required for burns management procedures, in particular the process of changing dressings. The traditional method of pharmacologic analgesia is often insufficient to cover the burnt child's pain, and it can have deleterious side effects 12. Intervention with Virtual Reality (VR) games is based on distraction or interruption in the way current thoughts, including pain, are processed by the brain. Research on adults supports the hypothesis that virtual reality has a positive influence on burns pain modulation. This study investigates whether playing a virtual reality game, decreases procedural pain in children aged 5-18 years with acute burn injuries. The paper reports on the findings of a pilot study, a randomised trial, in which seven children acted as their own controls though ...
Children, 2020
Children and adolescents with severe burns require medical and nursing interventions, associated with pain. As immersive virtual reality (VR) gained prominence as non-pharmacological adjuvant analgesia, we conducted a systematic review and meta-analysis on the efficacy of full immersive VR on pain experienced during dressing changes in hospitalized children and adolescents with severe burns. This exercise included quality and risk of bias assessment. The systematic review resulted in eight studies and 142 patients. Due to missing data, four studies were excluded from the meta-analysis. Fixed effects meta-analysis of the four included studies (n = 104) revealed a large effect size (ES) (Standardized Mean Difference = 0.94; 95% Confidence Interval = 0.62, 1.27; Z = 5.70; p < 0.00001) for adjuvant full immersive VR compared to standard care (SC). In conclusion, adjuvant full immersive VR significantly reduces pain experienced during dressing changes in children and adolescents with ...
EFFECT OF VIRTUAL REALITY ON WOUND CARE RELATED PAIN AMONG PATIENTS WITH BURN
Xi'an ShiyouDaxueXuebao (ZiranKexue Ban)/ Journal of Xi'an Shiyou University, Natural Sciences Edition, 2023
Background: Burns are one of the most devastating injuries worldwide, burn injuries are a type of skin and tissue damage. Moreover, wound care of burned skin are frequently caring procedure but it is usually accompanied by pain. Virtual reality (VR) technology has been widely used in recent years, as an effective and safe strategy for management of pain associated with burn wound care. Head mounted displays (HMD) has made VR now more feasible for clinical use. Aim of the study: The aim is to evaluate the effect of virtual reality technology on wound care pain among patients with burn. Design: One-group pretest-posttest quasi-experimental design was used in the study. Setting: The study was conducted in two settings, the first was the burn units affiliated to Cairo university hospitals, while the other was the burn unit affiliated to a governmental hospital affiliated to Ministry of health, Egypt. Sample: A convenient sample of 60 male and female adult conscious patients with burn who fulfilled the eligibility criteria was recruited. Tools: Two tools were utilized to collect data; Demographic and Medical Data Questionnaire (DMDQ), Short-Form McGill Pain Questionnaire (SF-MPQ). Results: The mean age of the study sample was 35.40 ± 14.603 years and 43.3% of study sample their age ranged between 18 < 31 years; the female gender represented about 53.3 %. Concerning pain scores; there are high statistical significant differences between Visual Analog Scale (VAS) in the 2 nd wound care without using VR and 3 rd and 4 th wound care with VR, where T= 18.271 P=.000, T= 23.516 P=.000 respectively. Conclusion: The application of VR technology during burns wound care decrease pain severity of burn wound care. Recommendation: Application of VR technology during burn wound care is an effective non-pharmacological pain management strategy/technique.
Virtual reality as an adjunctive pain control during burn wound care in adolescent patients
Pain, 2000
For daily burn wound care procedures, opioid analgesics alone are often inadequate. Since most burn patients experience severe to excruciating pain during wound care, analgesics that can be used in addition to opioids are needed. This case report provides the ®rst evidence that entering an immersive virtual environment can serve as a powerful adjunctive, nonpharmacologic analgesic. Two patients received virtual reality (VR) to distract them from high levels of pain during wound care. The ®rst was a 16-year-old male with a deep¯ash burn on his right leg requiring surgery and staple placement. On two occasions, the patient spent some of his wound care in VR, and some playing a video game. On a 100 mm scale, he provided sensory and affective pain ratings, anxiety and subjective estimates of time spent thinking about his pain during the procedure. For the ®rst session of wound care, these scores decreased 80 mm, 80 mm, 58 mm, and 93 mm, respectively, during VR treatment compared with the video game control condition. For the second session involving staple removal, scores also decreased. The second patient was a 17-year-old male with 33.5% total body surface area deep¯ash burns on his face, neck, back, arms, hands and legs. He had dif®culty tolerating wound care pain with traditional opioids alone and showed dramatic drops in pain ratings during VR compared to the video game (e.g. a 47 mm drop in pain intensity during wound care). We contend that VR is a uniquely attentioncapturing medium capable of maximizing the amount of attention drawn away from the`real world', allowing patients to tolerate painful procedures. These preliminary results suggest that immersive VR merits more attention as a potentially viable form of treatment for acute pain.
Virtual reality therapy to control burn pain: systematic review of randomized controlled trials
Journal of Burn Care & Research
Background Virtual reality therapy has been shown to be an excellent alternative to non-pharmacological treatment for the control of burn pain. Objective To evaluate the effects of virtual reality therapy on pain control in people who have suffered burns published in the scientific literature. Method Systematic review carried out as recommended by Cochrane®. The search was carried out in the Embase, PubMed, Lilacs and Cochrane Library databases, in the period from March 2021. Randomized clinical trials were included without language restriction and year of publication. The risk of bias was assessed using the Cochrane® tool. Results Of the 3755 articles found, only 17 articles were selected for reading in full. Of these, only four articles met the inclusion criteria. The results of the studies showed that the use of virtual reality therapy reduced the intensity of pain in children and adolescents with burns, despite the fact that most results are not statistically significant. No sel...