Virtual reality for spinal cord injury-associated neuropathic pain: Systematic review / B. Chi in Annals of physical and rehabilitation medicine, Vol. 62, n°1 (Janvier 2019)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°1 (Janvier 2019) . - p. 49-57 Titre : Virtual reality for spinal cord injury-associated neuropathic pain: Systematic review Type de document : texte imprimé Auteurs : B. Chi ; B. Chau ; E. Yeo ; P. Ta Année de publication : 2019 Article en page(s) : p. 49-57 Note générale : Doi : 10.1016/j.rehab.2018.09.006 Langues : Anglais (eng) Mots-clés : Virtual reality  Spinal cord injury  Neuropathic pain Résumé : Background Treatment of spinal cord injury (SCI)-associated neuropathic pain is challenging, with limited efficacy and no definitive options, and SCI patients often show resistance to pharmacologic treatment. Virtual reality (VR) therapy is a non-invasive, non-pharmacologic alternative with minimal adverse effects. Objective To investigate the effect of VR therapy on SCI-associated neuropathic pain in a systematic review. Methods Articles needed to 1) be written in English; 2) include adult subjects, with at least half the study population with a SCI diagnosis; 3) involve any form of VR therapy; and 4) assess neuropathic pain by quantitative outcome measures. Articles were searched in MEDLINE/PubMed, CINAHL®, EMBASE, and PsycINFO up to April 2018. Reference lists of retrieved articles were hand-searched. Methodologic quality was assessed by the Physiotherapy Evidence Database Score (PEDro) for randomized controlled trials and Modified Downs and Black Tool (D&B) for all other studies. Level of evidence was determined by using a modified Sackett scale. Results Among 333 studies identified, 9 included in this review (n=150 participants) evaluated 4 methods of VR therapy (virtual walking, VR-augmented training, virtual illusion, and VR hypnosis) for treating neuropathic pain in SCI patients. Each VR method reduced neuropathic pain: 4 studies supported virtual walking, and the other 3 VR methods were each supported by a different study. Combined treatment with virtual walking and transcranial direct current stimulation was the most effective. The quality of studies was a major limitation. Conclusion VR therapy could reduce SCI-associated neuropathic pain, although the clinical significance of this analgesic effect is unclear. Clinical trials evaluating VR therapy as standalone and/or adjunct therapy for neuropathic pain in SCI patients are warranted. Permalink : ./index.php?lvl=notice_display&id=82639 [article] Virtual reality for spinal cord injury-associated neuropathic pain: Systematic review [texte imprimé] / B. Chi ; B. Chau ; E. Yeo ; P. Ta . - 2019 . - p. 49-57. Doi : 10.1016/j.rehab.2018.09.006 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°1 (Janvier 2019) . - p. 49-57 Mots-clés : Virtual reality  Spinal cord injury  Neuropathic pain Résumé : Background Treatment of spinal cord injury (SCI)-associated neuropathic pain is challenging, with limited efficacy and no definitive options, and SCI patients often show resistance to pharmacologic treatment. Virtual reality (VR) therapy is a non-invasive, non-pharmacologic alternative with minimal adverse effects. Objective To investigate the effect of VR therapy on SCI-associated neuropathic pain in a systematic review. Methods Articles needed to 1) be written in English; 2) include adult subjects, with at least half the study population with a SCI diagnosis; 3) involve any form of VR therapy; and 4) assess neuropathic pain by quantitative outcome measures. Articles were searched in MEDLINE/PubMed, CINAHL®, EMBASE, and PsycINFO up to April 2018. Reference lists of retrieved articles were hand-searched. Methodologic quality was assessed by the Physiotherapy Evidence Database Score (PEDro) for randomized controlled trials and Modified Downs and Black Tool (D&B) for all other studies. Level of evidence was determined by using a modified Sackett scale. Results Among 333 studies identified, 9 included in this review (n=150 participants) evaluated 4 methods of VR therapy (virtual walking, VR-augmented training, virtual illusion, and VR hypnosis) for treating neuropathic pain in SCI patients. Each VR method reduced neuropathic pain: 4 studies supported virtual walking, and the other 3 VR methods were each supported by a different study. Combined treatment with virtual walking and transcranial direct current stimulation was the most effective. The quality of studies was a major limitation. Conclusion VR therapy could reduce SCI-associated neuropathic pain, although the clinical significance of this analgesic effect is unclear. Clinical trials evaluating VR therapy as standalone and/or adjunct therapy for neuropathic pain in SCI patients are warranted. Permalink : ./index.php?lvl=notice_display&id=82639

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