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Immersive interactive virtual walking reduces neuropathic pain in spinal cord injury: findings from a preliminary investigation of feasibility and clinical efficacy

物理医学与康复 脊髓损伤 干预(咨询) 心理干预 物理疗法 医学 虚拟现实 随机对照试验 心情 心理学 脊髓 人机交互 计算机科学 精神科 外科
作者
Zina Trost,Monima Anam,Joshua Seward,Corey Shum,Deanna Rumble,John A. Sturgeon,Victor W. Mark,Yuying Chen,Lucie Mitchell,Rachel E. Cowan,Robert A. Perera,Elizabeth J. Richardson,Scott Richards,Sylvia M. Gustin
出处
期刊:Pain [Ovid Technologies (Wolters Kluwer)]
卷期号:163 (2): 350-361 被引量:8
标识
DOI:10.1097/j.pain.0000000000002348
摘要

Chronic neuropathic pain (NP) is a common and often debilitating secondary condition for persons with spinal cord injury (SCI) and is minimally responsive to existing pharmacological and nonpharmacological treatments. The current preliminary investigation describes the feasibility and initial comparative efficacy of an interactive virtual reality walking intervention, which is a novel extension of visual feedback/illusory walking therapies shown to reduce SCI NP. Virtual reality walking intervention builds on previous research by, for the first time, allowing individuals with SCI NP to volitionally control virtual gait to interact with a fully immersive virtual environment. The current pilot study compared this interactive, virtual walking intervention to a passive, noninteractive virtual walking condition (analogous to previous illusory walking interventions) in 27 individuals with complete paraplegia (interactive condition, n = 17; passive condition, n = 10; nonrandomized design). The intervention was delivered over 2 weeks in individuals' homes. Participants in the interactive condition endorsed significantly greater reductions in NP intensity and NP-related activity interference preintervention to postintervention. Notable improvements in mood and affect were also observed both within individual sessions and in response to the full intervention. These results, although preliminary, highlight the potentially potent effects of an interactive virtual walking intervention for SCI NP. The current study results require replication in a larger, randomized clinical trial and may form a valuable basis for future inquiry regarding the mechanisms and clinical applications of virtual walking therapies.
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