In hospitalized patients, therapeutic virtual reality was found to reduce severe pain, stated study published in the open-access journal PLOS ONE by Brennan Spiegel of Cedars-Sinai Health System, USA, and colleagues.
VR sessions have been used to help treat anxiety disorders, support physical rehabilitation and distract patients during wound care. Previous studies testing the intervention in hospitalized patients have been limited by short intervention times and lack of randomization.
In the new trial, researchers randomized 120 people who were inpatients at Cedars-Sinai Medical Center in Los Angeles between November 2016 and July 2017. Patients were eligible if they had a pain score of more than 3 out of 10 during the 24 hours preceding inclusion. 61 people randomized to the intervention group received a library of 21 immersive virtual reality experiences--including a guided relaxation in natural environments, a simulated flight, and animated games--on a Samsung Gear Oculus headset. They were advised to use the headset for three ten-minute sessions over the subsequent 48 hours. 59 people in the control group were instead instructed to tune their television set to a health and wellness channel that included guided relaxations and poetry readings. (The authors note that VR exposure times of over ten minutes had a higher risk of cybersickness.)
While it's still not clear whether different forms of VR have varying efficacy, the current study does support the effectiveness of VR for managing inpatient pain. This effectiveness also prompts many questions deserving future study, especially around the possibility of therapeutic VR's ability to potentially reduce opioid requirements.
Spiegel adds: "In this study, the largest of its kind to date, hospitalized patients with pain were randomized between VR or a relaxation program on TV. The VR outperformed the control condition and demonstrated benefits over several days of use."