Nonimmersive Virtual Reality Mirror Visual Feedback Therapy and Its Application for the Treatment of Complex Regional Pain Syndrome: An Open‐Label Pilot Study
Identifieur interne : 001908 ( Main/Exploration ); précédent : 001907; suivant : 001909Nonimmersive Virtual Reality Mirror Visual Feedback Therapy and Its Application for the Treatment of Complex Regional Pain Syndrome: An Open‐Label Pilot Study
Auteurs : Kenji Sato [Japon] ; Satoshi Fukumori ; Takashi Matsusaki ; Tomoko Maruo ; Shinichi Ishikawa ; Hiroyuki Nishie ; Ken Takata ; Hiroaki Mizuhara ; Satoshi Mizobuchi ; Hideki Nakatsuka ; Masaki Matsumi ; Akio Gofuku ; Masataka Yokoyama ; Kiyoshi MoritaSource :
- Pain Medicine [ 1526-2375 ] ; 2010-04.
English descriptors
- Teeft :
- Adaptive changes, Analgesia, Analgesic, Analgesic effect, Analgesic effects, Analgesic modality, Autonomic symptoms, Bone atrophy, Chronic crps, Chronic pain, Chronic pain conditions, Chronic state, Complete thoracic, Consecutive treatment sessions, Cord injury, Cortical reorganization, Crp, Crps distraction, Crps type, Feedback, Feedback system, Feedback therapy, Fracture, Further studies, Graduate school, Immediate pain reduction, Kenji sato, Limb, Mirror therapy, Modality, Motor control tasks, Motor cortex, Motor imagery, Motor imagery program, Motor intention, Motor system, Motor tasks, Neural network, Neuronal plasticity, Neurosci lett, Nger, Ngers, Nonaffected side, Okayama, Okayama city, Okayama university, Okayama university graduate school, Pain clinic, Pain conditions, Pain intensity, Pain perception, Pain reduction, Pain relief, Pain syndrome, Pain syndrome type, Phantom, Phantom limb pain, Pilot study, Positional relationship, Possible explanation, Preliminary work, Premotor cortex, Present study, Primary somatosensory cortex, Promising alternative treatment, Radial nerve, Reality mirror, Reality system, Severe pain, Special attention, Spontaneous pain, Stress disorder, Sympathetic dystrophy, Syndrome, Taskoriented training, Tendon sheath, Therapy, Treatment session, Virtual, Virtual environment, Virtual hand, Virtual mirror, Virtual reality, Virtual reality mirror, Virtual reality technology, Visual analog scale, Visual analogue score, Visual feedback, Visual feedback therapy, Vrmvf, Vrmvf system, Vrmvf therapy, Wound care.
Abstract
Objective. Chronic pain conditions such as phantom limb pain and complex regional pain syndrome are difficult to treat, and traditional pharmacological treatment and invasive neural block are not always effective. Plasticity in the central nervous system occurs in these conditions and may be associated with pain. Mirror visual feedback therapy aims to restore normal cortical organization and is applied in the treatment of chronic pain conditions. However, not all patients benefit from this treatment. Virtual reality technology is increasingly attracting attention for medical application, including as an analgesic modality. An advanced mirror visual feedback system with virtual reality technology may have increased analgesic efficacy and benefit a wider patient population. In this preliminary work, we developed a virtual reality mirror visual feedback system and applied it to the treatment of complex regional pain syndrome. Design. A small open‐label case series. Five patients with complex regional pain syndrome received virtual reality mirror visual feedback therapy once a week for five to eight sessions on an outpatient basis. Patients were monitored for continued medication use and pain intensity. Results. Four of the five patients showed >50% reduction in pain intensity. Two of these patients ended their visits to our pain clinic after five sessions. Conclusion. Our results indicate that virtual reality mirror visual feedback therapy is a promising alternative treatment for complex regional pain syndrome. Further studies are necessary before concluding that analgesia provided from virtual reality mirror visual feedback therapy is the result of reversing maladaptive changes in pain perception.
Url:
DOI: 10.1111/j.1526-4637.2010.00819.x
Affiliations:
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code="subField">City;</wicri:noCountry></affiliation></author><author><name sortKey="Matsusaki, Takashi" sort="Matsusaki, Takashi" uniqKey="Matsusaki T" first="Takashi" last="Matsusaki">Takashi Matsusaki</name><affiliation><wicri:noCountry code="no comma">Departments of Anesthesiology and Resuscitology and</wicri:noCountry></affiliation></author><author><name sortKey="Maruo, Tomoko" sort="Maruo, Tomoko" uniqKey="Maruo T" first="Tomoko" last="Maruo">Tomoko Maruo</name><affiliation><wicri:noCountry code="subField">Dentistry;</wicri:noCountry></affiliation></author><author><name sortKey="Ishikawa, Shinichi" sort="Ishikawa, Shinichi" uniqKey="Ishikawa S" first="Shinichi" last="Ishikawa">Shinichi Ishikawa</name><affiliation><wicri:noCountry code="no comma">Departments of Anesthesiology and Resuscitology and</wicri:noCountry></affiliation></author><author><name sortKey="Nishie, Hiroyuki" sort="Nishie, Hiroyuki" uniqKey="Nishie H" first="Hiroyuki" last="Nishie">Hiroyuki Nishie</name><affiliation><wicri:noCountry code="no comma">Departments of Anesthesiology and Resuscitology and</wicri:noCountry></affiliation></author><author><name sortKey="Takata, Ken" sort="Takata, Ken" uniqKey="Takata K" first="Ken" last="Takata">Ken Takata</name><affiliation><wicri:noCountry code="no comma">Departments of Anesthesiology and Resuscitology and</wicri:noCountry></affiliation></author><author><name sortKey="Mizuhara, Hiroaki" sort="Mizuhara, Hiroaki" uniqKey="Mizuhara H" first="Hiroaki" last="Mizuhara">Hiroaki Mizuhara</name><affiliation><wicri:noCountry code="no comma">Departments of Anesthesiology and Resuscitology and</wicri:noCountry></affiliation></author><author><name sortKey="Mizobuchi, Satoshi" sort="Mizobuchi, Satoshi" uniqKey="Mizobuchi S" first="Satoshi" last="Mizobuchi">Satoshi Mizobuchi</name><affiliation><wicri:noCountry code="no comma">Departments of Anesthesiology and Resuscitology and</wicri:noCountry></affiliation></author><author><name 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and</wicri:noCountry></affiliation></author><author><name sortKey="Morita, Kiyoshi" sort="Morita, Kiyoshi" uniqKey="Morita K" first="Kiyoshi" last="Morita">Kiyoshi Morita</name><affiliation><wicri:noCountry code="no comma">Departments of Anesthesiology and Resuscitology and</wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Pain Medicine</title><title level="j" type="alt">PAIN MEDICINE</title><idno type="ISSN">1526-2375</idno><idno type="eISSN">1526-4637</idno><imprint><biblScope unit="vol">11</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="622">622</biblScope><biblScope unit="page" to="629">629</biblScope><biblScope unit="page-count">8</biblScope><publisher>Blackwell Publishing Inc</publisher><pubPlace>Malden, USA</pubPlace><date type="published" when="2010-04">2010-04</date></imprint><idno type="ISSN">1526-2375</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1526-2375</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Adaptive changes</term><term>Analgesia</term><term>Analgesic</term><term>Analgesic effect</term><term>Analgesic effects</term><term>Analgesic modality</term><term>Autonomic symptoms</term><term>Bone atrophy</term><term>Chronic crps</term><term>Chronic pain</term><term>Chronic pain conditions</term><term>Chronic state</term><term>Complete thoracic</term><term>Consecutive treatment sessions</term><term>Cord injury</term><term>Cortical reorganization</term><term>Crp</term><term>Crps distraction</term><term>Crps type</term><term>Feedback</term><term>Feedback system</term><term>Feedback therapy</term><term>Fracture</term><term>Further studies</term><term>Graduate school</term><term>Immediate pain reduction</term><term>Kenji sato</term><term>Limb</term><term>Mirror therapy</term><term>Modality</term><term>Motor control tasks</term><term>Motor cortex</term><term>Motor imagery</term><term>Motor imagery program</term><term>Motor intention</term><term>Motor system</term><term>Motor tasks</term><term>Neural network</term><term>Neuronal plasticity</term><term>Neurosci lett</term><term>Nger</term><term>Ngers</term><term>Nonaffected side</term><term>Okayama</term><term>Okayama city</term><term>Okayama university</term><term>Okayama university graduate school</term><term>Pain clinic</term><term>Pain conditions</term><term>Pain intensity</term><term>Pain perception</term><term>Pain reduction</term><term>Pain relief</term><term>Pain syndrome</term><term>Pain syndrome type</term><term>Phantom</term><term>Phantom limb pain</term><term>Pilot study</term><term>Positional relationship</term><term>Possible explanation</term><term>Preliminary work</term><term>Premotor cortex</term><term>Present study</term><term>Primary somatosensory cortex</term><term>Promising alternative treatment</term><term>Radial nerve</term><term>Reality mirror</term><term>Reality system</term><term>Severe pain</term><term>Special attention</term><term>Spontaneous pain</term><term>Stress disorder</term><term>Sympathetic dystrophy</term><term>Syndrome</term><term>Taskoriented training</term><term>Tendon sheath</term><term>Therapy</term><term>Treatment session</term><term>Virtual</term><term>Virtual environment</term><term>Virtual hand</term><term>Virtual mirror</term><term>Virtual reality</term><term>Virtual reality mirror</term><term>Virtual reality technology</term><term>Visual analog scale</term><term>Visual analogue score</term><term>Visual feedback</term><term>Visual feedback therapy</term><term>Vrmvf</term><term>Vrmvf system</term><term>Vrmvf therapy</term><term>Wound care</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective. Chronic pain conditions such as phantom limb pain and complex regional pain syndrome are difficult to treat, and traditional pharmacological treatment and invasive neural block are not always effective. Plasticity in the central nervous system occurs in these conditions and may be associated with pain. Mirror visual feedback therapy aims to restore normal cortical organization and is applied in the treatment of chronic pain conditions. However, not all patients benefit from this treatment. Virtual reality technology is increasingly attracting attention for medical application, including as an analgesic modality. An advanced mirror visual feedback system with virtual reality technology may have increased analgesic efficacy and benefit a wider patient population. In this preliminary work, we developed a virtual reality mirror visual feedback system and applied it to the treatment of complex regional pain syndrome. Design. A small open‐label case series. Five patients with complex regional pain syndrome received virtual reality mirror visual feedback therapy once a week for five to eight sessions on an outpatient basis. Patients were monitored for continued medication use and pain intensity. Results. Four of the five patients showed >50% reduction in pain intensity. Two of these patients ended their visits to our pain clinic after five sessions. Conclusion. Our results indicate that virtual reality mirror visual feedback therapy is a promising alternative treatment for complex regional pain syndrome. Further studies are necessary before concluding that analgesia provided from virtual reality mirror visual feedback therapy is the result of reversing maladaptive changes in pain perception.</div></front></TEI><affiliations><list><country><li>Japon</li></country></list><tree><noCountry><name sortKey="Fukumori, Satoshi" sort="Fukumori, Satoshi" uniqKey="Fukumori S" first="Satoshi" last="Fukumori">Satoshi Fukumori</name><name sortKey="Gofuku, Akio" sort="Gofuku, Akio" uniqKey="Gofuku A" first="Akio" last="Gofuku">Akio Gofuku</name><name sortKey="Ishikawa, Shinichi" sort="Ishikawa, Shinichi" uniqKey="Ishikawa S" first="Shinichi" last="Ishikawa">Shinichi Ishikawa</name><name sortKey="Maruo, Tomoko" sort="Maruo, Tomoko" uniqKey="Maruo T" first="Tomoko" last="Maruo">Tomoko Maruo</name><name sortKey="Matsumi, Masaki" sort="Matsumi, Masaki" uniqKey="Matsumi M" first="Masaki" last="Matsumi">Masaki Matsumi</name><name sortKey="Matsusaki, Takashi" sort="Matsusaki, Takashi" uniqKey="Matsusaki T" first="Takashi" last="Matsusaki">Takashi Matsusaki</name><name sortKey="Mizobuchi, Satoshi" sort="Mizobuchi, Satoshi" uniqKey="Mizobuchi S" first="Satoshi" last="Mizobuchi">Satoshi Mizobuchi</name><name sortKey="Mizuhara, Hiroaki" sort="Mizuhara, Hiroaki" uniqKey="Mizuhara H" first="Hiroaki" last="Mizuhara">Hiroaki Mizuhara</name><name sortKey="Morita, Kiyoshi" sort="Morita, Kiyoshi" uniqKey="Morita K" first="Kiyoshi" last="Morita">Kiyoshi Morita</name><name sortKey="Nakatsuka, Hideki" sort="Nakatsuka, Hideki" uniqKey="Nakatsuka H" first="Hideki" last="Nakatsuka">Hideki Nakatsuka</name><name sortKey="Nishie, Hiroyuki" sort="Nishie, Hiroyuki" uniqKey="Nishie H" first="Hiroyuki" last="Nishie">Hiroyuki Nishie</name><name sortKey="Takata, Ken" sort="Takata, Ken" uniqKey="Takata K" first="Ken" last="Takata">Ken Takata</name><name sortKey="Yokoyama, Masataka" sort="Yokoyama, Masataka" uniqKey="Yokoyama M" first="Masataka" last="Yokoyama">Masataka Yokoyama</name></noCountry><country name="Japon"><noRegion><name sortKey="Sato, Kenji" sort="Sato, Kenji" uniqKey="Sato K" first="Kenji" last="Sato">Kenji Sato</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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