Affiliation:
1. Radboud University Medical Center, Department of Surgery, Radboud Institute for Health Sciences
2. PBLQ, The Hague
3. Hogeschool Arnhem en Nijmegen University of Applied Science, Research Group Musculoskeletal Rehabilitation, Nijmegen
4. Rijnstate Hospital, Department of Anesthesiology, Arnhem, The Netherlands
Abstract
Objectives:
Low back pain is the leading cause of years lived with disability with a large impact on quality of life and resistance to a broad array of current treatments. This study aimed to investigate the effect of a novel self-administered behavioral therapy-based virtual reality (VR) application on the quality of life of patients with nonspecific chronic low back pain (CLBP).
Methods:
A pilot randomized controlled trial was conducted in adults with nonspecific CLBP with moderate to severe pain, waiting for treatment in a teaching hospital-based pain clinic. The intervention group used a self-administered behavioral therapy-based VR application for at least 10 minutes daily for 4 weeks. The control group received standard care. The primary outcome was quality of life at 4 weeks measured by the short form-12 physical and mental scores. Secondary outcomes were daily worst and least pain, pain coping strategies, activities of daily living, positive health, anxiety, and depression. Discontinuation of therapy and adverse events were analyzed as well.
Results:
Forty-one patients were included. One patient withdrew due to personal reasons. No significant treatment effect was found for the short form-12 physical score (mean difference: 2.6 points; 95% CI: −5.60 to 0.48) and mental score (−1.75; −6.04 to 2.53) at 4 weeks. There was a significant treatment effect for daily “worst pain score” (F [1, 91.425] = 33.3, P < 0.001) and “least pain score” (F [1, 30.069] = 11.5, P = 0.002). Three patients reported mild and temporary dizziness.
Discussion:
Four weeks of self-administered VR for CLBP does not improve quality of life, however, it may positively affect daily pain experience.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Reference45 articles.
1. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017;Lancet,2018
2. Prognosis for patients with chronic low back pain: inception cohort study;Costa Lda;BMJ,2009
3. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment;Breivik;Eur J Pain,2006
4. Epidemiology of chronic pain and its treatment in The Netherlands;Bekkering;Neth J Med,2011
5. Exercise therapy for chronic low back pain;Hayden;Cochrane Database Syst Rev,2021
Cited by
6 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献