Issue №2-20, 2020

https://doi.org/10.38025/2078-1962-2020-96-2-41-48

Virtual reality in the correction of pain syndrome in patients with degenerative-dystrophic joints and spine diseases

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1 Kotelnikova A.V., 1 Pogonchenkova I.V., 2 Daminov V.D., 1 Kukshina А.А., 1 Lazareva N.I.

1 Moscow Centre of Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine of Moscow Healthcare Department, Moscow, Russian Federation
2 Pirogov National Medical and Surgical Centre, Moscow, Russian Federation


ABSTRACT

Musculoskeletal system diseases require active motor rehabilitation, as a rule, but presence of severe pain syndrome might become a barrier, leading to the development of kinesiophobia and reducing motivation for treatment in patients.In recent decades, non-invasive methods of pain control, in particular virtual reality (VR) and augmented reality (AR) have been commonly used on a par with drug therapy. The purpose of this study is to provide a scientifi c base forthe effectiveness of including a high-tech VR device (Vive Focus Plus EEA Virtual Reality Helmet), in to psychological rehabilitation of a pain syndrome in patients with chronic degenerative-dystrophic diseases of major joints and spine.The study involved 84 patients (24 men and 60 women aged 56±14.4) of a rehabilitation hospital with a severe pain syndrome and motor disorders corresponding to ICF Class 1 or 2. To analyse the characteristics of the subjective painperception, the method of multidimensional semantic description based on the adapted Russian version of the McGill Pain Questionnaire was applied, and the Tampa Scale was used to kinesiophobia assessment. The VR technology wasimplemented via usage of the Vive Focus Plus EEA Virtual Reality Helmet tool (10 procedures). The eff ectiveness of using VR technology was evaluated through monitoring of pain dynamics and the kinesiophobia level prior to the study onset andat the end of hospitalization. As a result, the study has shown that there was no nosological specifi city in the description of pain, or the diff erences in its verbal characteristics representing nociceptive and neuropathic components. Technologyof ‘virtual immersion in 3D reality’ makes it possible to infl uence eff ectively on pathophysiological mechanisms links in the development of chronic psychologically determined, neuropathic and mixed-origin pain.


KEYWORDS: medical rehabilitation, psychological rehabilitation, pain, kinesiophobia, virtual reality (VR) tools, augmented reality (AR) tools, degenerative-dystrophic joint diseases, degenerative-dystrophic spine diseases, nociceptive pain, neuropathic pain, verbal characteristics of pain

For citation: Kotelnikova A.V., Pogonchenkova I.V., Daminov V.D., Kukshina А.А., Lazareva N.I. Virtual reality in the correction of pain syndrome in patients with degenerative-dystrophic joints and spine diseases. Bulletin of rehabilitation medicine. 2020; 96 (2): 41-48. https://doi.org/10.38025/2078-1962-2020-96-2-41-48



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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.