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The aim of this study is to evaluate the efficacy of virtual reality experiences on acute pain and distress caused by fluoroscopic pain intervention in chronic pain patient.
The investigators perform lots of interventions for patients. But unfortunately, patients cannot help being exposed to the acute pain and fear during the interventions. "Virtual Reality(VR)" is a state-of-art advanced technology, which is now being extended to various medical fields such as pain management, dental treatment, body rehabilitation and cancer pain. There is no study that have conjugated the virtual reality experience for patients' acute pain and anxiety which occurs during the pain interventions. So the investigators like to evaluate the effects of virtual reality experience on acute pain and anxiety precipitated by the pain interventions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Virtual reality group | Experimental |
|
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| Conventional group | No Intervention | The fluoroscopic pain intervention is performed using only local anesthetics and description of the practitioner during the intervention as in the conventional cases. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Virtual reality group | Device | Virtual reality group The study intervention is to provide acute pain management for the subject undergoing fluoroscopic pain intervention by using the virtual reality program provided by the collaborator through virtual reality device (headset, headphone, and smartphone) that are commercialized on the market. |
| Measure | Description | Time Frame |
|---|---|---|
| 11-point scale pain score | 11-point scale pain score was assessed by the patient during the fluoroscopic-guided intervention, 0-10. 0 means no pain, 10 means the most severe pain one can imagine | 15min after the procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Hamilton Anxiety rating score (HAM-A) | total score range of 0-56, where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. | 15min after the procedure |
| Net Promotor Score (NPS) by patient |
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Inclusion Criteria:
If all of the following conditions are met :
Exclusion Criteria:
If the subject falls under any of the following conditions :
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| Name | Affiliation | Role |
|---|---|---|
| Jee Youn Moon, MD, PhD | Seoul National University Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hospital | Seoul | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 10788861 | Background | Linton SJ. A review of psychological risk factors in back and neck pain. Spine (Phila Pa 1976). 2000 May 1;25(9):1148-56. doi: 10.1097/00007632-200005010-00017. | |
| 21779307 | Background | Li A, Montano Z, Chen VJ, Gold JI. Virtual reality and pain management: current trends and future directions. Pain Manag. 2011 Mar;1(2):147-157. doi: 10.2217/pmt.10.15. |
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| ID | Term |
|---|---|
| D059787 | Acute Pain |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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On a scale of 0 to 10, score 10 means most likely to recommend VR to a friend or a colleague
| 15min after the procedure |
| Net Promotor Score (NPS) by physician | On a scale of 0 to 10, score 10 means most likely to recommend VR to a friend or a colleague | 15min after the procedure |
| Total amount of local anesthetics used to skin infiltration | Total amount of local anesthetics used to skin infiltration (ml) | intraoperative |
| Total procedural time | Total procedural time (minute) | intraoperative |
| Vital sign of the patient: Percutaneous oxygen saturation(SPO2,%) | Percutaneous oxygen saturation(SPO2,%) | Intraoperative |
| Vital sign of the patient: noninvasive blood pressure(NIBP, mm Hg) | noninvasive blood pressure(NIBP, mm Hg) | Intraoperative |
| Vital sign of the patient: electrocardiogram(ECG) | Arrhythmia | Intraoperative |
| Vital sign of the patient: Heart rate (beat per minute) | Heart rate (beat per minute) | Intraoperative |
| 18427228 | Result | Hoffman HG, Patterson DR, Seibel E, Soltani M, Jewett-Leahy L, Sharar SR. Virtual reality pain control during burn wound debridement in the hydrotank. Clin J Pain. 2008 May;24(4):299-304. doi: 10.1097/AJP.0b013e318164d2cc. |
| 19230769 | Result | Nilsson S, Finnstrom B, Kokinsky E, Enskar K. The use of Virtual Reality for needle-related procedural pain and distress in children and adolescents in a paediatric oncology unit. Eur J Oncol Nurs. 2009 Apr;13(2):102-9. doi: 10.1016/j.ejon.2009.01.003. Epub 2009 Feb 20. |
| D001523 | Mental Disorders |