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Updated: May 11, 2026

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The use of Biofeedback in Clinical Virtual Reality: The INTREPID Project
Published on: November 12, 2009
A virtual reality system combined with biofeedback for treating pediatric chronic headache--a pilot study
Shimon Shiri1, Uri Feintuch, Nilly Weiss
1Department of Physical Medicine and Rehabilitation, Hadassah Hebrew University Medical Center, Jerusalem, Israel. shimonshiri@hadassah.org.il
Pain Medicine (Malden, Mass.)
|May 11, 2013
Summary
A new virtual reality and biofeedback system shows promise for treating pediatric chronic headache. This approach improved pain, daily function, and quality of life in a pilot study.
Area of Science:
- Neurology
- Pediatrics
- Biomedical Engineering
Background:
- Pediatric headache is a prevalent condition causing significant distress and reduced quality of life.
- Current pharmacological treatments for chronic headache in children are often limited in efficacy and can be counterproductive, highlighting the need for alternative therapies.
Purpose of the Study:
- To evaluate the feasibility and preliminary efficacy of a novel system combining virtual reality (VR) and biofeedback as an abortive treatment for pediatric chronic headache.
Main Methods:
- A prospective, single-arm, open-label pilot study involving ten children treated with the VR and biofeedback system.
- Participants engaged in relaxation exercises with biofeedback, associating successful relaxation with positive virtual imagery.
Main Results:
- Nine out of ten participants completed the 10-session intervention.
- Significant improvements were observed in pain ratings, daily functioning, and quality of life at 1 and 3 months post-treatment.
- Most children reported using learned relaxation and imagery skills to manage headaches outside of the clinical setting.
Conclusions:
- The combined VR and biofeedback system is a feasible treatment option for pediatric chronic headache.
- Further randomized controlled studies with larger populations are warranted to confirm the system's utility in reducing headache and improving patient outcomes.
