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The Utility of a Novel, Combined Biofeedback-Virtual Reality Device as Add-on Treatment for Chronic Migraine: A
Ami Cuneo1, Robin Yang1, Haoran Zhou1
1University of Washington.
The Clinical Journal of Pain
|April 7, 2023
Summary
A biofeedback-virtual reality device did not significantly reduce monthly headache days in chronic migraine patients. However, it did decrease acute pain medication use and depression symptoms, showing promise as an add-on therapy.
Area of Science:
- Neurology
- Medical Technology
- Digital Therapeutics
Background:
- Chronic migraine is a debilitating neurological condition with significant impact on quality of life.
- Current treatments often involve medication, with a need for non-pharmacological interventions.
- Biofeedback and virtual reality (VR) are emerging therapeutic modalities.
Purpose of the Study:
- To evaluate the efficacy of a combined biofeedback-virtual reality (VR) device for chronic migraine management.
- To assess the impact of frequent device use on headache frequency, medication use, and psychological factors.
Main Methods:
- A randomized, controlled pilot study involving 50 adults with chronic migraine.
- Participants were assigned to either a biofeedback-VR device group or a wait-list control group.
- Outcomes measured included headache days, acute analgesic use, depression, disability, stress, and insomnia at 12 weeks.
Main Results:
- No significant reduction in mean monthly headache days was observed between groups.
- The biofeedback-VR group showed a statistically significant decrease in acute analgesic use (65% reduction) compared to the control group (35% reduction).
- A significant reduction in depression scores was noted in the biofeedback-VR group (35% decrease) versus a slight increase in the control group.
Conclusions:
- Frequent use of a biofeedback-VR device may help reduce acute analgesic consumption and depressive symptoms in chronic migraine patients.
- This technology shows potential as an adjunctive treatment for chronic migraine, particularly for those seeking non-medication options.
- Further research is warranted to confirm these findings in larger populations.

