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Virtual Reality for Decreasing Procedural Pain during Botulinum Toxin Injection Related to Spasticity Treatment in
Romain David1,2, Alexis Dumas2, Etienne Ojardias3,4
1PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86000 Poitiers, France.
Virtual reality (VR) significantly reduced pain during botulinum toxin injections for spasticity. While anxiety levels did not change, patients reported high satisfaction and willingness to reuse VR for future pain management.
Area of Science:
- Neurology
- Pain Management
- Medical Technology
Background:
- Botulinum toxin injections are standard for spasticity but cause pain and anxiety.
- Current pain management relies on pharmacological methods.
- Virtual reality (VR) offers a non-pharmacological approach to mitigate procedural pain.
Purpose of the Study:
- To evaluate the effectiveness of immersive VR in reducing pain and anxiety during botulinum toxin injections.
- To assess patient satisfaction with VR as a pain management tool.
Main Methods:
- A retrospective pilot study included 17 adult patients undergoing botulinum toxin injections.
- Pain and anxiety were measured using a numerical rating scale.
- Patients compared pain during VR-assisted injections to previous non-VR injections.
Main Results:
- VR use decreased pain scores by 1.8 points compared to procedures without VR.
- No significant reduction in anxiety levels was observed.
- Patients reported high satisfaction (7.9/10) and strong willingness to reuse (88%) and recommend (100%) VR.
Conclusions:
- Virtual reality is effective in managing procedural pain associated with botulinum toxin injections in adults.
- VR presents a viable, non-pharmacological alternative for pain control during these procedures.
- High patient satisfaction supports the integration of VR into clinical practice.
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