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Virtual Reality-Applied Home-Visit Rehabilitation for Patients With Chronic Pain: Protocol for Single-Arm Pre-Post

Hiroki Funao1,2, Ryo Momosaki3, Mayumi Tsujikawa4

  • 1Department of Molecular Pathobiology and Cell Adhesion Biology, Mie University Graduate School of Medicine, Tsu, Japan.

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Summary

Virtual reality (VR) shows promise for home rehabilitation, effectively reducing chronic pain in homebound patients. This study assesses VR

Keywords:
VRVR interventionalleviate painchronic paineffectivefeasibilityfeasibility studyhome rehabilitationhome visithome-visit rehabilitationhomebound patientin-homepainprotocolrecurrent painrehabilitationscreeningvirtual reality

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Area of Science:

  • Rehabilitation Medicine
  • Digital Health
  • Pain Management

Background:

  • Chronic pain often hinders rehabilitation progress, particularly for homebound patients.
  • Virtual reality (VR) has demonstrated effectiveness in reducing pain within clinical settings.
  • The increasing demand for home rehabilitation necessitates exploring VR's potential in non-clinical environments.

Purpose of the Study:

  • To evaluate the feasibility of integrating virtual reality (VR) into home-visit rehabilitation programs.
  • To assess the impact of VR on chronic pain experienced by homebound patients receiving rehabilitation at home.

Main Methods:

  • A single-arm, pre-post feasibility study design.
  • Enrollment of patients with chronic pain (≥3 months) receiving home-visit rehabilitation.
  • 10 weekly VR rehabilitation sessions with pain assessments (Numerical Rating Scale) before, during, and after each session.

Main Results:

  • Data collection is ongoing, with recruitment initiated in February 2022.
  • Primary endpoint: change in pain levels from baseline to the 10th VR intervention.
  • Secondary endpoints include heart rate variability, range of motion, motivation, pain catastrophizing, mood, and quality of life.

Conclusions:

  • This study aims to inform the development of innovative VR solutions for homebound patients with chronic pain.
  • Findings will guide future randomized controlled trials to validate VR's efficacy in home-visit rehabilitation for chronic pain.