180 Participants Needed

Virtual Reality for Musculoskeletal Pain

SM
AL
Overseen ByAntonios Likourezos, MA, MPH
Age: 65+
Sex: Any
Trial Phase: Academic
Sponsor: Antonios Likourezos
Stay on Your Current MedsYou can continue your current medications while participating
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 1 JurisdictionThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if virtual reality (VR) can reduce pain, anxiety, and stress for elderly patients in the emergency department with sudden, painful muscle or joint conditions. Researchers will compare traditional pain treatments with the addition of VR to assess its impact. Patients aged 65 or older with muscle or joint pain requiring medication might be suitable for this trial. Participants will be divided into two groups: one will receive standard pain care, and the other will experience VR therapy alongside regular care. This study could demonstrate whether VR is a useful tool for managing pain in busy emergency settings. As an unphased trial, it offers a unique opportunity to explore innovative pain management techniques in a real-world setting.

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications. It seems to focus on adding virtual reality to your existing pain management plan, so you may not need to stop your current meds.

What prior data suggests that this virtual reality therapy is safe for geriatric patients?

Research has shown that virtual reality (VR) treatments are generally safe and can help reduce pain. Studies indicate that VR can moderately lower pain and anxiety levels. For instance, one study found that VR reduced pain scores by about one point on a scale, with 25% of participants experiencing a noticeable drop in pain. Another study showed that people using VR had a significant reduction in pain over 21 days compared to those who only listened to audio.

VR is mostly used in a controlled environment, like a clinic, and has been effective without causing serious side effects. While VR often provides short-term relief, there is potential for long-term benefits as well. Overall, existing research supports the safety of VR as a treatment for pain, but more studies are needed to fully understand its effects on older adults in emergency situations.12345

Why are researchers excited about this trial?

Researchers are excited about using Virtual Reality (VR) for managing musculoskeletal pain because it offers a novel, non-invasive way to enhance pain relief. Unlike traditional options that mainly rely on medications, VR immerses patients in a virtual environment, which can distract and reduce their perception of pain. This method leverages engaging, age-appropriate content specifically designed for older adults, making it an attractive complement to existing analgesic treatments. The potential for VR to provide quick and noticeable pain relief without additional medication is a key reason why this approach is generating interest.

What evidence suggests that virtual reality is effective for musculoskeletal pain?

Research has shown that virtual reality (VR) can reduce pain in individuals with muscle and joint issues. For instance, VR has proven particularly effective in alleviating knee pain and chronic pain. Studies also indicate that VR can decrease anxiety and stress, aiding overall pain management. Some findings reveal a moderate reduction in both pain and anxiety levels, with noticeable improvements in certain patients. In this trial, one group will receive standard care, while another will receive VR therapy alongside standard care. This suggests that VR could be a promising tool for managing pain, especially when combined with standard treatments.24678

Who Is on the Research Team?

Maimonides Medical Center

Sergey Motov, MD

Principal Investigator

Maimonides Medical Center

Are You a Good Fit for This Trial?

This trial is for geriatric patients aged 65 or older in the emergency department with acute non-traumatic musculoskeletal pain, scoring at least a 4 on the pain scale. Participants must understand the study and be alert. They should require parenteral analgesia as determined by their doctor and be able to complete assessments.

Inclusion Criteria

Emergency Medicine patients
Comprehension of informed consent process and study related content
I have a painful condition in my muscles or bones not caused by injury.
See 5 more

Exclusion Criteria

I have a seizure disorder.
Motion sickness
I am experiencing changes in my thinking or awareness.
See 7 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Treatment

Participants receive either Standard of Care (SOC) or SOC plus Virtual Reality (VR) therapy for pain management

2 hours
1 visit (in-person)

Follow-up

Participants are monitored for pain reduction, anxiety, stress, and adverse effects

2 hours
1 visit (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Virtual Reality
Trial Overview The trial is testing if adding Virtual Reality (VR) to standard care can better manage pain for elderly emergency department patients compared to standard care alone. It's a randomized study where participants are put into either the control group receiving only standard care or an intervention group getting VR plus standard care.
How Is the Trial Designed?
2Treatment groups
Active Control
Group I: Standard of Care (SOC)Active Control1 Intervention
Group II: Virtual Reality (VR) + Standard of Care (SOC)Active Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Antonios Likourezos

Lead Sponsor

Trials
41
Recruited
8,600+

Published Research Related to This Trial

Virtual Reality (VR) shows promise as a noninvasive therapy for both acute and chronic pain, potentially offering an alternative to traditional analgesics that often have side effects or are insufficient for chronic pain management.
Mechanisms of pain relief through VR include distraction and cognitive behavioral changes, with immersive experiences enhancing effectiveness, making it a viable option for conditions like complex regional pain syndrome and phantom limb pain.
[Use of Virtual Reality as a Component of Acute and Chronic Pain Treatment].Lindner, S., Latoschik, ME., Rittner, H.[2020]
Shoulder pain is a common issue that significantly impacts daily life, and while exercise is crucial for rehabilitation, the specific types and amounts of exercise needed are not well defined.
This study aims to explore physiotherapists' views on using virtual reality (VR) as a new tool for assessing and rehabilitating shoulder pain, potentially improving patient adherence to exercise programs.
Physiotherapist beliefs and perspectives on virtual reality-supported rehabilitation for the assessment and management of musculoskeletal shoulder pain: a focus group study protocol.Brady, N., Lewis, J., McCreesh, K., et al.[2022]
A scoping review of 14 randomized controlled trials found that virtual reality (VR) significantly alleviates pain and improves functional capacity in patients with chronic musculoskeletal disorders compared to standard care.
VR treatment also showed notable effectiveness in providing pain relief for burn patients with acute pain, but it was less effective for non-chronic pain conditions like total knee replacements or ankle sprains.
A Scoping Review of The Efficacy of Virtual Reality and Exergaming on Patients of Musculoskeletal System Disorder.Lin, HT., Li, YI., Hu, WP., et al.[2020]

Citations

Effectiveness of Virtual Reality for Pain Management in ...VR shows potential for managing pain in MSK disorders, particularly knee conditions, with significant effectiveness using specialised non‐immersive VR.
Virtual reality as a treatment for chronic musculoskeletal ...Virtual Reality (VR) applications have demonstrated effectiveness in reducing pain, both during and after interventions, and in chronic conditions such as ...
Immersive and Nonimmersive Virtual Reality–Assisted ...Conclusions: Both nonimmersive and immersive VR–assisted active training is effective in reducing back and neck pain symptoms. Our study ...
Effectiveness and user experience of a virtual reality ...VR led to a moderate but significant short-term reduction in anxiety and pain (median NRS −1.0, p < 0.001). A reduction of ≥3 NRS points occurred in 25% ( ...
Virtual reality for the management of musculoskeletal painResults: The results found significant pain reduction and mental and physical improvements in patients with MSK pain in comparison to standard therapies in ...
Virtual reality for the management of musculoskeletal painThe subgroup analysis showed better pain-decreasing results in patients undergoing VR therapy with other interventions. Lesser disability ...
Virtual Reality in Chronic Pain Rehabilitation: A Systematic ...VR interventions are safe and effective for chronic pain management in rehabilitation settings. Immersive and non-immersive techniques are used in VR ...
Self-Administered Skills-Based Virtual Reality Intervention for ...A significant reduction in pain outcomes over the course of the 21-day treatment both within the VR group and compared with an audio-only ...
Unbiased ResultsWe believe in providing patients with all the options.
Your Data Stays Your DataWe only share your information with the clinical trials you're trying to access.
Verified Trials OnlyAll of our trials are run by licensed doctors, researchers, and healthcare companies.
Terms of Service·Privacy Policy·Cookies·Security