A multicenter feasibility randomized controlled trial using a virtual reality application of pain neuroscience education for adults with chronic low back pain
AbstractBackground Chronic low back pain (CLBP) is a highly prevalent condition among adults and is correlated to high levels of pain, high disability, and lower quality of life. Pain neuroscience education (PNE) helps to explain the pain experience and can affect psychosocial factors, such as fear...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2024-12-01
|
| Series: | Annals of Medicine |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2024.2311846 |
| _version_ | 1797307080056504320 |
|---|---|
| author | Ryan McConnell Elizabeth Lane Grace Webb Dana LaPeze Hailey Grillo Julie Fritz |
| author_facet | Ryan McConnell Elizabeth Lane Grace Webb Dana LaPeze Hailey Grillo Julie Fritz |
| author_sort | Ryan McConnell |
| collection | DOAJ |
| description | AbstractBackground Chronic low back pain (CLBP) is a highly prevalent condition among adults and is correlated to high levels of pain, high disability, and lower quality of life. Pain neuroscience education (PNE) helps to explain the pain experience and can affect psychosocial factors, such as fear of movement, anxiety, socioeconomic status, work life satisfaction, etc. More recently, virtual reality (VR) programs have emerged allowing for immersive PNE experiences.Objective The purpose of this randomized clinical trial is to determine the feasibility of using a VR application for the delivery of immersive PNE (VR-PNE) and other activity training for patients with CLBP presenting to outpatient physical therapy (PT) clinics.Methods A two-arm, parallel group, randomized controlled feasibility trial of patients was conducted at 12 outpatient PT clinics from March 9, 2022, through September 9, 2022. The intervention group received PT as usual and VR-PNE while the control group received PT as usual. Between group feasibility, acceptability outcomes and other patient-reported outcomes were assessed at six weeks.Results: A total of 595 individuals were evaluated for low back pain during the recruitment period. Seventy individuals were eligible and met definition for CLBP, 52 enrolled and 32 completed the trial. Participant adherence was 63.6% for VR-PNE and 63.2% for PT as usual. Participants found VR-PNE acceptable and reported satisfaction scores (0–100) of 87.37 ± 11.05 compared to 81.17 ± 23.72 in the PT as usual group. There were no significant differences between groups for the BBQ, BRS, FABQ-PA, FABQ-W, GROC, NPRS, NPQ, PCS, and PSEQ at 6 weeks.Conclusion The results of the trial suggest that VR-PNE may be acceptable and feasible for patients with CLBP. Study procedures and PT delivery modifications should be considered for the next iteration of this study to improve follow-up assessment rates. |
| first_indexed | 2024-03-08T00:52:08Z |
| format | Article |
| id | doaj.art-a3bd9056d351469f978bdba1b591e1f5 |
| institution | Directory Open Access Journal |
| issn | 0785-3890 1365-2060 |
| language | English |
| last_indexed | 2024-03-08T00:52:08Z |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Annals of Medicine |
| spelling | doaj.art-a3bd9056d351469f978bdba1b591e1f52024-02-14T23:04:30ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602024-12-0156110.1080/07853890.2024.2311846A multicenter feasibility randomized controlled trial using a virtual reality application of pain neuroscience education for adults with chronic low back painRyan McConnell0Elizabeth Lane1Grace Webb2Dana LaPeze3Hailey Grillo4Julie Fritz5Department of Physical Therapy, Belmont University, Nashville, TN, USAUniversity of Utah, Salt Lake City, UT, USABenchmark Physical Therapy, Chattanooga, TN, USABenchmark Physical Therapy, Chattanooga, TN, USABenchmark Physical Therapy, Chattanooga, TN, USAUniversity of Utah, Salt Lake City, UT, USAAbstractBackground Chronic low back pain (CLBP) is a highly prevalent condition among adults and is correlated to high levels of pain, high disability, and lower quality of life. Pain neuroscience education (PNE) helps to explain the pain experience and can affect psychosocial factors, such as fear of movement, anxiety, socioeconomic status, work life satisfaction, etc. More recently, virtual reality (VR) programs have emerged allowing for immersive PNE experiences.Objective The purpose of this randomized clinical trial is to determine the feasibility of using a VR application for the delivery of immersive PNE (VR-PNE) and other activity training for patients with CLBP presenting to outpatient physical therapy (PT) clinics.Methods A two-arm, parallel group, randomized controlled feasibility trial of patients was conducted at 12 outpatient PT clinics from March 9, 2022, through September 9, 2022. The intervention group received PT as usual and VR-PNE while the control group received PT as usual. Between group feasibility, acceptability outcomes and other patient-reported outcomes were assessed at six weeks.Results: A total of 595 individuals were evaluated for low back pain during the recruitment period. Seventy individuals were eligible and met definition for CLBP, 52 enrolled and 32 completed the trial. Participant adherence was 63.6% for VR-PNE and 63.2% for PT as usual. Participants found VR-PNE acceptable and reported satisfaction scores (0–100) of 87.37 ± 11.05 compared to 81.17 ± 23.72 in the PT as usual group. There were no significant differences between groups for the BBQ, BRS, FABQ-PA, FABQ-W, GROC, NPRS, NPQ, PCS, and PSEQ at 6 weeks.Conclusion The results of the trial suggest that VR-PNE may be acceptable and feasible for patients with CLBP. Study procedures and PT delivery modifications should be considered for the next iteration of this study to improve follow-up assessment rates.https://www.tandfonline.com/doi/10.1080/07853890.2024.2311846Musculoskeletal painpsychological distressphysical therapistsvirtual realitychronic pain |
| spellingShingle | Ryan McConnell Elizabeth Lane Grace Webb Dana LaPeze Hailey Grillo Julie Fritz A multicenter feasibility randomized controlled trial using a virtual reality application of pain neuroscience education for adults with chronic low back pain Annals of Medicine Musculoskeletal pain psychological distress physical therapists virtual reality chronic pain |
| title | A multicenter feasibility randomized controlled trial using a virtual reality application of pain neuroscience education for adults with chronic low back pain |
| title_full | A multicenter feasibility randomized controlled trial using a virtual reality application of pain neuroscience education for adults with chronic low back pain |
| title_fullStr | A multicenter feasibility randomized controlled trial using a virtual reality application of pain neuroscience education for adults with chronic low back pain |
| title_full_unstemmed | A multicenter feasibility randomized controlled trial using a virtual reality application of pain neuroscience education for adults with chronic low back pain |
| title_short | A multicenter feasibility randomized controlled trial using a virtual reality application of pain neuroscience education for adults with chronic low back pain |
| title_sort | multicenter feasibility randomized controlled trial using a virtual reality application of pain neuroscience education for adults with chronic low back pain |
| topic | Musculoskeletal pain psychological distress physical therapists virtual reality chronic pain |
| url | https://www.tandfonline.com/doi/10.1080/07853890.2024.2311846 |
| work_keys_str_mv | AT ryanmcconnell amulticenterfeasibilityrandomizedcontrolledtrialusingavirtualrealityapplicationofpainneuroscienceeducationforadultswithchroniclowbackpain AT elizabethlane amulticenterfeasibilityrandomizedcontrolledtrialusingavirtualrealityapplicationofpainneuroscienceeducationforadultswithchroniclowbackpain AT gracewebb amulticenterfeasibilityrandomizedcontrolledtrialusingavirtualrealityapplicationofpainneuroscienceeducationforadultswithchroniclowbackpain AT danalapeze amulticenterfeasibilityrandomizedcontrolledtrialusingavirtualrealityapplicationofpainneuroscienceeducationforadultswithchroniclowbackpain AT haileygrillo amulticenterfeasibilityrandomizedcontrolledtrialusingavirtualrealityapplicationofpainneuroscienceeducationforadultswithchroniclowbackpain AT juliefritz amulticenterfeasibilityrandomizedcontrolledtrialusingavirtualrealityapplicationofpainneuroscienceeducationforadultswithchroniclowbackpain AT ryanmcconnell multicenterfeasibilityrandomizedcontrolledtrialusingavirtualrealityapplicationofpainneuroscienceeducationforadultswithchroniclowbackpain AT elizabethlane multicenterfeasibilityrandomizedcontrolledtrialusingavirtualrealityapplicationofpainneuroscienceeducationforadultswithchroniclowbackpain AT gracewebb multicenterfeasibilityrandomizedcontrolledtrialusingavirtualrealityapplicationofpainneuroscienceeducationforadultswithchroniclowbackpain AT danalapeze multicenterfeasibilityrandomizedcontrolledtrialusingavirtualrealityapplicationofpainneuroscienceeducationforadultswithchroniclowbackpain AT haileygrillo multicenterfeasibilityrandomizedcontrolledtrialusingavirtualrealityapplicationofpainneuroscienceeducationforadultswithchroniclowbackpain AT juliefritz multicenterfeasibilityrandomizedcontrolledtrialusingavirtualrealityapplicationofpainneuroscienceeducationforadultswithchroniclowbackpain |