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Taiyeb N1, Taiyeb K1
1Batterjee Medical College, Physical Therapy, Jeddah-KSA, Saudi Arabia
Background: The pain associated with burn injuries is intense, unremitting and often exacerbated by anxiety, depression and other complicating patient factors. On top of this, modern burn care involves the repetitive performance, often on a daily basis for weeks to months, of painful and anxiety-provoking procedures that create additional treatment-related pain, such as wound care, dressing changes, and rehabilitation activities. Immersive virtual reality (VR) provides a particularly intense form of cognitive distraction during such brief, painful procedures. Initial reports from previous studies are consistent in suggesting that immersive virtual reality is logistically feasible, safe and effective in ameliorating the pain and anxiety experienced in various settings of post-burn pain. Furthermore, the technique appears applicable to a wide age range of patients and may be particularly well-adapted for use in children, one of the most challenging populations of burn victims to treat.
Purpose: The purpose of this study was to investigate the immediate effect of virtual reality distraction on pain intensity and lower extremity mobility during soft tissue manipulation in pediatric patients with a burn.
Methods: Three children aged nine,seven,twelve years with 2nd degree deep partial thickness burn of TBSA (15%-25%) including extremities included in this study. On the 1st day, children received 20 minutes of soft tissue manipulation to the burned limbs. On the second day, the children received the same procedures wearing VR Oculus, the pain intensity was assessed by using a 100 mm scale, and range-of- motion was assessed using electronic digital goniometer after each session.
Results: The result of this study showed a significant reduction in pain intensity and improvement of range of motion after adding VR Oculus to the soft tissue manipulation session.
Conclusion(s): VR oculus distraction has an immediate effect on decreasing the pain intensity, increasing range of motion in pediatric patients with lower limb burn. Adding VR to the rehabilitation procedure can have a great short-term effect on decreasing the pain intensity, increasing range of motion with considerable reduction of the session time. Moreover, VR could make painful rehabilitation procedure more acceptable and enjoyable for pediatric patients with a burn.
Implications:
1-increaes range- of-motion
2-decrease pain
3-increase psychological state.
Keywords: pediatric, burn, virtual reality
Funding acknowledgements: This work was unfunded by any organization
Purpose: The purpose of this study was to investigate the immediate effect of virtual reality distraction on pain intensity and lower extremity mobility during soft tissue manipulation in pediatric patients with a burn.
Methods: Three children aged nine,seven,twelve years with 2nd degree deep partial thickness burn of TBSA (15%-25%) including extremities included in this study. On the 1st day, children received 20 minutes of soft tissue manipulation to the burned limbs. On the second day, the children received the same procedures wearing VR Oculus, the pain intensity was assessed by using a 100 mm scale, and range-of- motion was assessed using electronic digital goniometer after each session.
Results: The result of this study showed a significant reduction in pain intensity and improvement of range of motion after adding VR Oculus to the soft tissue manipulation session.
Conclusion(s): VR oculus distraction has an immediate effect on decreasing the pain intensity, increasing range of motion in pediatric patients with lower limb burn. Adding VR to the rehabilitation procedure can have a great short-term effect on decreasing the pain intensity, increasing range of motion with considerable reduction of the session time. Moreover, VR could make painful rehabilitation procedure more acceptable and enjoyable for pediatric patients with a burn.
Implications:
1-increaes range- of-motion
2-decrease pain
3-increase psychological state.
Keywords: pediatric, burn, virtual reality
Funding acknowledgements: This work was unfunded by any organization
Topic: Paediatrics; Musculoskeletal
Ethics approval required: Yes
Institution: directorate of health affairs-jeddah
Ethics committee: National Committee for Medical Ethics
Ethics number: H-02-J-002
All authors, affiliations and abstracts have been published as submitted.
