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Virtual Reality in the Pain Management of Pediatric Burn Patients, A Scoping Review

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Good Practices and New Perspectives in Information Systems and Technologies (WorldCIST 2024)

Part of the book series: Lecture Notes in Networks and Systems ((LNNS,volume 986))

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Abstract

Burn care procedures are a major cause of pain, stress and anxiety, and pharmacological methods such as opioids are often insufficient for pain management. This scoping review aimed to understand how virtual reality (VR) might help in the management of pain of pediatric patients suffering from burn wounds. An electronic search was conducted, and thirteen studies were included after the selection process. The studies used various immersive games such as SnowWorld, Dreamland, Virtual River Cruise, Bubbles, ChickenLittle or Need for Speed to reduce pain intensity during the wound dressing change procedures, skin stretching exercises, and hydrotherapy or physical therapy sessions. The results showed the feasibility of using VR to support pain management of burn pediatric patients and pointed for the reduction of pain intensity when using VR, as compared with control groups. Future research should include the customization of the VR solutions to improve the motivational relevance and increase treatment variants, the definition of standardized protocols for clinical implementation, or to determine if it is possible to reduce opioids as a primary outcome.

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References

  1. American Burn Association. 2016 National Burn Repository. American Burn Association (2016)

    Google Scholar 

  2. WHO. Burns (2018). https://www.who.int/news-room/fact-sheets/detail/burns

  3. Cook, A.D., Christensen, A.D., Tewari, D., McMahon, S.B., Hamilton, J.A.: Immune cytokines and their receptors in inflammatory pain. Trends Immunol. 39(3), 240–255 (2018)

    Article  Google Scholar 

  4. McGarry, S., Elliott, C., McDonald, A., Valentine, J., Wood, F., Girdler, S.: Paediatric burns: from the voice of the child. Burns 40(4), 606–615 (2014)

    Article  Google Scholar 

  5. Procter., F.: Rehabilitation of the burn patient. Indian J. Plastic Surgery: Official Public. Assoc. Plastic Surgeons India 43(Suppl), S101–S113 (2010)

    Article  Google Scholar 

  6. Kessler, E.R., Shah, M., Gruschkus, S., Raju, A.: Cost and quality implications of opioid- based postsurgical pain control using administrative claims data from a large health system: opioid-related adverse events and their impact on clinical and economic outcomes. Pharmacoth. J. Human Pharmacol. Drug Therapy 33(4), 383–391 (2013)

    Google Scholar 

  7. Berterame, S., Erthal, J., Thomas, J., Fellner, S., Vosse, B., et al.: Use of and barriers to access to opioid analgesics: a worldwide, regional, and national study. The Lancet 387(10028), 1644–1656 (2016)

    Article  Google Scholar 

  8. Davis, M.P., McPherson, M.L., Mehta, Z., Behm, B., Fernandez, C.:  What Parenteral opioids to use in face of shortages of morphine, hydromorphone, and fentanyl. Am. J. Hospice and Palliative Medicine® 35(8), 1118–1122 (2018)

    Google Scholar 

  9. Retrouvey, H., Shahrokhi, S.: Pain and the thermally injured patient — a review of current therapies. J. Burn Care Res. 36(2), 315–323 (2015)

    Article  Google Scholar 

  10. Birnie, K.A., Noel, M., Chambers, C.T., Uman, L.S., Parker, J.A.:  Psychological interventions for needle-related procedural pain and distress in children and adolescents. Cochrane Database  Syst. Rev. 2020(10) (2018)

    Google Scholar 

  11. Miller, K., Rodger, S., Bucolo, S., Greer, R., Kimble, R.M.:  Multi-modal distraction. Using technology to combat pain in young children with burn injuries. Burns 36(5), 647–658 (2010)

    Google Scholar 

  12. Olsen, K., Weinberg, E.: Pain-less practice: techniques to reduce procedural pain and anxiety in pediatric acute care. Clinic. Pediatric Emergency Med. 18(1), 32–41 (2017)

    Article  Google Scholar 

  13. Rohilla, L., Agnihotri, M., Trehan, S.K., Sharma, R.K., Ghai, S.: Effect of music therapy on pain perception, anxiety, and opioid use during dressing change among patients with burns in india: a quasi-experimental. Cross-over Pilot Study. Ostomy/Wound Manag. 64(10), 40–46 (2018)

    Google Scholar 

  14. Melzack, R., Wall, P.D.: Pain mechanisms: a new theory. Science 150(3699), 971–979 (1965)

    Article  Google Scholar 

  15. Kardong-Edgren, S., Farra, S.L., Alinier, G., Young, H.M.: A call to unify definitions of virtual reality. Clin. Simul. Nurs. 31, 28–34 (2019)

    Article  Google Scholar 

  16. Yoh, M.S.:  The reality of virtual reality. In: Proceedings Seventh International Conference on Virtual Systems and Multimedia, pp. 666–674. IEEE (2001)

    Google Scholar 

  17. Tricco, A.C., Lillie, E., Zarin, W., O’Brien, K.K., Colquhoun, H., et al.: PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann. Intern. Med. 169(7), 467–473 (2018)

    Google Scholar 

  18. Chan, E.A., Chung, J.W., Wong, T.K., Lien, A.S., Yang, J.Y.: Application of a virtual reality prototype for pain relief of pediatric burn in Taiwan. J. Clin. Nurs. 16(4), 786–793 (2007)

    Article  Google Scholar 

  19. Schmitt, Y.S., Hoffman, H.G., Blough, D.K., Patterson, D.R., Jensen, M.P., et al.: A randomized, controlled trial of immersive virtual reality analgesia, during physical therapy for pediatric burns. Burns 37(1), 61–68 (2011)

    Article  Google Scholar 

  20. Kipping, B., Rodger, S., Miller, K., Kimble, R.M.: Virtual reality for acute pain reduction in adolescents undergoing burn wound care: a prospective randomized controlled trial. Burns 38(5), 650–657 (2012)

    Article  Google Scholar 

  21. Hoffman, H.G., et al.: Feasibility of articulated arm mounted oculus rift virtual reality goggles for adjunctive pain control during occupational therapy in pediatric burn patients. Cyberpsychol. Behav. Soc. Netw. 17(6), 397–401 (2014)

    Article  Google Scholar 

  22. Scapin, S.Q., Echevarría-Guanilo, M.E., Fuculo, P.R.B., Martins, J.C., Barbosa, M.D.V., Pereima, M.J.L.: Use of virtual reality for treating burned children. Rev. Bras. Enferm. 70, 1291–1295 (2017)

    Article  Google Scholar 

  23. Khadra, C., et al.: Projector-based virtual reality dome environment for procedural pain and anxiety in young children with burn injuries: a pilot study. J. Pain Res., 343–353 (2018)

    Google Scholar 

  24. Hoffman, H.G., et al.:  Immersive Virtual reality as an adjunctive non-opioid analgesic for pre- dominantly Latin American children with large severe burn wounds during burn wound cleaning in the intensive care unit: a pilot study. Front. Human Neurosci. 13 (2019)

    Google Scholar 

  25. Hoffman, H.G., Patterson, D.R., Rodriguez, R.A., Peña, R., Beck, W., Meyer, W.J.:  Virtual reality analgesia for children with large severe burn wounds during burn wound debridement. Front. Virt. Reality 1 (2020)

    Google Scholar 

  26. Khadra, C., Ballard, A., Paquin, D., Cotes-Turpin, C., Hoffman, H.G., et al.: Effects of a projector-based hybrid virtual reality on pain in young children with burn injuries during hydrotherapy sessions: A within-subject randomized crossover trial. Burns 46(7), 1571–1584 (2020)

    Google Scholar 

  27. Le May, S., Hupin, M., Khadra, C., Ballard, A., Paquin, D., et al.: Decreasing pain and fear in medical procedures with a pediatric population (DREAM): a pilot randomized within-subject trial. Pain Manag. Nurs. 22(2), 191–197 (2021)

    Article  Google Scholar 

  28. Xiang, H., Shen, J., Wheeler, K.K., Patterson, J., Lever, K., et al.: Efficacy of smartphone active and passive virtual reality distraction vs standard care on burn pain among pediatric patients: a randomized clinical trial. JAMA Netw. Open 4(6), e2112082–e2112082 (2021)

    Article  Google Scholar 

  29. Ali, R.R., Selim, A.O., Ghafar, M.A.A., Abdelraouf, O.R., Ali, O.I.: Virtual reality as a pain distractor during physical rehabilitation in pediatric burns. Burns 48(2), 303–308 (2022)

    Article  Google Scholar 

  30. Armstrong, M., Lun, J., Groner, J.I., Thakkar, R.K., Fabia, R., et al.: Mobile phone virtual reality game for pediatric home burn dressing pain management: a randomized feasibility clinical trial. Pilot Feasibility Stud. 8(1), 1–11 (2022)

    Article  Google Scholar 

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Acknowledgments

This study was carried out within the scope of the course unit Clinical Information Management of the Master’s in Clinical Bioinformatics at the University of Aveiro.

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Authors and Affiliations

  1. Department of Medical Sciences, University of Aveiro, Aveiro, Portugal

    Joana Santos, Jorge Marques & João Pacheco

  2. IEETA, Department of Medical Sciences, University of Aveiro, Aveiro, Portugal

    Nelson Pacheco Rocha

Authors
  1. Joana Santos
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  2. Jorge Marques
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  3. João Pacheco
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  4. Nelson Pacheco Rocha
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Corresponding author

Correspondence to Nelson Pacheco Rocha .

Editor information

Editors and Affiliations

  1. ISEG, Universidade de Lisboa, Lisbon, Portugal

    Álvaro Rocha

  2. College of Engineering, The Ohio State University, Columbus, OH, USA

    Hojjat Adeli

  3. Institute of Data Science and Digital Technologies, Vilnius University, Vilnius, Lithuania

    Gintautas Dzemyda

  4. DCT, Universidade Portucalense, Porto, Portugal

    Fernando Moreira

  5. Institute of Information Technology, Lodz University of Technology, Łódz, Poland

    Aneta Poniszewska-Marańda

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Santos, J., Marques, J., Pacheco, J., Rocha, N.P. (2024). Virtual Reality in the Pain Management of Pediatric Burn Patients, A Scoping Review. In: Rocha, Á., Adeli, H., Dzemyda, G., Moreira, F., Poniszewska-Marańda, A. (eds) Good Practices and New Perspectives in Information Systems and Technologies. WorldCIST 2024. Lecture Notes in Networks and Systems, vol 986. Springer, Cham. https://doi.org/10.1007/978-3-031-60218-4_14

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