Body Movement Reduces Pain Intensity in Virtual Reality–Based Analgesia

ABSTRACT In this study we investigated the relationship between body movement during virtual reality (VR) analgesia and the experience of pain. Thermal (cold) stimulation was used to inflict pain. Two measures of pain were used—pain tolerance and pain intensity. Participants were wearing head mounted displays (Oculus Rift DK2) and were playing a game created by authors of the study. Forty-six students of Wroclaw University participated in a within-subject design experiment. Each subject participated in a non-VR control condition and in two experimental conditions. Participants navigated the VR game using a computer mouse, but the mouse sensitivity (and therefore amount of physical movement necessary to navigate) was different in each experimental condition. We also measured feeling of presence in VR, game behavior, and attitudes toward the game. The amount of body movement while steering the game was related to a decrease in pain intensity, but not in pain tolerance. This was an opposite result to our previously published experiment where we found an effect on pain tolerance but not on sensitivity. There was no significant correlation between presence and any of the pain measures.

[1]  Per Capita,et al.  About the authors , 1995, Machine Vision and Applications.

[2]  Marcin Czub,et al.  How does interface influence the level of analgesia when Virtual Reality distraction is used? , 2014 .

[3]  Brenda K. Wiederhold,et al.  Virtual Reality and Interactive Simulation for Pain Distraction , 2007 .

[4]  E. Brodie,et al.  Temperature and the cold pressor test. , 2004, The journal of pain : official journal of the American Pain Society.

[5]  Lynnda M. Dahlquist,et al.  Virtual-Reality Distraction and Cold-Pressor Pain Tolerance: Does Avatar Point of View Matter? , 2010, Cyberpsychology Behav. Soc. Netw..

[6]  Eric J Seibel,et al.  Virtual reality helmet display quality influences the magnitude of virtual reality analgesia. , 2006, The journal of pain : official journal of the American Pain Society.

[7]  Thomas W. Schubert The sense of presence in virtual environments: A three-component scale measuring spatial presence, involvement, and realness , 2003, Z. für Medienpsychologie.

[8]  Mel Slater,et al.  The Influence of Body Movement on Subjective Presence in Virtual Environments , 1998, Hum. Factors.

[9]  Hunter G. Hoffman,et al.  Manipulating presence influences the magnitude of virtual reality analgesia , 2004, Pain.

[10]  Soledad Quero,et al.  Virtual reality in the treatment of pain , 2008 .

[11]  Eric J Seibel,et al.  INTERACTIVITY INFLUENCES THE MAGNITUDE OF VIRTUAL REALITY ANALGESIA. , 2009, Journal of cyber therapy and rehabilitation.

[12]  M. Robinson,et al.  Effects of Smoking, Distraction, and Gender on Pain Perception , 2004, Behavioral medicine.

[13]  Rubén Nieto,et al.  Differential Effects of Two Virtual Reality Interventions: Distraction Versus Pain Control , 2014, Cyberpsychology Behav. Soc. Netw..

[14]  David A. Thomas,et al.  The Neurobiology of Virtual Reality Pain Attenuation , 2007, Cyberpsychology Behav. Soc. Netw..

[15]  K. Weiss,et al.  Sustained efficacy of virtual reality distraction. , 2009, The journal of pain : official journal of the American Pain Society.

[16]  D. Pud,et al.  Hand dominancy—A feature affecting sensitivity to pain , 2009, Neuroscience Letters.

[17]  L. Dahlquist,et al.  The influence of preferred coping style and cognitive strategy on laboratory-induced pain. , 2007, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[18]  L. Cierpiałkowska,et al.  DEFENSIVE FUNCTIONING IN INDIVIDUALS WITH BORDERLINE PERSONALITY ORGANIZATION IN THE LIGHT OF EMPIRICAL RESEARCH , 2012 .

[19]  Marcin Czub,et al.  Influence of memory on experienced pain during Virtual Reality analgesia , 2014 .

[20]  Björn van Twillert,et al.  Computer-Generated Virtual Reality to Control Pain and Anxiety in Pediatric and Adult Burn Patients During Wound Dressing Changes , 2007, Journal of burn care & research : official publication of the American Burn Association.

[21]  Bruce W. Smith,et al.  Habituation and sensitization to heat and cold pain in women with fibromyalgia and healthy controls , 2008, PAIN.

[22]  Marcin Czub,et al.  How Body Movement Influences Virtual Reality Analgesia? , 2014, 2014 International Conference on Interactive Technologies and Games.

[23]  Marcin Czub,et al.  Distraction of attention with the use of virtual reality. Influence of the level of game complexity on the level of experienced pain , 2014 .

[24]  C. Chambers,et al.  Guidelines for the cold pressor task as an experimental pain stimulus for use with children. , 2005, The journal of pain : official journal of the American Pain Society.

[25]  Soh-Khim Ong,et al.  An Augmented Reality-Assisted Therapeutic Healthcare Exercise System Based on Bare-Hand Interaction , 2016, Int. J. Hum. Comput. Interact..

[26]  Martijn J. Schuemie,et al.  Research on Presence in Virtual Reality: A Survey , 2001, Cyberpsychology Behav. Soc. Netw..

[27]  M. Jensen,et al.  Self-reports of pain intensity and direct observations of pain behavior: when are they correlated? , 2003, Pain.

[28]  Maria V. Sanchez-Vives,et al.  From presence to consciousness through virtual reality , 2005, Nature Reviews Neuroscience.

[29]  K. Weiss,et al.  Active and passive distraction using a head-mounted display helmet: effects on cold pressor pain in children. , 2007, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[30]  Mark I. Johnson,et al.  Cold pressor pain responses in healthy Libyans: effect of sex/gender, anxiety, and body size. , 2010, Gender medicine.

[31]  L. Milling,et al.  The effectiveness of virtual reality distraction for pain reduction: a systematic review. , 2010, Clinical psychology review.

[32]  Kris N Kirby,et al.  BootES: An R package for bootstrap confidence intervals on effect sizes , 2013, Behavior research methods.

[33]  Zorash Montaño,et al.  Virtual reality and pain management: current trends and future directions. , 2011, Pain management.

[34]  Mel Slater,et al.  How Colorful Was Your Day? Why Questionnaires Cannot Assess Presence in Virtual Environments , 2004, Presence: Teleoperators & Virtual Environments.