Virtual Reality Technology to Alleviate the Acute Pain of Scar Treatment With Fractional Laser Under Local Anesthesia

NCT ID: NCT03352752

Last Updated: 2017-11-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

218 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-08-02

Study Completion Date

2020-12-21

Brief Summary

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This study evaluates the effect of virtual reality technology alleviates the acute pain of scar treatment with fractional laser under local anesthesia

Detailed Description

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Fractional laser surgery under local anesthesia will accompany by the pain and anxiety. It's a bad experience for the patients. The effect of Virtual Reality (virtual reality, VR) to alleviate pain and anxiety of fractional laser treatment of scar is still not studied. Virtual reality technology is an important direction of simulation technology. Including the computer graphics technology, human-computer interface technology, multimedia technology, sensor technology, network technology and other collection technology. Usually generated by a real-time 3D animation of the computer system, a location tracker data. The handle and the head mounted display technology is commonly used in a variety of clinical invasive procedures, such as debridement and burn patients physical therapy, dental pain, injection pain, chronic itching. Previous study shows that VR as a distraction therapy, compared to the traditional methods ,for example watching video and listening to music, has stronger individual initiative and human-computer interaction, it shows a stronger analgesic effect.

HTC Vive is a VR headset, jointly developed by HTC company and Valve company. This equipment could improve the virtual reality experience and bring obvious analgesic effect. There are reasons to believe that HTC Vive could bring the best immersion experience and could be obviously decrease pain and anxiety of scar treatment with fractional laser under local anesthesia.

This study was conducted at department of burn, Changhai hospital, and all operations completed by experienced surgeons (researcher).

This study is a prospective randomized controlled study. A group of patients wear a blindfold and the other group treated with VR equipment (HTC Vive) after localized anesthesia with standard lidocaine cream. Finally, the differences of pain score,anxiety score, physiological indicators and satisfaction between two groups are compared. This study could provide a safe and non-drug intervention measure for patients receive fractional laser treatment under local anesthesia.

Conditions

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Scar Acute Pain

Keywords

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virtual reality fractional laser scars acute pain anxiety score

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

It's a randomized controlled study, there were 218 cases, the ratio of the control group to the experimental group was one to one,109 cases per group.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Open Label

Study Groups

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Possess HTC Vive before the operation

The experimental group was wearing VR helmet before operation, and the immersion experience was selected from the video content library pre-selected. After 3 minutes of the VR experience, the surgeon started the fractional laser operation (Notify the patient). The operating area is continuous 10 maximum square spot areas.The parameters for the DEEP FX mode:35mj, 5% density, 300Hz.

Group Type EXPERIMENTAL

HTC Vive

Intervention Type DEVICE

Wearing VR helmet before operation

Without HTC Vive before the operation

The control group was wearing a blindfold before operation. The operating area is continuous 10 maximum square spot areas. The parameters for the DEEP FX mode:35mj, 5% density, 300Hz.

Group Type EXPERIMENTAL

Without HTC Vive

Intervention Type OTHER

Wearing a blindfold before operation

Interventions

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HTC Vive

Wearing VR helmet before operation

Intervention Type DEVICE

Without HTC Vive

Wearing a blindfold before operation

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Male or non-pregnant women between the ages of 18 and 60;
2. The scar site to be treated is located outside the head and face, scar area ≥ 0.5% total body surface area (TBSA);
3. All patients should be sign information.

Exclusion Criteria

1. Poor physical condition before operative, it is estimated that can't tolerate local anesthesia surgery;
2. Associated with malignant tumors, all kinds of heart disease history, hypertensive patients;
3. Patients with mental illness, alcohol-dependent patients, post-traumatic stress disorder, drug abuse history, and drug addicts; patients with pregnancy; lidocaine cream allergies;
4. Patients can't tolerate VR experience or participate in other clinical trials;
5. Unable or unwilling to comply with research programs.
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kai-Yang Lv

OTHER

Sponsor Role lead

Responsible Party

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Kai-Yang Lv

Associate Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Lv Kaiyang, doctor

Role: PRINCIPAL_INVESTIGATOR

Changhai Hospital

Locations

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HTC Vive

Shanghai, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Lv Kaiyang, doctor

Role: CONTACT

Phone: +86 13816983691

Email: [email protected]

Lou Xiaozhen, bachelor

Role: CONTACT

Phone: +86 13916781312

Facility Contacts

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Liu Huazhen, master

Role: primary

References

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Gold MH, Berman B, Clementoni MT, Gauglitz GG, Nahai F, Murcia C. Updated international clinical recommendations on scar management: part 1--evaluating the evidence. Dermatol Surg. 2014 Aug;40(8):817-24. doi: 10.1111/dsu.0000000000000049.

Reference Type RESULT
PMID: 25068543 (View on PubMed)

Gold MH, McGuire M, Mustoe TA, Pusic A, Sachdev M, Waibel J, Murcia C; International Advisory Panel on Scar Management. Updated international clinical recommendations on scar management: part 2--algorithms for scar prevention and treatment. Dermatol Surg. 2014 Aug;40(8):825-31. doi: 10.1111/dsu.0000000000000050.

Reference Type RESULT
PMID: 25068544 (View on PubMed)

Manstein D, Herron GS, Sink RK, Tanner H, Anderson RR. Fractional photothermolysis: a new concept for cutaneous remodeling using microscopic patterns of thermal injury. Lasers Surg Med. 2004;34(5):426-38. doi: 10.1002/lsm.20048.

Reference Type RESULT
PMID: 15216537 (View on PubMed)

Anderson RR, Donelan MB, Hivnor C, Greeson E, Ross EV, Shumaker PR, Uebelhoer NS, Waibel JS. Laser treatment of traumatic scars with an emphasis on ablative fractional laser resurfacing: consensus report. JAMA Dermatol. 2014 Feb;150(2):187-93. doi: 10.1001/jamadermatol.2013.7761.

Reference Type RESULT
PMID: 24336931 (View on PubMed)

Hoffman HG, Chambers GT, Meyer WJ 3rd, Arceneaux LL, Russell WJ, Seibel EJ, Richards TL, Sharar SR, Patterson DR. Virtual reality as an adjunctive non-pharmacologic analgesic for acute burn pain during medical procedures. Ann Behav Med. 2011 Apr;41(2):183-91. doi: 10.1007/s12160-010-9248-7.

Reference Type RESULT
PMID: 21264690 (View on PubMed)

Wang HB, Fang Y, Yu WR. [Advancement in the research of fractional carbon dioxide laser in treating burn scars]. Zhonghua Shao Shang Za Zhi. 2012 Dec;28(6):465-7. Chinese.

Reference Type RESULT
PMID: 23327918 (View on PubMed)

Gallant J, Smith R, Wynn J, Vazquez E. 2012 HIV Drug Guide. Posit Aware. 2012 Mar-Apr;24(2):15-7, 22, 24-57 passim. No abstract available.

Reference Type RESULT
PMID: 22558746 (View on PubMed)

Other Identifiers

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kylv

Identifier Type: -

Identifier Source: org_study_id