Trial Outcomes & Findings for Immersive Virtual Reality and Chronic Back Pain (NCT NCT04307446)

NCT ID: NCT04307446

Last Updated: 2023-08-15

Results Overview

Pain Intensity - Numerical rating scale 0 to 10 with lower score better score

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

23 participants

Primary outcome timeframe

Change in Pain Intensity from before to immediately after intervention

Results posted on

2023-08-15

Participant Flow

Participant milestones

Participant milestones
Measure
10 Minutes/20minutes
Subject takes part in 10 minute VR experience first and a 20 minute VR experience second Immersive Virtual Reality: Immersive Virtual Reality
20 Minutes/10 Minutes
Subject takes part in 20 minute VR experience first and a 10 minute VR experience second Immersive Virtual Reality: Immersive Virtual Reality
Overall Study
STARTED
12
11
Overall Study
COMPLETED
10
11
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
10 Minutes/20minutes
Subject takes part in 10 minute VR experience first and a 20 minute VR experience second Immersive Virtual Reality: Immersive Virtual Reality
20 Minutes/10 Minutes
Subject takes part in 20 minute VR experience first and a 10 minute VR experience second Immersive Virtual Reality: Immersive Virtual Reality
Overall Study
Lost to Follow-up
2
0

Baseline Characteristics

Immersive Virtual Reality and Chronic Back Pain

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
10 Minutes/20minutes
n=12 Participants
Subject takes part in 10 minute VR experience first and a 20 minute VR experience second Immersive Virtual Reality: Immersive Virtual Reality
20 Minutes/10 Minutes
n=11 Participants
Subject takes part in 20 minute VR experience first and a 10 minute VR experience second Immersive Virtual Reality: Immersive Virtual Reality
Total
n=23 Participants
Total of all reporting groups
Age, Continuous
53.8 years
STANDARD_DEVIATION 18.6 • n=5 Participants
44.8 years
STANDARD_DEVIATION 14.5 • n=7 Participants
49.7 years
STANDARD_DEVIATION 17.1 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
5 Participants
n=7 Participants
14 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
6 Participants
n=7 Participants
9 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
10 Participants
n=5 Participants
9 Participants
n=7 Participants
19 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
12 Participants
n=5 Participants
11 Participants
n=7 Participants
23 Participants
n=5 Participants
Length of Pain
12.8 years
STANDARD_DEVIATION 14.1 • n=5 Participants
14.9 years
STANDARD_DEVIATION 15.8 • n=7 Participants
13.9 years
STANDARD_DEVIATION 15.0 • n=5 Participants
Previous IVR Experience
Yes
4 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
Previous IVR Experience
No
7 Participants
n=5 Participants
6 Participants
n=7 Participants
13 Participants
n=5 Participants
Previous IVR Experience
Don't Know
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Change in Pain Intensity from before to immediately after intervention

Pain Intensity - Numerical rating scale 0 to 10 with lower score better score

Outcome measures

Outcome measures
Measure
10 Minutes VR
n=21 Participants
Received 10 minutes of VR (regardless of order)
20 Minutes
n=20 Participants
20 minutes of VR regardless of order
Pain Numerical Rating Scale
0.8 units on a scale
Standard Deviation 3.1
1.1 units on a scale
Standard Deviation 2.2

PRIMARY outcome

Timeframe: Median Pre and post intervention sensitivity to pressure scores in kilograms

Sensitivity to pressure will be assessed using a digital pressure algometer on the right upper trapezius and right thumb MP joint. The measures from each site were averaged to obtain an overall mean pressure score for each participant. A lower score indicates a better outcome.

Outcome measures

Outcome measures
Measure
10 Minutes VR
n=21 Participants
Received 10 minutes of VR (regardless of order)
20 Minutes
n=20 Participants
20 minutes of VR regardless of order
Mechanical Pressure Pain Thresholds (MPPTh)
Pre Intervention
5.0 kilograms
Interval 2.5 to 9.6
5.0 kilograms
Interval 2.5 to 8.8
Mechanical Pressure Pain Thresholds (MPPTh)
Post Intervention
4.9 kilograms
Interval 2.6 to 8.4
5.1 kilograms
Interval 3.1 to 8.2

PRIMARY outcome

Timeframe: Change in Sensitivity to pinprick from before to immediately after intervention

Sensitivity to pinprick was assessed using weighted pinprick stimulators. We applied a train of 10 stimuli at the rate of 1 per second on the middle finger of the right hand, and subjects rated the painfulness of the first and tenth stimulus using a 1 to 100 pain intentsity rating scale. We calculated the difference from the 1st stimuus to the 10th stimulus to calculate the sensitivity. A lower change score is a better outcome

Outcome measures

Outcome measures
Measure
10 Minutes VR
n=21 Participants
Received 10 minutes of VR (regardless of order)
20 Minutes
n=20 Participants
20 minutes of VR regardless of order
Mechanical Temporal Summation of Pain (MTSP)
Pre Intervention
8.5 units on a scale
Interval 1.0 to 40.0
10.0 units on a scale
Interval -0.5 to 47.5
Mechanical Temporal Summation of Pain (MTSP)
Post Intervention
8.8 units on a scale
Interval -2.0 to 31.0
8.8 units on a scale
Interval -2.5 to 65.0

SECONDARY outcome

Timeframe: Change in affect form before immediately after intervention

Two scales one for Positive and one for Negative Affect - Score for each scale 10 to 50 with lower score indicating less of that affect

Outcome measures

Outcome measures
Measure
10 Minutes VR
n=21 Participants
Received 10 minutes of VR (regardless of order)
20 Minutes
n=20 Participants
20 minutes of VR regardless of order
PANAS
PANAS Positive
-1.1 units on a scale
Standard Deviation 2.3
-0.8 units on a scale
Standard Deviation 3.3
PANAS
PANAS Negative
-0.7 units on a scale
Standard Deviation 2.4
-0.1 units on a scale
Standard Deviation 1.9

SECONDARY outcome

Timeframe: Change in fatigue from before to immediately after intervention

Fatigue on a scale of 0 to 28 with a lower score indicating less frequent experiences of fatigue

Outcome measures

Outcome measures
Measure
10 Minutes VR
n=21 Participants
Received 10 minutes of VR (regardless of order)
20 Minutes
n=20 Participants
20 minutes of VR regardless of order
PROMIS Fatigue
0.1 units on a scale
Standard Deviation 1.3
-0.5 units on a scale
Standard Deviation 0.8

Adverse Events

10 Minutes

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

20 Minutes

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Nancy Baker

Tufts University

Phone: 617 627 5562

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place