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Reviews

Use of virtual reality for the management of phantom limb pain: a systematic review

, , , , , , & show all
Pages 629-636 | Received 20 Jul 2022, Accepted 19 Jan 2023, Published online: 01 Feb 2023
 

Abstract

Purpose

To summarize the research on the effectiveness of virtual reality (VR) therapy for the management of phantom limb pain (PLP).

Methods

Three databases (SCOPUS, Ovid Embase, and Ovid MEDLINE) were searched for studies investigating the use of VR therapy for the treatment of PLP. Original research articles fulfilling the following criteria were included: (i) patients 18 years and older; (ii) all etiologies of amputation; (iii) any level of amputation; (iv) use of immersive VR as a treatment modality for PLP; (v) self-reported objective measures of PLP before and after at least one VR session; (vi) written in English.

Results

A total of 15 studies were included for analysis. Fourteen studies reported decreases in objective pain scores following a single VR session or a VR intervention consisting of multiple sessions. Moreover, combining VR with tactile stimulation had a larger beneficial effect on PLP compared with VR alone.

Conclusions

Based on the current literature, VR therapy has the potential to be an effective treatment modality for the management of PLP. However, the low quality of studies, heterogeneity in subject population and intervention type, and lack of data on long-term relief make it difficult to draw definitive conclusions.

    IMPLICATION FOR REHABILITATION

  • Virtual reality (VR) therapy has emerged as a new potential treatment option for phantom limb pain (PLP) that circumvents some limitations of mirror therapy.

  • VR therapy was shown to decrease PLP following a single VR session as well as after an intervention consisting of multiple sessions.

  • The addition of vibrotactile stimuli to VR therapy may lead to larger decreases in PLP scores compared with VR therapy alone.

Acknowledgements

and in this review were created by Biorender.com.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

The author(s) reported there is no funding associated with the work featured in this article.

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