Virtual Reality-Based Biofeedback and Guided Meditation in Rheumatology: A Pilot Study

R Swamy Venuturupalli, Timothy Chu, Marcus Vicari, Amit Kumar, Natalie Fortune, Ben Spielberg, R Swamy Venuturupalli, Timothy Chu, Marcus Vicari, Amit Kumar, Natalie Fortune, Ben Spielberg

Abstract

Objective: As technology continues to improve, it plays an increasingly vital role in the practice of medicine. This study aimed to assess the feasibility of the implementation of virtual reality (VR) in a rheumatology clinic as a platform to administer guided meditation and biofeedback as a means of reducing chronic pain.

Methods: Twenty participants were recruited from a rheumatology clinic. These participants included adults with physician-diagnosed autoimmune disorders who were on a stable regimen of medication and had a score of at least 5 on the pain Visual Analog Scale (VAS) for a minimum of 4 days during the prior 30 days. VAS, part of most composite outcome measurements in rheumatology, is an instrument used to assess pain that consists of a straight line with the endpoints ranging from "no pain at all" and "pain as bad as it could be." Patients were randomized into two groups that differed in the order in which they experienced the two VR modules. One module consisted of a guided meditation (GM) environment, whereas the other module consisted of a respiratory biofeedback (BFD) environment. Data on pain and anxiety levels were gathered before, during, and after the two modules.

Results: The three most common diagnoses among participants were rheumatoid arthiritis (RA), lupus, and fibromyalgia. There was a significant reduction in VAS scores after BFD and GM (P values = 0.01 and 0.04, respectively). There was a significant reduction in Facial Anxiety Scale after the GM compared with the BFD (P values = 0.02 and 0.08, respectively).

Conclusion: This novel study demonstrated that VR could be a feasible solution for the management of pain and anxiety in rheumatology patients. Further trials with varying treatment exposures and durations are required to solidify the viability of VR as a treatment option in rheumatology clinics.

© 2019 Attune Health Research Inc. ACR Open Rheumatology published by Wiley Periodicals, Inc. on behalf of American College of Rheumatology.

Figures

Figure 1
Figure 1
Two‐dimensional still from the biofeedback environment. In this scene, purple rings move radially inward and outward to represent inhalation and exhalation, respectively.
Figure 2
Figure 2
Patient randomization schema. Abbreviation: GM, guided meditation; BFD, biofeedback.

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