Pain medicine

Virtual reality improves pain threshold and recall in healthy adults: A randomized, crossover study

J Clin AnesthPublished Randomised crossover trial

Authors' conclusion

This study demonstrates that VR increased pain thresholds while modulating initial and recalled experiences with anxiety

Study context

Population
Healthy adults, Stanford School of Medicine Health System; Heat pain threshold (HPT) (thermode) or pressure pain threshold (PPT) (algometer) testing40 HPT, 40 PPT
Participants
80 adults
Comparison
Virtual reality (VR) vs control condition during standardized pain threshold testing
Primary endpoint
Pain threshold (HPT and PPT)
Methodological detailsprospective
  • Prospective

Primary result

As reported in the abstract

Pain threshold
  • VR increased pain thresholds for both HPT and PPT
  • VR vs Control: P = 0.002
  • VR vs Control: P = 0.044

Further findings

OutcomeP value
Initial pain scoresVR vs Control · HPTP = 0.432
Initial pain scoresVR vs Control · PPTP = 0.24
Recalled pain · 24 hVR vs Control · HPT; no differenceP = 0.851
Recalled pain · 24 hVR vs Control · PPT; differenceP = 0.003
Initial anxiety scoresVR vs Control · HPT; reduced with VRP = 0.006
Initial anxiety scoresVR vs Control · PPT; reduced with VRP = 0.014
Recalled anxiety scores · 24 hVR vs Control · HPT; reduced with VRP = 0.018
Recalled anxiety scores · 24 hVR vs Control · PPT; reduced with VRP = 0.002

Initial pain scores

No difference with VR

Original publication

Virtual reality improves pain threshold and recall in healthy adults: A randomized, crossover study. J Clin Anesth. Published 21 March 2025. doi:10.1016/j.jclinane.2025.111816

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