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Virtual Reality Pain Control During Burn Wound Debridement of Combat-Related Burn Injuries Using Robot-Like Arm Mounted VR Goggles
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BACKGROUND: This is the first controlled study to explore whether adjunctive immersive virtual reality (VR) can reduce excessive pain of soldiers with combat-related burn injuries during wound debridement. METHODS: Patients were US soldiers burned in combat attacks involving explosive devices in Iraq or Afghanistan. During the same wound care session using a within-subject experimental design, 12 patients received half of their severe burn wound cleaning procedure (~6 minutes) with standard of care pharmacologies and half while in VR (treatment order randomized). Three 0 to 10 Graphic Rating Scale pain scores for each of the treatment conditions served as the primary variables. RESULTS: Patients reported significantly less pain when distracted with VR. "Worst pain" (pain intensity) dropped from 6.25 of 10 to 4.50 of 10. "Pain unpleasantness" ratings dropped from "moderate" (6.25 of 10) to "mild" (2.83 of 10). "Time spent thinking about pain" dropped from 76% during no VR to 22% during VR. Patients rated "no VR" as "no fun at all" (<1 of 10) and rated VR as "pretty fun" (7.5 of 10). Follow-up analyses showed VR was especially effective for the six patients who scored 7 of 10 or higher (severe to excruciating) on the "worst pain" (pain intensity) ratings. CONCLUSIONS: These preliminary results provide the first evidence from a controlled study that adjunctive immersive VR reduced pain of patients with combat-related burn injuries during severe burn wound debridement. Pain reduction during VR was greatest in patients with the highest pain during no VR. These patients were the first to use a unique custom robot-like arm mounted VR goggle system.
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“VR is so attention grabbing that it is being used to distract severe burn patients from their pain during severe burn wound cleaning, and burn patients report large reductions in the amount of time they spend thinking about their pain during painful medical procedures [22–25].”
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Tharani, T., Shruthi, R., Shaik, F. J. F. M., Prasanna, K., & Dhivya, K. (2026) · Journal of Drug Delivery and Therapeutics · doi:10.22270/jddt.v16i2.7572
Wang, G., Tang, Q., Zhong, M., Lan, J., Yao, S., Hao, Y., Wang, Y., Duan, Q., & Zhao, Y. (2026) · Journal of Robotic Surgery · doi:10.1007/s11701-026-03261-4
Abdullah, I. A., Khan, S., Hashim, S., Shakeel, F., Amro, M., Saleh, D. S., & Hassan, F. E. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1795766
Hadjiat, Y., Marchand, S., & Poisbeau, P. (2025) · Dunod eBooks · doi:10.3917/dunod.poisb.2025.01.1706
Effect modifiers of virtual reality in pain management
Lier, E. J. (2025) · Radboud Repository (Radboud University) · doi:10.34973/vsw3-bt90
Metadata
- Authors
- Maani, C. V., Hoffman, H. G., Morrow, M., Maiers, A., Gaylord, K., McGhee, L. L., & DeSocio, P. A.
- Affiliations
- Brooke Army Medical Center (US)
- Venue
- Journal of Trauma: Injury, Infection & Critical Care
- Published
- 2011-07
- Volume
- 71
- Issue
- 1
- Pages
- S125-S130
- ISSN
- 0022-5282 (ISSN-L)
- PMC
- PMC4460976
- OpenAlex
- W2048916528
- Cited by
- 202
- References
- 23
- Citations by year
- 2026: 5 · 2025: 12 · 2024: 12 · 2023: 18 · 2022: 27 · 2021: 18 · 2020: 25 · 2019: 16 · 2018: 17 · 2017: 14 · 2016: 12 · 2015: 2 · 2014: 13 · 2013: 8 · 2012: 3
- FWCI
- 13.53
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Journal of Trauma: Injury, Infection, and Critical Care (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of General Medical Sciences (R01GM042725)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01AR054115)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R21HD040954, HD40954-01)
- Topics
- Physical Sciences › Computer Science › Human-Computer Interaction › Virtual Reality Applications and Impacts
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Surgery › Burn Injury Management and Outcomes
- Keywords
- virtual reality, pain distraction, burn wound debridement, military personnel, analgesia, immersive virtual reality, pain unpleasantness, pain intensity
- MeSH terms
- Adult, Burns, Debridement, Eyeglasses, Humans, Male, Military Personnel, Pain Measurement, Robotics, User-Computer Interface, Iraq War, 2003-2011, Young Adult, Afghan Campaign 2001-, Pain Management
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