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Influencing pain free neck range of motion with virtual reality: Unravelling the role of fear.

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Influencing pain free neck range of motion with virtual reality:

Unravelling the role of fear.

Kragting Maaike¹

,

² Voogt Lennard,¹

,

³ Pool-Goudzwaard Annelies,² Coppieters Michel²

¹ Rotterdam University of Applied Sciences, Netherlands.

² Vrije Universiteit Amsterdam, Netherlands.

³ Pain in Motion, Belgium.

Introduction:

Harvie (2015) revealed that altering visual feedback in a virtual reality (VR) environment influences pain-free ROM in patients with neck pain. The relatively large variability between participants in this study suggests that some patients are more prone to this manipulation than others. This study aims to identify whether patient characteristics, such as fear of movement or the duration of pain, are

associated with the amount of change in pain-free ROM in a VR environment.

Methods:

Patient characteristics are assessed using the Tampa scale, PFActS-C, FABQ, NDI and NPRS.

Patients wear VR glasses and rotate their head until the onset of pain. Visual feedback about the amount of movement is either equal, 20% less or 20% greater than the actual rotation. Regression analyses are used to determine which characteristics are associated with changes in pain-free ROM.

Discussion:

Based on associative learning theories, we hypothesize that individuals who report their pain to be

threatening will be more prone for this illusion.

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