Abstract：
Virtual reality (VR) is an innovative technology with the potential to enhance treatment for children with chronic pain and functional symptoms. Currently, little is known about patients\' experiences of VR in the setting of intensive interdisciplinary pain treatment (IIPT). This study aimed to better understand how patients engage with and benefit from VR. This case report focuses on a 12-year-old female with amplified musculoskeletal pain syndrome and comorbid functional neurological disorder receiving treatment in inpatient IIPT. VR was incorporated into physical/occupational and recreational therapy sessions. A semi-structured interview was completed one-month post-discharge. Qualitative analysis revealed three major themes: Process of Change (VR was unique/immersive, reduced pain focus, challenged skepticism, and changed pain perception), Efficacy (VR increased movement, supported transitioning from a wheelchair to walking independently, and increased confidence, excitement, and surprise), and Engagement (VR aided in acknowledging progress, increased camaraderie, was fun, and challenged patient to extend treatment goals made in VR to real life). Therapist observations of the benefits and barriers to using VR in treatment are described. Overall, this report indicates that VR may be a helpful tool to use with existing IIPT interventions to enhance patient engagement in treatment and improve functionaloutcomes.
摘要：
虚拟现实（VR）是一项创新技术，具有增强治疗慢性疼痛和功能性症状儿童的潜力。目前,在强化跨学科疼痛治疗（IIPT）的背景下，患者对VR的体验知之甚少。这项研究旨在更好地了解患者如何参与VR并从中受益。该病例报告的重点是一名12岁女性，患有肌肉骨骼疼痛综合征和并发功能性神经系统疾病，在住院IIPT中接受治疗。VR被纳入物理/职业和娱乐治疗课程。出院后一个月完成了半结构化面试。定性分析揭示了三个主要主题：变化的过程(VR是独一无二的/身临其境的，减少疼痛焦点，挑战怀疑论，并改变了疼痛的感知)，功效（VR增加运动，支持从轮椅过渡到独立行走，增强了信心，兴奋,和惊喜),和参与(VR帮助承认进步，增加友情,很有趣，并挑战患者将VR中的治疗目标扩展到现实生活)。描述了在治疗中使用VR的益处和障碍的治疗师观察。总的来说,本报告表明,VR可能是与现有的IIPT干预措施一起使用的有用工具,可以增强患者对治疗的参与度并改善功能结局.
