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Exergaming for Health and Fitness Application
Published in Christopher M. Hayre, Dave J. Muller, Marcia J. Scherer, Everyday Technologies in Healthcare, 2019
Maziah Mat Rosly, Hadi Mat Rosly, Mark Halaki
The perception of pain during exercise was commonly reported by individuals experiencing disabilities related to traumatic injuries (Mat Rosly et al., 2017c, 2018). However, pain resulting from any traumatic injury to the neural nervous systems is known to be non-nociceptive, exacerbated by its chronic neuropathic nature (Varoto and Cliquet, 2015). Neuropathic pain is difficult to manage clinically, with pharmacological interventions only providing temporary symptomatic relief. Exergaming environments have documented evidence of pain distraction whilst exercising (Mat Rosly et al., 2017c; Pekyavas and Ergun, 2017). This may be attributed to the pathway mechanics of pain stimulation, which could be overlapped by the visual and auditory feedback during exergaming (Jerdan et al., 2018). However, there is not enough evidence to support reduction of chronic pain through non-pharmacological interventions in these individuals, and further work is needed to support this claim (Boldt et al., 2014). An important key strength for deploying exergaming as a feasible exercise modality is the perceived enjoyment supporting its use, as reported by several studies among those with neurological disabilities (Malone et al., 2016; Widman et al., 2006; Mat Rosly et al., 2017c). Higher enjoyment scores were reported to improve motivation and maintain adherence rates to exercise (Pekyavas and Ergun, 2017; Widman et al., 2006), which may help in alleviating ongoing perception of pain.
Towards Exploring the Benefits of Augmented Reality for Patient Support During Radiation Oncology Interventions
Published in Computer Methods in Biomechanics and Biomedical Engineering: Imaging & Visualization, 2021
A. Martin-Gomez, C. Hill, H.Y. Lin, J. Fotouhi, S. Han-Oh, K.K.-H. Wang, N. Navab, A.K. Narang
Alternatively, the integration of emerging technologies such as Virtual Reality (VR) into the workflow of medical procedures have become increasingly common in the past years. Multiple VR applications have proved their value in the treatment of phobias (Garcia-Palacios et al. 2002; Rothbaum et al. 1995; Botella et al. 1998; Maltby et al. 2002; Vincelli et al. 2003; Riva et al. 2010), or as auxiliary systems in the treatment of pain (Schneider and Workman 2000; Hoffman et al. 2001; Wint et al. 2002; Gershon et al. 2004; Sharar et al. 2008). Moreover, studies have shown that these applications can be used as non-pharmacological alternatives for pain management (Hoffman et al. 2003), and contribute to reducing pain-related brain activity (Hoffman 2004).
Handling time-varying confounding in state transition models for dynamic optimization of adaptive interdisciplinary pain management
Published in IISE Transactions on Healthcare Systems Engineering, 2018
Aera LeBoulluec, Nilabh Ohol, Victoria Chen, Li Zeng, Jay Rosenberger, Robert Gatchel
Pain management's goal is to minimize the pain outcome to improve the quality of life for patients suffering from chronic pain. In the past, this was met with little success, as pain management focused mainly on the physical side and patients were treated by only analgesic (pain-killing) medications. Improvements were made as theories eventually evolved from single-cause to multi-cause explanations. As a result, adjuvant therapies (additional treatments to the primary analgesic treatment), which were designed for other medical conditions, were introduced to treat pain. Due to the complexities of pain, an interdisciplinary team of professionals, such as anesthesiologists, physical therapists, psychologists, etc., is assembled to create personalized pain management programs. These programs offer broad forms of treatments and utilize multiple disciplinary components, depending on the type of pain and a patient's response to the treatment. Application of interdisciplinary and multidisciplinary pain management has introduced novel approaches, such as cognitive behavioral treatment and other non-pharmacological treatments, for cases where medication does not alleviate the pain to a desired level. In addition, some medications have been discovered to provide better pain relief than analgesics (Schatman and Campbell, 2007; Gould, 2007). There are a growing number of studies that indicate the integration of interdisciplinary/multidisciplinary pain management programs has promising effectiveness on pain management. For example, Flor et al. (1992) reviewed the result of 65 studies which supports the efficacy of multidisciplinary pain management centers. In a more specific study, Kames et al. (1990) gave evidence that the application of an interdisciplinary pain management program provided noticeable chronic pelvic pain reduction. A study by Olason (2004) applied an interdisciplinary pain management program to focus more on increasing a patient's ability to function and eliminate analgesics in a rehabilitation clinic. Applying physiotherapies within a cognitive behavioral framework was shown to be successful by Eccleston and Eccleston (2004). Consequently, multidisciplinary and interdisciplinary pain management practices are being developed widely (Main and Spanswick, 2000; Gatchel, 2005; Schatman and Campbell, 2007; Gould, 2007; Gatchel et al., 2007). This has led to the use of cognitive behavioral or non-pharmacological treatments, which are prescribed when analgesic medications cannot manage pain or provide a desired level of pain relief (Schatman and Campbell, 2007; Gould, 2007; Gatchel, 2005; D'Arcy, 2007; Gatchel and Okifuji, 2006).