Virtual Reality Body Image Training for Chronic Low Back Pain: A Single Case Report

摘要: Background: Virtual reality (VR) allows people to embody avatars that are different from themselves in appearance and ability. These experiences provide opportunities challenge bodily perceptions. We devised a novel VR Body Image Training (VR-BIT) approach target self-perceptions pain with persistent pain. Methods: A 45-year old male 5-year history of disabling chronic low back participated 4-week VR-BIT intervention. Pain began following fall first-floor deck. was central on the right side his lower back, radiating buttock thigh. constant varying at 5/10 average intensity. The intervention consistent three face-to-face sessions 1-week apart, followed by in-home VR-BIT. During first session, participant embodied athletic avatars: superhero (Incredible Hulk), boxer, rock climber. Since strongly identified only boxing were subsequently used. Primary outcomes relating body image (self-perceived strength, vulnerability, agility, confidence activity) intensity assessed using numerical rating scales (0–10 NRS). Disability, kinesiophobia, overall change, self-efficacy as secondary outcomes. Outcomes during each 3-month follow-up. Results: reported high degree engagement. Positive changes noted after for all assessments. Improvements retained 3-months ratings (mean change: 4.5/10 NRS) (change: 2/10 disability (45% improvement); (pre: 2/12; post: 10/12); change (“Very much improved”) follow-up. No kinesiophobia detected. adverse advents recorded. Conclusion: engaged showed clinically meaningful image, pain, disability, self-efficacy. Despite long rapid improvements, may be due non-treatment effects. Nonetheless, clearly warrants further investigation potential addition usual care.