Hip Pain Chronic Clinical Trial
Official title:
The Effectiveness of Immersive Virtual Reality as a Pain Control Modality After Hip Arthroscopy
1. The purpose of the research is to assess the efficacy of postoperative immersive virtual reality (iVR) compared to a standard multimodal pain regimen including opioids and a local block on acute postoperative pain management following hip arthroscopy 2. The primary research procedures are medical record review for demographic information, head-mounted immersive virtual reality experience in PACU, and pre-operative and post-operative surveys 3. The study will enroll adult patients of all ages undergoing elective hip arthroscopy procedures for any diagnosis
The overall purpose of this prospective matched cohort investigation is to assess the efficacy of postoperative iVR compared to a standard multimodal pain regimen including opioids, on acute postoperative pain management following hip arthroscopy. The goal is to determine whether iVR in the immediate post-operative ambulatory setting would have any effect on subjective pain, anxiety, and nausea scores or on patients' opioid consumption. The primary objective of this study is to evaluate the effects of administering a head-mounted immersive virtual reality (iVR) experience to control postoperative pain and nausea in patients undergoing hip arthroscopy. The secondary objective of this study is to evaluate the effectiveness of specific iVR modules in pain perception and decreasing overall opioid use for post-operative pain control. We will prospectively compare a cohort of primary hip arthroscopy patients who receive postoperative iVR therapy in addition to the standard multimodal pain regimen (including a preoperative local field block) with a matched cohort of hip arthroscopy patients who receive only the standard regimen (including field block) in the acute postoperative ambulatory setting. On the day of surgery, the iVR group will receive a 30-minute sessions or "dose" of iVR therapy in the ambulatory post-anesthesia care unit (PACU) during their stay in addition to the standard postoperative pain protocol (including a pre-operative local field block). The three distraction-based or skills-based iVR modules will consist of either 1) Mindful Escape; 2) Empowered Breathing; or 3) Relaxation videos. The iVR group will be sub-randomized into receiving only one of the three types of modules. The modules will start approximately 30 minutes upon arriving in PACU and will last approximately 30 minutes. Both groups will receive the standard postoperative pain protocol on an as needed basis. The duration of the study is three weeks (pre-operative visit, operative day, and first post-operative visit). Patients will be screened and enrolled at their pre-operative visit. Included patients will be consented and will fill out the pre-operative questionnaires in order to provide baseline data. They will be randomized into the control group or the iVR therapy group. On the day of surgery, they will undergo their local field block by their anesthesiologist pre-operatively, undergo their hip arthroscopy procedure as indicated by their surgeon, and undergo their VR therapy in PACU as described above. They will be asked for their pain scores when leaving PACU, and their opioid medication usage during PACU will be recorded. Post-operative questionnaires will also be completed prior to discharge from PACU and at the first post-op visit. The study involves participation at a single timepoint only. The study procedures to be done are listed below: Virtual Reality Therapy in PACU performed once as described above. ;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT03590145 -
Reliability of the Doha Agreement Classification of Groin Pain
|
||
| Active, not recruiting |
NCT06083428 -
Erector Spinae vs. PENG Block for Total Hip Arthroplasty
|
Phase 4 | |
| Completed |
NCT04289922 -
Validation of the Norwegian VISA-G Questionnaire
|
||
| Completed |
NCT04211987 -
Fast Track Total Hip Arthroplasty vs Standard Care
|
N/A | |
| Not yet recruiting |
NCT05551000 -
Functional Training to Improve Everyday Performance in Elderlies
|
N/A | |
| Recruiting |
NCT04736641 -
Cross-cultural Adaptation, Reliability and Validity of the Turkish Version of the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire
|
||
| Completed |
NCT02947178 -
Hip Arthroscopy Pain Control Randomized Control Trial (RCT)
|
Phase 4 | |
| Recruiting |
NCT03985280 -
Radiofrequency Versus Intraarticular Local Anesthestic and Steroids Injection for Chronic Hip Pain.
|
Phase 4 | |
| Completed |
NCT05944380 -
PENG Block for Total Hip Arthroplasty
|
Phase 4 | |
| Completed |
NCT05261009 -
PENG Block Versus LP Block for THA Postop Pain
|
Phase 4 | |
| Recruiting |
NCT05022381 -
Treatment of Chronic Hip Pain by Application of Conventional Radiofrequency Thermocoagulation to the Articular Branches of the Femoral and Obturatory Nerve
|
N/A | |
| Recruiting |
NCT05853640 -
Education and Exercise for Patients With Longstanding Hip and Groin Pain
|
N/A | |
| Completed |
NCT03248934 -
Patient Performed Examination for Patients With Intra-articular Hip Pain
|
N/A | |
| Completed |
NCT03720821 -
Cognitive Flexibility Training for Persistent Pain: Neuroimaging Pilot (COFLEX-i)
|
N/A | |
| Completed |
NCT04393909 -
Improving Safety of Diagnosis and Therapy in the Inpatient Setting
|
N/A | |
| Recruiting |
NCT04027140 -
MDR - M/L Taper With Kinectiv Technology Stems and Necks
|
||
| Recruiting |
NCT03490071 -
Long-term Follow up of Patients With Longstanding Hip and Groin Pain
|
||
| Recruiting |
NCT04028687 -
MDR - PMCF Study for Taperloc Complete Stems
|
||
| Recruiting |
NCT03576625 -
Effect of Buglossoides Oil on Recent Chronic Non-injurious Hip and Knee Pain
|
Phase 1 | |
| Recruiting |
NCT06221709 -
Continuous Radiofrequency in Hip Osteoarthritis Pain: A Randomized Clinical Trial.
|
N/A |