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Virtual Reality and Standard Care vs. Standard Care Alone for Acute MSK Pain in Geriatric ED Patients

Recruiting

Combination of Virtual Reality and Standard of Care Versus Standard of Care Alone for Acute Musculoskeletal Pain Management in Geriatric Emergency Department Patients: A Randomized Clinical Trial

Who can join

Ages 65 to 120 · All sexes

Full eligibility criteria
Inclusion Criteria:

* age of 65+
* Emergency Medicine patients
* non traumatic musculoskeletal painful condition
* pain score of 4+ on the numeric rating scale
* patient will warrant parenteral analgesia per treating physician
* patient will have to be awake, alert, and oriented to person, place, and time.
* comprehension of informed consent process and study related content
* ability to complete assessments

Exclusion Criteria:

* painful syndrome requiring emergent and/or urgent pain control
* altered mental status
* unstable vital signs
* history of recent epilepsy
* seizure disorder
* vertigo
* active headache
* nausea
* motion sickness
* dizziness

About the study

The proposed Virtual Reality as an Adjunct to Pain Management for Geriatric Patients in the ED (VRAP-ED) project will take place in the Emergency Medicine Department at Maimonides Medical Center. It seeks to enhance the analgesic practices for geriatric patients with acute painful conditions in the emergency setting. Although virtual reality (VR) has demonstrated effectiveness in reducing pain and anxiety in various clinical settings for juveniles and adults, the analgesic efficacy of VR for geriatric ED patients lacks established data. The project will use a geriatric-focused VR platform.

The project intends to improve pain management for almost 200 geriatric patients by evaluating the effectiveness of virtual reality (VR) in reducing pain and its impact on anxiety \& stress reduction. The research project will conduct a randomized clinical trial to investigate the analgesic efficacy and impact on anxiety \& stress by using VR as an adjunct to the standard of care (SOC) for pain management in elderly patients presenting to the ED with acute musculoskeletal pain. This will be investigated through a prospective, randomized, non-blinded clinical trial conducted over two years. Eligible patients will be randomly assigned to either the control (SOC) or intervention (SOC+VR) groups. The expected outcomes of this research study will provide insight into the feasibility of using VR in a busy emergency setting for one of the most commonly encountered painful syndromes and to assess the analgesic efficacy as well as the satisfaction of VR application by both patients and ED clinicians.

What is being tested

Sponsor: Antonios Likourezos · Participants: 180 · Started: Nov 18, 2024

Contact the study team

Official record on ClinicalTrials.gov — NCT06685107

Locations in the U.S.

New YorkMaimonides Medical Center, Brooklyn

Conditions

From ClinicalTrials.gov, data retrieved Nov 15, 2026. Each study sets its own eligibility; the study team decides who can join.