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Virtual Reality, Sedation, or Local Anesthetic Alone for Procedural Anxiety During Diagnostic Medial Branch Blocks: A Randomized Controlled Trial

Virtual Reality, Sedation, or Local Anesthetic Alone for Procedural Anxiety During Diagnostic Medial Branch Blocks: A Randomized Controlled Trial

Status
Active, not recruiting
Phases
Phase 2Phase 3
Study type
Interventional
Source
TCTR
Registry ID
TCTR20260610001
Enrollment
135
Registered
2026-06-10
Start date
2023-03-01
Completion date
Unknown
Last updated
2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Patients aged 20 to 80 years with suspected cervical or lumbar facet-mediated pain diagnostic medial branch block

Interventions

virtual reality group used a headset-based immersive audiovisual platform during the procedure plus skin injection with less than 3 ml of local anesthesia,Sedation and analgesia were provided with 1-5
Experimental Device,Active Comparator Drug,No Intervention Other
Virtual reality group,Sedation group,Control group

Sponsors

Phramongkutklao Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
20 Years to 80 Years

Inclusion criteria

Inclusion criteria: 1. The patient who suspected cervical facet joint pain syndrome 2. The patient who suspected lumbar facet joint pain syndrome

Exclusion criteria

Exclusion criteria: 1. Allergic to local anesthetics 2. Allergic to local anesthetics media 3.Pregnancy 4. Breastfeeding 5. Active psychiatric disease 6. Local infection 7. Coagulopathy 8. Inability to communicate adequately 9. The State-Trait Anxiety Inventory score >60

Design outcomes

Primary

MeasureTime frame
Changing in anxiety severity Before and after the procedure State Trait Anxiety Inventory

Secondary

MeasureTime frame
average pain during subcutaneous infiltration At the end of the procedure verbal numerical rating scale ,procedural pain intensity At the end of the procedure VNRS,ability to communicate between provider and patient in both directions At the end of the procedure 5-point Likert scale ,patient satisfaction At the end of the procedure 5-point Likert scale ,adverse events At the end of the procedure adverse events

Countries

Thailand

Contacts

Public ContactSithapan Munjupong

Department of Anesthesiology, Phramongkutklao Hospital

sithapan@gmail.com6691959255

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026