Efficacité de la réalité virtuelle dans la prise en charge de la douleur chez l'enfant et l'adolescent brulé

Background: Burns are a frequent trauma of daily life but severe burns are uncommon and can be life threatening. A quarter of hospitalizations in France concerns children under 4 years old. The pain produced can slow down the child's evolution and impact his health care. Virtual reality appears as a non-pharmacological therapy aimed at reducing this pain through distraction.Objective: The aim of this review is to evaluate the effectiveness of virtual reality in the management of pain decrease in burned children and adolescents.Method: Four databases (PubMed, PEDro, Cochrane Library, Science Direct) and one search engine (Google Scholar) were investigated to maximize the number of articles to be included in this review. Five studies were selected, each of which was randomized controlled trial matching with the previously defined inclusion criteria. The patients included were minors who had suffered burns no matter the degree and the body surface. The primary outcome was pain.Results: Among the five included studies, four show that virtual reality has a significant efficacy in decreasing pain in burned children and adolescents for at least one pain component and/or at least one time of the treatment.Discussion: The heterogeneity of the results obtained and the small sample sizes of the included studies limit the interpretation of these results and their generalization.Conclusion: Virtual reality seems to be effective in the management of pain in pediatric burns, however further studies are needed to confirm this hypothesis. ; Introduction : la brûlure est un traumatisme fréquent de la vie quotidienne mais la brûlure grave est rare et peut engager le pronostic vital, un quart des hospitalisations en France est représenté par les enfants de moins de 4 ans. La douleur engendrée peut freiner l’évolution de l’enfant et impacter ses soins. La réalité virtuelle apparaît comme une thérapie non pharmacologique visant à réduire cette douleur par le biais de la distraction.Objectif : le but de cette revue est d’évaluer ...