IN THIS ISSUE SnowWorld and Virtual Reality at UW Medicine The ...

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10101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101001101100110101010101101100110101010101101010 virtualreality 0110011010101010110101001010101010011011001101010101011010100101010101001101100110101010101101010010101010100110110011010101010110101001010 0101010100110110011010101010110101001010101010011011001101010101011010100101010101001101100110101010101101010010101010100110110011010101010 0101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101001101100110101010101101010010101010100110110 10101010100110110011010101010110101001010101010011011001101010101011011001101010101011010100101010101001101010010101010100110110011010101010 10101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101001101100110101010101101100110101010101101010 0110011010101010110101001010101010011011001101010101011010100101010101001101100110101010101101010010101010100110110011010101010110101001010 RIDING THE WAVE OF INNOVATION AT UW MEDICINE 10
01010101010011010100101010101001101100110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101 01010011011001101010101011011001101010101011010100101010101001101010010101010100110110011010101010110101001010101010011011001101010101011010 10101001010101010011011001101010101011010100101010101001101100110101010101101100110101010101101010010101010100110101001010101010011011001101 0110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101001101100110101010101101100110101010 11010100101010101001101100110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101001101100110 01010101010011010100101010101001101100110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101 01010011011001101010101011011001101010101011010100101010101001101010010101010100110110011010101010110101001010101010011011001101010101011010 10101001010101010011011001101010101011010100101010101001101100110101010101101100110101010101101010010101010100110101001010101010011011001101 0110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101001101100110101010101101100110101010 11010100101010101001101100110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101001101100110 01010101010011010100101010101001101100110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101 01010011011001101010101011011001101010101011010100101010101001101010010101010100110110011010101010110101001010101010011011001101010101011010 WITH SNOW AS FAR as his eyes can see, the boy begins to fly through the air down the twists and turns 10101001010101010011011001101010101011010100101010101001101100110101010101101100110101010101101010010101010100110101001010101010011011001101 0110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101001101100110101010101101100110101010 of the wintry canyon. On his right, a group of penguins greet him. Turning to the left, he spots his target: a 11010100101010101001101100110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101001101100110 01010101010011010100101010101001101100110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101 large snowman. In one quick move, the boy tosses a snowball. And then another. In a puff, the snowman 01010011011001101010101011011001101010101011010100101010101001101010010101010100110110011010101010110101001010101010011011001101010101011010 10101001010101010011011001101010101011010100101010101001101100110101010101101100110101010101101010010101010100110101001010101010011011001101 disappears. “Yes!” the boy proclaims with satisfaction. 0110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101001101100110101010101101100110101010 11010100101010101001101100110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101001101100110 01010101010011010100101010101001101100110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101 With increasing concentration, the child winds his way through the rest of the canyon. He fells another 01010011011001101010101011011001101010101011010100101010101001101010010101010100110110011010101010110101001010101010011011001101010101011010 10101001010101010011011001101010101011010100101010101001101100110101010101101100110101010101101010010101010100110101001010101010011011001101 snowman. Then, slowly, the snow scene disappears. The music fades. When the boy looks up, his nurse tells 0110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101001101100110101010101101100110101010 him he’s done for the day. She has finished the painful process of cleaning his wounds. 11010100101010101001101100110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101001101100110 01010101010011010100101010101001101100110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101 01010011011001101010101011011001101010101011010100101010101001101010010101010100110110011010101010110101001010101010011011001101010101011010 Just another distracting video game? Not in the least. SnowWorld — a virtual reality program used at the 10101001010101010011011001101010101011010100101010101001101100110101010101101100110101010101101010010101010100110101001010101010011011001101 UW Burn Center at Harborview Medical Center — has kept the boy’s pain at bay. 0110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101001101100110101010101101100110101010 11010100101010101001101100110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101001101100110 01010101010011010100101010101001101100110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101 01010011011001101010101011011001101010101011010100101010101001101010010101010100110110011010101010110101001010101010011011001101010101011010 10101001010101010011011001101010101011010100101010101001101100110101010101101100110101010101101010010101010100110101001010101010011011001101 0110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101001101100110101010101101100110101010 The psychology of pain 11010100101010101001101100110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101001101100110 The pain associated with severe burns is 01010101010011010100101010101001101100110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101 well established in medical literature as 01010011011001101010101011011001101010101011010100101010101001101010010101010100110110011010101010110101001010101010011011001101010101011010 10101001010101010011011001101010101011010100101010101001101100110101010101101100110101010101101010010101010100110101001010101010011011001101 one of the worst kinds of pain that 0110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101001101100110101010101101100110101010 humans can endure. The process of 11010100101010101001101100110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101001101100110 follow-up care — the removal of dead 01010101010011010100101010101001101100110101010101101010010101010100110110011010101010110101001010101010011011001101010101011010100101010101 tissue, stretching of tender skin to main- 01010011011001101010101011011001101010101011010100101010101001101010010101010100110110011010101010110101001010101010011011001101010101011010 tain elasticity, and exercise of muscles and joints involved in rehabilitation — retraumatizes nerve receptors and can be excruciating. Although medication helps alleviate the pain, patients still suffer. Since 2000, the UW Burn Center has used the virtual reality program Snow- World to help patients control extreme pain. As with many of the most innovative projects at UW Medicine, the SnowWorld, a virtual reality program developed at the University of Washington, helps reduce the excruciating pain development of SnowWorld has multi- felt by burn patients during rehabilitation and wound care. Here, a patient peers into goggle lenses that are disciplinary roots. miniature computer screens. In the early 1990s, Hunter Hoffman, Ph.D. ’92, a UW research scientist with a “Pain from ongoing procedures such Both Hoffman and Patterson under- background in cognitive psychology, as wound care is the most challenging stood that pain involves much more started using virtual reality (VR) in his type of pain to control,” says Patterson. than a sequence of physiological reac- studies of human memory. Seeing the While drugs can provide some pain tions. It also has a complex psychology. power of this new technology to capture relief, he was mindful of their limita- A pain signal requires interpretation, attention, Hoffman began exploring tions and drawbacks: negative side and interpretation requires attention. If other applications for virtual reality. effects, tolerance, and dependency. attention can be re-directed from the Across town at Harborview Medical Eventually, a grant from the National pain signals, pain can be greatly dimin- Center, David Patterson, professor of Institute of General Medical Sciences, ished. For this reason, distraction has rehabilitation medicine and staff a branch of the National Institutes been widely used to control pain. psychologist at the UW Burn Center, of Health, allowed Patterson to launch a Virtual reality takes distraction a step had embarked on pain-control explo- more formal study on non-pharmaco- further. Given that virtual reality rations of his own. logical approaches to pain management. engages many senses, Hoffman theor- 11 Photo and copyright Hunter Hoffman
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IN THIS ISSUE SnowWorld and Virtual Reality at UW Medicine The ...

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