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Table 1 Description of the VR equipment and software used in randomised trials evaluating the effectiveness of virtual reality for pain control in medical procedures

From: Efficacy of virtual reality for pain relief in medical procedures: a systematic review and meta-analysis

Study

VR equipment

VR software

Interactive or non-interactive

Akin 2021 [132]

VR Box 3D virtual reality glass

Video images recorded on the phone of the pregnant woman by looking at the baby’s face with the help of a 3D/4D probe

Non-interactive

Atzori 2018 [107]

VR helmet (HMZ T-2 3D viewer Sony) with 45° diagonal field of view supported by laptop, latex-free earphones

Interactive game (Snow World)

Interactive

Atzori 2022 [45]

VR helmet, the Personal 3D Viewer Sony: HMZ T-2, supported by a laptop

Interactive game (Snow World)

Interactive

Aydin and Ozyazicioglu 2019 [133]

VR headset

Non-interactive 3D video stimulating a submarine journey to discover things in the virtual aquarium

Non-interactive

Basak 2021 [134]

3-D audio-visual presentation was watched using VR glasses

Submarine view video

Non-interactive

Boonreunya 2022 [44]

VR headset Olympus GIF-HQ190. The content on the VR screen showed nature scenarios in relaxing mode

Commercially available VR program and specific content about nature scenarios and sightseeing in relaxing mode

Non-interactive

Bosso 2023 [43]

Oculus GO headset with sound played through headphones with active noise reduction

Zen garden developed by Healthy Mind

Non-interactive

Bozdoğan Yesilot 2022 [135]

VR headset (not specified)

Relaxing video

Non-interactive

Brunn 2022 [41]

Oculus Go headset with guided meditation VR App

Nokia Spot 1 environment and 10-min guided Zen meditation

Interactive

Karaveli—Cakir 2021 [136]

Android mobile phone placed in Cardboard Super Flex Goggles

‘A walk on the beach’

Non-interactive

Canares 2021 [137]

Commercially available VR headset with game

Not specified

Not specified

Carrougher 2009 [108]

VR helmet with head-position tracking and audio feedback

Interactive game (Snow World)

Interactive

Carus 2022 [40]

Oculus Quest All-in-one VR Gaming Headset (128 GB) VR system

Several virtual environments, including orange sunset, green meadows, black beginning, red savannah, blue deep, blue moon, blue ocean, white winter, and red fall

Non-interactive

Chan 2007 [123]

Super high-resolution interactive glasses with graphic animation and multi-sensory input with sound and sight to create an immersive environment taking into account the participants’ age group, psychomotor developmental abilities, and intellectual capabilities

Interactive game (Ice Cream Factory) controlled with a PC mouse

Interactive

Chan 2019 [122]

Google Pixel XL/Google Daydream VR headset

Interactive game (Underwater adventure) with relaxation and progressing to marine scenes

Interactive

Chan 2019 [122]

Google Pixel XL/Google Daydream VR headset

Interactive game (Underwater adventure) with relaxation and progressing to marine scenes

Interactive

Chang 2022 [39]

Oculus Quest headset (Facebook Technologies)

SILVER software enacts a story centred on the ‘Burp’s Magic Tower’

Non-Interactive

Chen 2020 [119]

HMD with headphones playing videos from downloaded VR apps on iPhones

Various immersive non-interactive videos of virtual environments (roller coasters, space exploration a wildlife park and travel destinations)

Non-Interactive

Clerc 2021 [138]

VR headset (VOX + Z3 3D; Emerge Technologies, Coppell, Texas) and smartphone (Asus Zenfone 2 ZE551ML; ASUSTek Computer Inc., Taipei, Taiwan)

VR Roller Coaster

Non-interactive

Das 2005 [124]

HMD with a tracking system steered by a PC mouse

Immersive interactive game with virtual environment controlled by moving the participant’s head, neck, decoder

Interactive

Deo 2021 [120]

Oculus Go with a head-mounted display and built-in audio drivers

8-min video called ‘Forest of Serenity’ commissioned by St Giles Hospice, developed by Holosphere and narrated by Sir David Attenborough

Interactive

Ding 2019 [106]

HMD (eMagin z800) with 40° view field used with an integrated audio system and a FasTrak control box

Interactive game (Snow World 2.1)

Interactive

Dumoulin 2019 [121]

HMD (eMagin z800) with built-in motion tracker, steered by a wireless PC mouse

Immersive Interactive game (Health Shoot The Flies)

Interactive

Ebrahimian 2022 [38]

Virtual reality glasses (Samsung Gear VR Virtual Reality Headset with Samsung Mobile S7)

360° video with nature landscapes

Non-interactive

Erdogan 2021 [116]

VR glasses and headsets (Samsung Galaxy) powered by Samsung Galaxy Note 5 N920 smartphone

Non-interactive 3D age-appropriate animation (Dinosaur)

Non-interactive

Estrella-Juarez 2023 [139]

Bnext 3D glasses and 360° images

Images of the ocean floor with relaxing sounds

Non-interactive

Fouks 2022 [37]

Head-mounted display (SootheVR: AppliedVR, Los Angeles, California)

Immersive module of diving in a lagoon

Interactive

Frey 2019 [125]

Samsung Gear Oculus VR headset fitted with Samsung Galaxy S5 Note phone

Non-interactive animation Cartoon videos

Non-interactive

Genc 2022 [36]

VR glasses connected with smart mobile phone

Nature video scenes recorded on YouTube at 360° were watched for 10 min

Non-interactive

Gerçeker 2018 [126]

HMD powered by a Galaxy S7 phone with a hand control and noise-reducing headphones

Interactive environment (Ocean Rift) showing scuba diving simulation with sounds of manatee calls and breathing underwater, with relaxing music and user input via head tracking and a hand control to stimulate taking underwater photos

Interactive

Gerçeker 2020 [100]

Samsung Gear Oculus headset connected to Samsung Galaxy S5 Note mobile phones with audio feedback

Non-interactive video (Rollercoster or Ocean Rift)

Non-interactive

Gerçeker 2020 [100]

Samsung Gear Oculus headset connected to Samsung Galaxy S5 Note mobile phones with audio feedback

Non-interactive video (Rollercoster or Ocean Rift)

Non-interactive

Gerçeker 2021 [118]

Samsung Gear Oculus headset connected to Samsung Galaxy S7 Edge mobile phones, head tracking and hand controller

Interactive environment (Ocean Rift, Rilix VR or In the eyes of animal)

Interactive

Goergen 2022 [35]

Samsung® A5 mobile phone adapted to Trust Urban® Exos 3D virtual reality glasses and a headset

App-video was playing simulating a ride on rails (without sudden changes that could scare him or change his heart rate)

Non-interactive

Gold 2006 [112]

High-performance professional immersive HMD with multi-sensory audio and tactile feedback with inertial tracking and music via headphones

Interactive game (Street Luge)

Interactive

Gold 2018 [127]

Age-appropriate VR goggle (Samsung Galaxy G6 mobile-based Gear VR goggles or Google Pixel mobile-based Merge VR goggles) multi-sensory (visual and auditory) immersive system and head-tracking sensors

Interactive game (Bear Blast)

Interactive

Gold 2021 [140]

Samsung Gear VR [Samsung Electronics] or Merge VR [Merge Labs], VR game Bear Blast; AppliedVR

VR game Bear Blast

Interactive

Goldman 2021a [141]

VR Headset (ReTrak Utopia 360 VR Headset) and smartphone (Asus Zenfone 2 ZE551ML) pre-loaded with a VR Roller Coaster app (VR Roller Coaster, Frag)

Pre-loaded with a VR Roller Coaster app (VR Roller Coaster, Frag)

Interactive

Goldman 2021b [142]

VOX + Z3 3D Virtual Reality Headset (China), an Asus Zenfone 2 ZE551ML mobile de- vice (Taiwan)

Pre-loaded with a VR Roller Coaster app (VR Roller Coaster, Frag)

Interactive

Gray 2021 [117]

Oculus Go VR goggles and a hand-held controller

VR game called SpaceBurgers

Interactive

Guo 2015 [128]

Ultra-high-resolution 3D glasses, headphones, and a PC mouse

Non-interactive videos (Afanda)

Non-interactive

Hoffman 2001 [131]

VR helmet with motion-sensing system. Circular eyepiece with a 60° diagonal field of view per eye with PC keyboard controls motion-sensing system to complete dedicated tasks (e.g. pick up virtual objects, tactile augmentation)

Interactive game (Snow World) offering Immersive 3D interactive computer-simulated environment

Interactive

Hoffman 2008 [109]

VR helmet with a Microsoft SideWinder joystick and audio effects

Interactive game (Snow World)

Interactive

Hoffman 2019 [105]

Water-friendly VR goggles (MX90) held by robot-like articulated arm goggle holder, with battery-powered laptop and audio-visual unit, steered by a wireless computer mouse

Interactive game (Snow World)

Interactive

Hsu 2022 [34]

VR headset HTC Vive (HMD)

VR Cosmos fully immersive view with the wireless hand controller mirrored the participants’

hand actions

Interactive

Hua 2015 [143]

HMD with laptop joystick

Chinese version of the Ice Age 2: The Meltdown game (Twentieth Century Fox, Sierra Entertainment)

Interactive

Huang 2020 [115]

Samsung Gear VR HMD or Oculus Rift Development Kit 2 HMD with noise-cancelling headphone

Custom-designed version of the software ‘Iceland’ and Snow World

Non-interactive

Hundert 2021 [33]

VR head-mounted display, noise-cancelling headphones (to deliver sound) and held a wireless Bluetooth controller

Auditory and visual stimuli (a game which consisted of aiming rainbow balls at sea creatures as they explored an underwater environment in search of treasure)

Interactive

Jahani Shoorab 2015 [110]

VR glasses playing 3D film with two external headphones (3D blue-ray/DVD player full HD)

Non-interactive videos (Dolphin and Whales)

Non-interactive

Jeffs 2014 [144]

VR helmet mounted on articulated arm tripod device with Bose Quiet comfort 3 headphones and trackball controller

Interactive game (Snow World)

Interactive

Joo 2021 [145]

Samsung Gear HMD compatible with the Android platform operating on a Galaxy 7.0 device

3D VR software consists of a seashore view with Korean language narrations designed to induce relaxation (NUVO program by Oncomfort SA, Wavre, Belgium)

Non-interactive

Karaman 2021 [146]

G3 smartphone, the 3D VR Player (GO VR) application and VR Box Glasses

‘A walk on the beach’

Non-interactive

Kaya 2022 [32]

Samsung Gear and Oculus Rift VR headsets

‘Merry Snowballs VR’ application

Interactive

Ketsuwan 2022 [31]

HMD (BOBOVR Z6 Wireless Bluetooth version; Winhoo, Guangdong, China) in combination with an Apple iPhone 12 smartphone

Landscape image of a snowy mountain

Non-interactive

Kipping 2012 [147]

HMD 3D Visor with head tracking and joystick hand controllers

Interactive game (Chicken Little/Need for Speed)

Interactive

Konstantatos 2009 [113]

Goggles fitted on head via a circumferential strap, disposable earpiece, commentary plus DVD footage

Non-interactive video based on hypnotherapy therapy (virtual reality relaxation)

Non-interactive

Leopold 2022 [30]

Unspecified

Unspecified

Non-interactive

Litwin 2021 [114]

Samsung GearVR head-mounted device

Child travelling underwater through the ocean (kindVR Aqua, Alameda, CA) to launch rainbow-coloured balls at nearby fish

Interactive

Liu 2021 [148]

Oculus Go VR goggles (head mount display hardware; hand trackers; built-in surround sound spatial audio speakers) and a hand-held controller,

VR game called SpaceBurgers

Interactive

Liu 2022 [29]

Head-mounted VR display (Nibiru 3.50.005)

Short clips (with a total length 30 min) featuring tropical islands and forests with soothing music: ‘With an orchid’ by Yanni

Non-interactive

Łuczak 2021 [149]

VR set consisting of goggles and headphones

3D world generated through the projection of images, the emission of sounds and the production of other stimuli

Non-interactive

Luo 2023 [28]

VR glasses (Unity3D 2018.3.10f1, Shu Rui Medical)

Rural scenery close to nature, including blue sky, floating white clouds, trees swaying in the wind, flowing water, birds in flight, and soft music

Non-interactive

Maani 2011 [129]

3D VR goggles with Robot-like arm, sound effects and a mouse controller

Interactive game (Snow World) controlled with a PC mouse

Interactive

McSherry 2018 [130]

3D VR goggles with sound effects, noise-cancelling earphones with PC mouse

Interactive game (Snow World)

Interactive

Melcer 2021 [150]

Oculus Go standalone VR headset

5–15-min clip showing views of rolling hills, sail boats, a tropical beach, a beautiful desert landscape and the undersea world

Non-interactive

Momenyan 2021 [151]

Android application was developed using the Google VR SDK, patient's head movements tracked using Samsung S3’s inertial measurement unit (IMU) sensor

360° video of nature containing beach and peaceful landscape along with the sound of nature

Non-interactive

Osmanlliu 2021 [152]

Oculus Rift head-mounted device

Videogame Dreamland®, developed by Oniric Interactive in collaboration with the Université du Québec en Abitibi-Témis-camingue, a classic ‘point & shoot’ game that uses head movements for aiming and a hand trigger for shooting balloons

Non-interactive

Özkan 2020 [101]

VR goggle compatible with iPhone 6 playing videos with sounds

Various non-interactive video

Non-interactive

Özsoy 2022 [153]

Preo My VR box head-mounted device

Cartoon on tablet distraction

Non-interactive

Pathoulas 2022 [154]

Single-use disposable VR devices with a mobile phone

Moving 3D graphics

Non-interactive

Perdue 2022 [22]

Oculus Go head-mounted device

Playing Ocean Rift

Interactive

Piskorz 2020 [58]

Head-mounted displays (Samsung gear)

Memorize blinking elements and search for them among other moving objects

Interactive

Pratiw 2017 [155]

VR headset with Smartphone Lenovo K4 Note

Non-interactive videos (Festivo) offering VR distraction sequence scenery like river, beach, waterfall, and lake allowing users to glide through a with 360° video

Non-interactive

Ryu 2022 [156]

Oculus Go head-mounted VR display

Characters of ‘Hello Carbot’ (Choi-Rock Contents Factory, Seoul, South Korea),

Non-interactive

Sander Windt 2002 [111]

VR glasses and earphones

Non-interactive video (Escape) offering multidimensional sight and sound experience with several videos and music in stereo sound

Non-interactive

Schlechter 2021 [157]

VR headsets, eye mask, iPhone (Apple Inc., Cupertino, CA) with VR software, and optional headphones

Game of narwhal swims through the ocean

Interactive

Schmitt 2011 [158]

nVisor SX (NVIS Inc., Reston VA), the VR-1280 (Virtual Research Systems, Aptos CA), the ProView XL 50 (Kaiser Electro-Optics, Carlsbad CA), and the ProView SR 80 and Polhemus Fastrak (Polhemus, Colchester VT) motion-sensing system (six degrees of freedom)

Interactive game (Snow World)

Interactive

Semerci 2020 [102]

PiranhaTM VR system and headset connects to an iPhone 6 mobile phones and allows for watching and listening to VR videos

Rollercoaster video in which a rollercoaster speeds up and slows down in the forest accompanied by slow music

Non-interactive

Smith 2020 [159]

HMD with a Samsung Galaxy S8 smartphone, head tracking, hand controllers and touchpad

Interactive game (Skylight) with relaxing background music is also played to provide auditory stimulation

Interactive

Soltani 2018 [160]

VR goggles (MX90) steered by a computer mouse

Interactive game (Gliding through an icy 3D canyon)

Interactive

Stunden 2021 [161]

MERGE VR headset (Merge Labs Inc)

Tutorial included a dinosaur in outer space that taught the user how to interact with the elements, see in 360°, and interact with hotspots (referred to as teleportation devices)

Non-interactive

Thybo 2022 [26]

Oculus Go VR goggles (Khora Virtual Reality Denmark)

VR game named Freddy-the-Frog, a 3D interactive game made in cooperation with a professional VR company (Khora Virtual Reality Denmark, Copenhagen, Denmark)

Interactive

Top 2021 [162]

VR BOX 3.0

Video (3D Aquarium) by virtual reality glasses

Non-interactive

Walker 2014 [163]

VR helmet and trackball hand controller

Interactive game (Snow World)

Interactive

Walther-Larsen 2019 [164]

Samsung S6 mobile-based Gear VR goggles steered by a controller

Interactive 3D game (Seagull Splash)

Interactive

Wang 2022 [165]

Pico-G2-4KS all-in-one machine

‘Chicken Run’ puzzle game

Interactive

Wolitzky 2005 [166]

HMD and joystick connected to a computer

Interactive game (Virtual Gorilla) offering educational supplement for children visiting the gorilla habitat at Zoo

Interactive

Wong 2021a [167]

Google cardboard goggles fitted to Apple and Samsung smartphones

VR cartoons

Non-interactive

Wong 2021b [103]

VR goggle with imagery and auditory guidance

Non-interactive videos of a blossoming tree, ocean waves, and crackling campfire with meditative auditory guidance

Non-interactive

Xiang 2021 [168]

Lightweight, low-cost VR paired with an Apple iPhone 6 and detachable earphones

VR game titled Virtual River Cruise

Interactive

Xie 2022 [24]

3D SpaceMax software

The real scene shooting in the delivery room is added to the system to bring the 3D interactive virtual scene to life, including characters, sites, objects, environments, time and voices

Non-interactive

Yildirim 2023 [23]

Immersive experiments with VR glasses (Oculus Rift VR and Samsung Galaxy S7 mobile phone and headset)

3 virtual environments (i.e. roller coaster, mine craft, ocean rift)

Non-interactive

  1. HMD head-mounted display, VR virtual reality, PC personal computer