The Impact of Virtual Reality on the Experience of Exercise Pain

Exercise is essential for maintaining a healthy lifestyle, but intense or prolonged exercise can cause a degree of discomfort and pain. These negative exercise-based sensations have been considered as a limiter of exercise capacity and a potential barrier to physical activity. In recent years, computer technology has brought to light new opportunities for promoting physical activity. Virtual Reality (VR) is a representative example of this type of technology, since it allows users to experience a computer-simulated reality with visual, auditory, tactile and olfactory interactions, and distract them from perceiving nociceptive signals and pain.

The present thesis aims to identify whether and how VR with or without psychological intervention strategies may affect the perception of Exercise Pain (EP). These questions are answered through a series of studies conducted on a large group of participants. As a first step, the effect VR might have on EP during a weight-lifting exercise in comparison to a non-VR weight-lifting exercise is investigated. Then, the effect that personal awareness and internal sensations might have on VR technology during weight-lifting EP is examined. Lastly, the effect of VR and different psychological intervention strategies on weight-lifting EP is considered through three studies.

The findings of the present thesis extend our understanding of the physiological and psychological effects of VR, providing useful insights into the relationship of VR with the Heart Rate, the perception of task difficulty and the levels of pain and discomfort caused by an exhaustive muscle contraction. The main conclusion reached is that the use of VR during exercise can reduce physiological and psychological responses associated with negative sensations. This conclusion can be used as an informative input for the design of VR so that it can increase the level of physical activity and, by extension, promote a healthier lifestyle.