Virtual Reality Analgesia During Pediatric Physical Therapy

Inclusion Criteria: * Age greater than or equal to 8 years up to 20 yrs old * Compliant and able to complete subject evaluation * A minimum of 3 days of physical therapy, one physical therapy session per day * No history of psychiatric (DSM-IV-R Axis I) or developmental disorder that would interfere with decisional capacity * Not demonstrating delirium, psychosis, or any form of Organic Brain Disorder that would interfere with decisional capacity * Able to communicate verbally * Able to take oral medications * English-speaking Exclusion Criteria: * \- Age less than 8 years, or greater than 20 years. * Not capable of indicating pain intensity * Not capable of filling out study measures * Hospitalization of fewer than 3 days * Evidence of traumatic brain injury * History of psychiatric (DSM-IV-R Axis I) disorder as evidenced in the admitting RN and MD admission notes, if interfering with decisional capacity * Demonstrating delirium, psychosis or any form of Organic Brain Disorder and associated memory problems that would interfere with decisional capacity * Unable to communicate verbally * Unable to take oral medications * History of sig. cardiac, endocrine, neurologic, metabolic, respiratory, gastrointestinal or genitourinary impairment that would interfere with treatment or decisional capacity * Receiving prophylaxis for alcohol or drug withdrawal * Developmental disability that would interfere with decisional capacity * Face/head/neck injuries preventing helmet use * Non-English-speaking * Extreme susceptibility to motion sickness * Seizure history