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Effects of Virtual Reality Based Rehabilitation on Burned Hands

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ClinicalTrials.gov Identifier: NCT03865641
Recruitment Status : Completed
First Posted : March 7, 2019
Last Update Posted : October 14, 2019
Sponsor:
Collaborator:
National Research Foundation of Korea
Information provided by (Responsible Party):
Hangang Sacred Heart Hospital

Brief Summary:
Hands are the most frequent injury sites caused by burn, and appropriate rehabilitation is essential to ensure that good functional recovery is achieved. Many interventions have been developed for patients with burns; however, hand rehabilitation tools are limited. Virtual reality (VR)-based rehabilitation has proven beneficial to the functions of upper and lower extremities. To investigate VR-based rehabilitation effects on burned hands, we compare the results of VR rehabilitation group to the results of matched conventional(CON) rehabilitation group.This single-blinded, randomized, controlled trial involved 31 patients with burns and dominant right-hand function impairment. Patients were randomized into a VR or a CON group. Each intervention was applied to the affected hand for 4 weeks. Hand function was evaluated using the Jebsen-Taylor hand function test (JTT), grasp and pinch power test, and Michigan Hand Outcomes Questionnaire (MHQ). These assessments were evaluated pre-intervention and 4 weeks post-intervention.Our study results suggest that VR-based rehabilitation is likely to be as effective as conventional rehabilitation for recovering hand function in a burned hand. VR-based rehabilitation may be considered a treatment option for burned hands.

Condition or disease Intervention/treatment Phase
Hand Injuries Device: Virtual reality rehabilitation Not Applicable

Detailed Description:

Appropriate rehabilitation is important to ensure that good functional recovery is achieved. Burned hands are usually treated and managed by a multidisciplinary team at a burn center to conservatively manage hypertrophic scars. Rehabilitation of the burned hand should be initiated in the acute stages to set individualized positioning, splinting and exercise for functional activity. Frequent exercises throughout the day are more beneficial than one intensive exercise. Repeated range of motion (ROM) exercises are helpful in decreasing edema and conditioning the tissue. Despite adequate rehabilitation of the burned hand, hand functional disorders may occur. Many interventions have been developed and trialed for patients with burns; however, hand rehabilitation tools are limited and remain controversial.

Recent studies have recommended that for the functional recovery of upper extremity disorder, repetitive exercises using VR have been useful. Task-specific training has been shown to be more effective when tasks were ordered in a random practice sequence using repetition and positive feedback. VR is an interactive and enjoyable intervention. VR creates a virtual rehabilitation scene in which the intensity of practice can be systemically manipulated. This study aimed to evaluate the effects of VR-based rehabilitation on burned hands, and compare the results to those of matched CON rehabilitation in patients with burns.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 57 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Intervention Model Description: viartual reality based rehabilitation
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Effects of Virtual Reality Based Rehabilitation on Burned Hands a Prospective, Randomized, Single Blined Study
Actual Study Start Date : June 28, 2019
Actual Primary Completion Date : October 5, 2019
Actual Study Completion Date : October 6, 2019

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Virtual reality intervention
Experimental group : virtual reality intervention
Device: Virtual reality rehabilitation
Task-specific training has been shown to be more effective when tasks were ordered in a random practice sequence using repetition and positive feedback. VR is an interactive and enjoyable intervention. VR creates a virtual rehabilitation scene in which the intensity of practice can be systemically manipulated.

No Intervention: Control group
conventional rehabilitation without virtual reality intervention



Primary Outcome Measures :
  1. hand function [ Time Frame: 4weeks ]
    grip strength


Secondary Outcome Measures :
  1. Michigan Hand Outcomes Questionnaire [ Time Frame: 4weeks ]
    patient's perception of hand function

  2. fine motor function [ Time Frame: 4weeks ]
    Jebsen-Taylor hand function test



Information from the National Library of Medicine

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Ages Eligible for Study:   19 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • The patients' burn scars had re-epithelialized after aseptic care or skin graft. We included patients aged ≥18 years with a deep partial-thickness (second-degree) burn or a full thickness (third-degree) burn to their hands, with joint contracture(hand and wrist), having been transferred to the rehabilitation department after acute burn treatment, and less than 6 months since the onset of the burn injury.

Exclusion Criteria:

  • patients who had fourth-degree burns(involving muscles, tendons, and bone injuries), musculoskeletal diseases(fracture, amputation, rheumatoid arthritis, and degenerative joint diseases) in the burned hand, or neurological diseases(such as peripheral nerve disorders), preexisting physical and psychologic disability (severe aphasia and cognitive impairment that could influence the intervention), and severe pain impeding hand rehabilitation.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03865641


Locations
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Korea, Republic of
Hangang Sacred Heart Hospital
Seoul, Yeong-deungpo-Dong, Korea, Republic of, 150-719
Sponsors and Collaborators
Hangang Sacred Heart Hospital
National Research Foundation of Korea
Investigators
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Study Director: Cheong Hoon Seo, M.D. Hangang Sacred Heart Hospital IRB

Publications:
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Responsible Party: Hangang Sacred Heart Hospital
ClinicalTrials.gov Identifier: NCT03865641    
Other Study ID Numbers: HangangSHH-2
First Posted: March 7, 2019    Key Record Dates
Last Update Posted: October 14, 2019
Last Verified: October 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Plan Description: after request

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Hangang Sacred Heart Hospital:
burn
virtual reality
Additional relevant MeSH terms:
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Hand Injuries
Wounds and Injuries