Effects of Virtual Reality Based Rehabilitation on Burned Hands

NCT03865641 | Completed DMC

• 1 other identifier: HangangSHH-2
• Study Type: interventional
• Target: 57
• Locations: 1 country
• Sites: 1

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.

Conditions

Hand Injuries

Keywords

burn; virtual reality

Outcome Measures

Primary Outcomes (1)

• hand function

  grip strength

  4weeks

Secondary Outcomes (2)

• Michigan Hand Outcomes Questionnaire

  4weeks

• fine motor function

  4weeks

Study Arms (2)

Virtual reality intervention

EXPERIMENTAL

Experimental group : virtual reality intervention

Device: Virtual reality rehabilitation

Control group

NO INTERVENTION

conventional rehabilitation without virtual reality intervention

Interventions

Virtual reality rehabilitation DEVICE

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.

Virtual reality intervention

Eligibility Criteria

• Age: 19 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Hangang Sacred Heart Hospital: lead
• National Research Foundation of Korea: collaborator

Study Sites (1)

Hangang Sacred Heart Hospital

Seoul, Yeong-deungpo-Dong, 150-719, South Korea

Location

Related Publications (2)

• Cavalcante Neto JL, Steenbergen B, Wilson P, Zamuner AR, Tudella E. Is Wii-based motor training better than task-specific matched training for children with developmental coordination disorder? A randomized controlled trial. Disabil Rehabil. 2020 Sep;42(18):2611-2620. doi: 10.1080/09638288.2019.1572794. Epub 2019 Feb 22.

  PMID: 30794762 BACKGROUND

• Li K, Chen IM, Yeo SH, Lim CK. Development of finger-motion capturing device based on optical linear encoder. J Rehabil Res Dev. 2011;48(1):69-82. doi: 10.1682/jrrd.2010.02.0013.

  PMID: 21328164 BACKGROUND

MeSH Terms

Conditions

Hand Injuries; Burns

Condition Hierarchy (Ancestors)

Wounds and Injuries

Study Officials

• Cheong Hoon Seo, M.D.

  Hangang Sacred Heart Hospital IRB

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: viartual reality based rehabilitation

Study Record Dates

• First Submitted: March 5, 2019
• First Posted: March 7, 2019
• Study Start: June 28, 2019
• Primary Completion: October 5, 2019
• Study Completion: October 6, 2019
• Last Updated: October 14, 2019

Record last verified: 2019-10

Data Sharing

• IPD Sharing: Will not share

Locations

KR (1)