Effect of Task Oriented Training and Xbox KinectTM on Hand Function in Pediatric Burn

NCT04497103 | Completed

• 1 other identifier: 2694PT
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

The Jebsen-Taylor Hand Function Test and Canadian Occupational Performance Measure (COPM) were considered as primary outcome measurements. Secondary outcomes included total active range of motion (ROM) of the digits, hand grip strength and pinch strengths (tip, palmer and lateral pinch). All measurement was conducted at two occasions: at the baseline and after intervention.

Conditions

Burns; Hand Burn

Keywords

children burns; Hand Function; Grip strength; pinch strength; Jebsen-Taylor Hand Function Test; Duruoz Hand Index; Canadian Occupational Performance Measure

Outcome Measures

Primary Outcomes (6)

• Jebsen-Taylor Hand Function Test

  is an objective and standard method designed to assess the hand's functional abilities

  baseline

• Jebsen-Taylor Hand Function Test

  is an objective and standard method designed to assess the hand's functional abilities

  immediately after the intervention

• Duruoz Hand Index

  is a self-reported questionnaire developed to assess hand ability in the kitchen, during dressing, while performing personal hygiene and office tasks, and other general items

  baseline

• Duruoz Hand Index

  is a self-reported questionnaire developed to assess hand ability in the kitchen, during dressing, while performing personal hygiene and office tasks, and other general items

  immediately after the intervention

• Canadian Occupational Performance Measure

  is a client centered, occupation-focused outcome measure for the detection of change in perceived occupational performance over time.

  baseline

• Canadian Occupational Performance Measure

  is a client centered, occupation-focused outcome measure for the detection of change in perceived occupational performance over time.

  immediately after the intervention

Secondary Outcomes (6)

• total active range of motion (ROM) of the digits

  baseline

• total active range of motion (ROM) of the digits

  immediately after the intervention

• hand grip strength

  baseline

• hand grip strength

  immediately after the intervention

• pinch strength

  baseline

Study Arms (3)

control

ACTIVE COMPARATOR

The traditional rehabilitation program conducted for 40-min sessions, three times per week for 8 weeks for all children.

Other: control

task oriented training

EXPERIMENTAL

Task-oriented training TOT group was conducted with an average of 50-min sessions three times a week for 8 weeks. Baseline Canadian Occupational Performance Measure COPM results were used to generate individualized intervention goals for each participant.

Other: control; Other: task oriented training

Xbox kinect

EXPERIMENTAL

Xbox training group was conducted with an average of 50-min sessions three times a week for 8 weeks. Baseline Canadian Occupational Performance Measure COPM results were used to generate individualized intervention goals for each participant.

Other: control; Other: Xbox kinect

Interventions

control OTHER

The traditional therapy included immersing the hand in paraffin for 10 min; soft massaging with a moisturizing gel for 5 min; passive mobilization of the wrist, MP, PIP, and DIP joints; active/passive ROM and stretching exercises; strengthening exercises (done in static mode initially and progressed in the second month to dynamic strengthening using elastic bands); desensitizing sensory stimulation of hypertrophic scars, occupational therapy.

Xbox kinect; control; task oriented training

Xbox kinect OTHER

The traditional plus Xbox Kinect games were related to five target activities determined according to the person-centered analysis results were chosen for each patient.

Xbox kinect

task oriented training OTHER

The traditional plus the target activities involved training with the materials (clothes, spoons, pencils, buttons, rope, etc) needed for the activity as well as Velcro cylinders, skill cubes, exercise bands, screw sets, therapeutic putty, and tripled coordination tools.

task oriented training

Eligibility Criteria

• Age: 7 Years - 14 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• children with deep partial thickness or a full thickness burn
• burn induced by either a scaled or a flame thermal burn
• involvement of more than 50% of the hand and wrist
• total body surface area (TBSA) less than 30%
• age ranged from 7 to 14 years
• recent discharge of inpatient acute care
• spontaneous healing (within 34 weeks)
• grafting with split thickness or full-thickness skin grafts (at least before 2 weeks).

You may not qualify if:

• children with infection
• juvenile arthritis
• fracture
• tendon injuries
• muscle injury
• degenerative joint diseases
• peripheral nerve diseases
• Pre - established psychologically and physically disorders
• extreme aphasia
• cognitive and developmental deficits that can influence the rehabilitation

Sponsors & Collaborators

• Qassim University: lead
• Cairo University: collaborator

Study Sites (1)

Shorook Physical Therapy Centers

Cairo, 11241, Egypt

Location

Related Publications (3)

• Parry I, Painting L, Bagley A, Kawada J, Molitor F, Sen S, Greenhalgh DG, Palmieri TL. A Pilot Prospective Randomized Control Trial Comparing Exercises Using Videogame Therapy to Standard Physical Therapy: 6 Months Follow-Up. J Burn Care Res. 2015 Sep-Oct;36(5):534-44. doi: 10.1097/BCR.0000000000000165.

  PMID: 26335108 RESULT

• Voon K, Silberstein I, Eranki A, Phillips M, Wood FM, Edgar DW. Xbox Kinect based rehabilitation as a feasible adjunct for minor upper limb burns rehabilitation: A pilot RCT. Burns. 2016 Dec;42(8):1797-1804. doi: 10.1016/j.burns.2016.06.007. Epub 2016 Jul 9.

  PMID: 27402183 RESULT

• Kamel FAH, Basha MA. Effects of Virtual Reality and Task-Oriented Training on Hand Function and Activity Performance in Pediatric Hand Burns: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2021 Jun;102(6):1059-1066. doi: 10.1016/j.apmr.2021.01.087. Epub 2021 Feb 20.

  PMID: 33617863 DERIVED

MeSH Terms

Conditions

Burns

Condition Hierarchy (Ancestors)

Wounds and Injuries

Study Officials

• Maged Basha, PhD

  Qassim University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor, Department of Physical Therapy, College of Medical Rehabilitation, Qassim University, Saudi Arabia, Qassim, Buraidah.

Model Details: Task-oriented training TOT group and Xbox training group were conducted with an average of 50-min sessions three times a week for 8 weeks. The traditional rehabilitation program conducted for 40-min sessions, three times per week for 8 weeks for all children.

Study Record Dates

• First Submitted: July 24, 2020
• First Posted: August 4, 2020
• Study Start: May 1, 2018
• Primary Completion: September 20, 2019
• Study Completion: September 20, 2019
• Last Updated: August 4, 2020

Record last verified: 2020-07

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF
• Time Frame: Immediately following publication.
• Access Criteria: IPD will be available upon reasonable request by email from the main author after revising the requester qualification relevance to the topic of the study and approval of all co-authors within 1 month of receiving the request.

Locations

EG (1)