VR Gaming Based PNF on Spatiotemporal Parameters in Upper Limb Burned Patients

NCT07183943 | Completed

• 1 other identifier: P.T.REC/012/005914
• Study Type: interventional
• Target: 150
• Locations: 1 country
• Sites: 1

Brief Summary

Burn injuries are among the most severe forms of trauma, often leading to significant physical and psychological challenges. The rehabilitation process for burn patients, particularly those with upper limb injuries, is complex due to the need for restoring functional movement and reducing scar contracture. Traditional rehabilitation methods focus on restoring range of motion, muscle strength, and coordination. However, these approaches can be limited in engaging patients and maintaining their motivation throughout the recovery process.

Conditions

Burns

Outcome Measures

Primary Outcomes (1)

• Kinesiophobia

  the Arabic version of the Tampa Scale for Kinesiophobia (TSK) was used. The TSK is rated on a 4-point Likert scale ranging from 17 to 68, with higher scores indicating a high level of kinesiophobia . The TSK has been shown to be a reliable tool for the measurement of kinesiophobia in patients with (upper limb burn injury) ULBI.

  at baseline and at 12 weeks

Secondary Outcomes (2)

• Gait Analysis

  at baseline and at 12 weeks

• Arm swing

  at baseline and at 12 weeks

Study Arms (4)

Proprioceptive neuromuscular facilitation (PNF)

EXPERIMENTAL

In the PNF group, The PNF sequence included scapula, upper limb, Training was performed in different positions

Other: Proprioceptive neuromuscular facilitation (PNF)

Visual reality (VR)

EXPERIMENTAL

In the VR group, the tasks were performed with the aid of a Nintendo Wii device.

Other: Visual reality (VR)

PNF and VR

EXPERIMENTAL

The PNF/VR group performed both PNF and VR exercises. The duration of the exercises was modified so that half of the time was devoted to PNF and the other half to VR

Other: PNF and VR

Control group

NO INTERVENTION

No intervention

Interventions

Proprioceptive neuromuscular facilitation (PNF) OTHER

Training was performed in different positions (decubitus, sitting, and standing) according to the specific exercise. the participants performed 10 minutes of diagonal scapula exercises (anterior and posterior elevation) and 30 minutes of upper limb diagonals (Flexion-Abduction-External Rotation and Extension-Abduction-Internal Rotation), including the 5 initial minutes of stretching.

Proprioceptive neuromuscular facilitation (PNF)

Visual reality (VR) OTHER

The site of the intervention was a 20-square-meter room equipped with a multimedia projector, which projected the image on the wall at a height of 1 m and 20 cm. A professional physical therapist supervised the treatment continuously, and every participant received prior instructions on the conduct of the games. The therapeutic protocol included 4 electronic games: Balance Bubble Plus, Rhythm Parade, Tennis, and Box.

Visual reality (VR)

PNF and VR OTHER

The total duration of the sessions remained consistent. The participants performed 5 minutes of scapula diagonals and 15 minutes of upper limb diagonals in the weekly session. The games for the PNF/VR group were the same as those for the VR group, except for their duration. Whereas they were performed for 20 minutes each in the VR group, the session including 5 minutes of stretching.

PNF and VR

Eligibility Criteria

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

You may qualify if:

• Clinical diagnosis of unilateral upper extremity burn injury
• must be able to walk independently
• Agreeing to participate voluntarily in the study
• years of age
• the ability to accurately express the level of pain that prevents cognitive, affective and verbal communication

You may not qualify if:

• Walking with assist device
• Having a visual deficits
• Having an orthopedic problems that affect gait
• Having a neurological disorders
• Having a musculoskeletal disorders that affect gait
• Having an undergone orthopedic surgery

Sponsors & Collaborators

• MTI University: lead

Study Sites (1)

faculty of physical therapy ,Cairo University

Cairo, 11311, Egypt

Location

MeSH Terms

Conditions

Burns

Interventions

Muscle Stretching Exercises

Condition Hierarchy (Ancestors)

Wounds and Injuries

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: Double blinded
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assisstant professor

Model Details: RCT

Study Record Dates

• First Submitted: September 8, 2025
• First Posted: September 19, 2025
• Study Start: October 1, 2025
• Primary Completion: January 1, 2026
• Study Completion: January 5, 2026
• Last Updated: January 13, 2026

Record last verified: 2026-01

Locations

EG (1)