Use of Virtual Reality to Improve Sensorimotor Function in Patients with Traumatic Wrist and Hand Injuries

ConditionWrist Injury
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Malaga

About this trial

The goal of this randomized clinical trial is to compare how the incorporation of Virtual Reality could influence in proprioception, kinesiophobia, functionality and catastrophism in people that are undergoing a rehabilitation treatment after a wrist fracture. The principal questions it aims to answer are:

* Evaluate the effect of using virtual reality added to standard rehabilitation of wrist injuries in proprioception impairment. * Evaluate the effect of using virtual reality on psychological factors as kinesiophobia and catastrofism. * Evaluate the effect of using virtual reality in functionality on wrist-injured patients.

Intervention will be:

* Control group: participants of this group will receive conventional rehabilitation of the wrist, plus a specific proprioceptive exercise program. * Experimental group: participants of this group will receive the same treatment as the control group but adding virtual reality games at the end of the session.

Researchers will compare control and experimental group to see if an implantation of Virtual Reality could had benefits on function, kinesiophobia, catastrofism and proprioception.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adult (equal or more than 18 y/o).

Suffering wrist injury

Agree and sign informed consent.

Disqualifiers

Not had suffered a wrist injury

Suffer from any mental, cognitive, neurological or musculoskeletal disorder

Have cervical pathology/impairment

Have visual or balance problems

Trial design

Design model

Parallel

Treatments tested in this trial

  • Rehabilitation treatment

    Other intervention

    ROM, strength, stretch and proprioception exercises

  • Virtual Reality games

    Other intervention

    Virtual Reality games using META QUEST PRO glasses

Treatment groups

79 Participants
are divided into 2 treatment groups
Group A: Conventional rehabilitationActive comparator 1 intervention
Group B: Rehabilitation+virtual realityExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Proprioception

Assessment of proprioception impairment using Joint Position Sense Test (JPST). Punctuation will be the difference between the asked position and the patient's replication. The test will be repeated with open and closed eyes.

Time frame
Baseline, 1 and 3 months

Secondary outcomes

1

Kinesiophobia

Fear of movement, assessed with Tampa Scale for Kinesiophobia (TSK) which has 17 items with Likert's answers. Punctuation goes from 17 to 68 points, where \<37 points means a low level of kinesiophobia and \>37 a high level.

Time frame
Baseline, 1 and 3 months
2

Catastrophism

Catastrophizing pain assessed with Pain Catasthrophizing Scale (PCS) which has 13 items with Likert's answers. Punctuation goes from 0 to 52 points, where 0-20 points means a low catastrophism, 21-30 points moderate catastrophism and \>30 points a high catastrophism.

Time frame
Baseline, 1 and 3 months
3

Function

Functionality of the upper limb assessed with QuickDASH which has 11 items. Punctuation goes from 0 to 100, where 0 means no disability and 100 maximum disability.

Time frame
Baseline, 1 and 3 months
4

Hand and Wrist function

Assessed with Patient-Rated Wrist Evaluation (PRWE) which has 15 items punctuated from 0 to 10. Punctuation goes from 0-100 where 0 means no disability and 100 maximum disability.

Time frame
Baseline, 1 and 3 months

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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