Xbox Kinect Promote Physical Fitness and Lean Mass in Severely Burned Children

Study Overview
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Brief Summary
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The outcome measures included quadriceps muscle strength as measured using an isokinetic dynamometer, LBM is measured by DEXA and cardiopulmonary fitness was assessed by measuring VO2 peak during a standardized treadmill exercise test using the modified Bruce protocol. All outcome measures were evaluated immediately after discharge as baseline and after 12 weeks of intervention.

Detailed Description
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Forty healed pediatric burn patients (24 boys and 16 girls), aged 10 - 15 years, were enrolled from the outpatient clinic in the faculty of physical therapy, Cairo university, Egypt. The inclusion criteria were: total body surface area (TBSA) of 40-60%, being ambulatory without an assistant. The exclusion criteria included metabolic disorders, neuropathy, visual or vestibular disorders, amputation, participation in another study, any adverse medication reactions, history of epilepsy, loss of balance, and lower or upper limb deformity. All patients received similar standard medical care and treatment from the time of admission until the time of discharge. Total burn surface area was assessed by the modified Lund and Browder charts method during excisional surgery immediately following hospital admittance. Informed written consent was obtained from each patient's guardian prior to enrollment. All procedures were approved by the ethical committee of the faculty of physical therapy, Cairo university, Giza, Egypt. After consent was obtained, patients were randomly assigned to standard of care group (SOC) or Xbox training group (Xbox). The Xbox group participated in a 12-week of routine physiotherapy program supplemented with Xbox training program (N=20). In contrast, the SOC group participated in the routine physiotherapy program (N=20). A normal activity of daily living (ADL), diet and patient's lifestyle were maintained for all participants as much as possible.

Official Title
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Xbox Kinect™ to Promote Physical Fitness and Lean Mass in Severely Burned Children: A Randomized Controlled Trial

Conditions
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Burns

Intervention / Treatment
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* Other: Xbox training
* Other: Control group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: total body surface area (TBSA) of 40-60%. being ambulatory without an assistant. Exclusion Criteria: metabolic disorders.neuropathy. visual or vestibular disorders. amputation. participation in another study. history of epilepsy. loss of balance. lower or upper limb deformity.

Ages Eligible for Study
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Minimum Age: 10 Years
Maximum Age: 15 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Factorial Assignment
Interventional Model Description: The Xbox group participated in a 12-week of routine physiotherapy program supplemented with Xbox training program. The control group participated in the routine physiotherapy program. In the study group received Xbox training, the dose of Xbox training was 50 min, three times a week for 12 weeks, using the Xbox gaming system. The games were anticipated onto a 45-inch Samsung television. The playing area was 16 * 12 m. The content of Xbox training consisted of practicing five Xbox games (Rally Ball, Reﬂex Ridge, River Rush, 2000 Leaks and parkour). Children practiced each game for 10 min, bringing about every session enduring 50 min.
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Xbox training group<br>The study group received Xbox training plus routine physical therapy protocol treatment. The dose of Xbox training was 50 min, three times a week for 12 weeks, using the Xbox gaming system (Xbox 360 Kinect console; Microsoft Inc., Redmond, Washington, USA). | Other: Xbox training<br>* patients in this group received routine physical therapy protocol plus Xbox training. Before the intervention started, the Xbox group was given a 45 min introductory session on how to use the xbox adventure games and its tools. All sessions were led by a single experienced physiotherapist (different to the physiotherapist who performed the assessments tests) in order to provide instruction on how to perform each exercise.<br>* Other names: interactive video games;Other: Control group<br>* routine physical therapy protocol (RPTP) including joint range of motion exercises (ROM), muscle stretching technique, splinting, daily walking, and ADL training.<br>* Other names: Standard of care;|
| Placebo Comparator: Control group<br>patients participated in a routine physical therapy protocol (RPTP) including joint range of motion exercises (ROM), muscle stretching technique, splinting, daily walking, and ADL training. | Other: Control group<br>* routine physical therapy protocol (RPTP) including joint range of motion exercises (ROM), muscle stretching technique, splinting, daily walking, and ADL training.<br>* Other names: Standard of care;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| VO2 peak | determined using a Graded Exercise Test (GXT) using a modified Bruce protocol treadmill test. | pre-intervention (1 month after burn injury) | 
| VO2 peak | determined using a Graded Exercise Test (GXT) using a modified Bruce protocol treadmill test. | after 12 weeks of treatment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Isokinetic testing Muscle strength | assessed using a Biodex dynamometer (Biodex Medical System, Shirley, NY,USA ). | pre-intervention (1 month after burn injury) | 
| Isokinetic testing Muscle strength | assessed using a Biodex dynamometer (Biodex Medical System, Shirley, NY,USA ). | after 12 weeks of treatment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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lean body mass, VO2 Peak, muscle strength, Enjoyment, Severely burned children, Xbox Kinect