Leap Motion Based Gamefication Exercises in the Individuals With Systemic Sclerosis

Study Overview
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Brief Summary
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Leap Motion Based Gamefication Exercises in the Individuals With Systemic Sclerosis

Detailed Description
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The aim of this project is to develop Leap Motion Sensor-assisted rehabilitation games that can be easily applied in hand rehabilitation in individuals with SSc, motivating, directing to the right exercise, providing therapeutic evaluation and feedback during the game, and comparing the effectiveness of these rehabilitation games with traditional rehabilitation applications.

Official Title
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The Development and Investigation of Effectiveness of Leap Motion Based Gamefication Exercises in Hand Rehabilitation of the Individuals With Systemic Sclerosis

Conditions
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Rheumatology, Scleroderma, Systemic, Video Games, Physiotherapy, Rehabilitation, Hand Rheumatism

Intervention / Treatment
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* Other: Leap motion assisted rehabilitation
* Other: Traditional program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Having the ability to adapt to exercises Not having any diagnosed cardiac or orthopedic disease that may prevent the application of assessment methods Exclusion Criteria: Having a diagnosis of juvenile-onset SSc Having a history of neurological disease or trauma that will affect hand functions Receiving another treatment, such as intra-articular injection, surgery, that may affect hand rehabilitation in the last 6 months Having systemic involvement that may affect the treatment process or activities of daily living

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 55 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: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Leap motion assisted rehabilitation<br>Individuals who will participate in the study will be treated 2 days a week for 5 weeks with Leap Motion sensor-supported games aimed at increasing patient-specific wrist flexion, wrist extension, ulnar and radial deviation of the wrist, flexion, extension and abduction of the fingers. Each training period will last 30 minutes. | Other: Leap motion assisted rehabilitation<br>* Hand Therapy via leap motion sensor<br>|
| Experimental: Traditional program<br>They will be included in traditional rehabilitation training consisting of stretching exercises, strengthening exercises and functional exercises including activities of daily living for 2 days a week for 5 weeks. | Other: Traditional program<br>* Hand Therapy by physiotherapist via traditional methods<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| modified Hand Mobility in Scleroderma (mHAMIS) | Hand Mobility in Scleroderma is a hand function test developed for adults who have systemic sclerosis. HAMIS consists of 9 items designed to measure all movements assessed in an ordinary range of motion-measured hand test. Each item is graded on a 0-3 scale, where 0 corresponds to normal function and 3 denotes that the individual is unable to perform the item. Each hand is assessed separately. The total score of HAMIS for each hand is 370 Sandqvist and Eklund Vol. 13, No. 6, December 2000 27, which represents a high degree of dysfunction. | change from baseline at 5 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Finger Joint Range of Motion | The patients will be asked to close their fingers tightly and the distance between the pulp of the 2nd, 3rd, 4th, and 5th finger - distal palmar line (PP-DPD) will be measured in cm with the help of a ruler. Dominant and nondominant hand total scores will be calculated by summing the values found for the fingers of each hand separately. | change from baseline at 5 weeks | 
| Grip Strength | A hand dynamometer will be used. For measurements, patients will be asked to make a maximally voluntary grip while sitting, elbow flexed to 90 degrees, wrist in semi-pronation with thumb pointing up. Measurements on the sick and healthy hand will be made 3 times in a row, and the average values will be recorded in kilograms (kg). Finger grip will be evaluated with a pinchmeter in three different positions (lateral, palmar, fingertip). | change from baseline at 5 weeks | 
| Skin Hardness | Skin hardness will be measured with a durometer. Although the durometer is a device designed to measure non-biomaterial surface hardness, it is used clinically to evaluate sclerosis. Measurements will be made on the dorsal surface of the third finger, midphalanx, dorsum of the hand, palmar and dorsal aspects of the forearm. | change from baseline at 5 weeks | 
| Purdue Pegboard Test | Purdue Pegboard Test will be used to evaluate hand functions. This test is an objective and standardized test that is frequently used in practice to evaluate functional hand use. The test will be preferred because of its advantages in demonstrating the functional activities and ability of the hand and its ease of use. The patient will be asked to perform the test activities first with the dominant hand, then with the non-dominant hand in 30 seconds, and using both hands in 60 seconds. Scoring will be based on the number of successfully placed pins. | change from baseline at 5 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Scleroderma, Systemic, Hand therapy, Therapy, Computer-Assisted