Virtual Reality in Hand Peripheral Nerve Injuries Effectiveness of Based Movement Therapy

Study Overview
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Brief Summary
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The aim of this study is to investigate the effectiveness of virtual reality-based motion therapy in peripheral nerve injuries in the hand.

Official Title
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Virtual Reality in Hand Peripheral Nerve Injuries Effectiveness of Based Movement Therapy

Conditions
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Peripheral Nerve Injury, Virtual Reality, Rehabilitation

Intervention / Treatment
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* Device: virtual reality
* Behavioral: routine treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ıt was operated in the early period with the diagnosis of peripheral nerve injury in the postoperative hand. clinical impression was made. out patient with median, ulnar, and radial nerve repair. completed the 6th postoperative week. Exclusion Criteria: Those who have communication problems and users With the musculoskeletal system, the additional passage, rheumatological, etc., where they are located. those with the disease - Patients with multiple traumas

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 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: experimental: virtual reality<br>In addition to routine hand care programs for 4 weeks, 5 days, 40 minutes a day, 20 sessions (4 weeks, 5 days, 20 minutes) virtual reality based movement therapy program will be applied. | Device: virtual reality<br>* In addition to the routine hand rehabilitation programs for 4 weeks, 5 days, 40 minutes a day, 20 sessions (4 weeks, 5 days a week, 20 minutes) virtual reality based movement therapy program will be applied.<br>|
| Active Comparator: control:routine treatment<br>20 sessions (4 weeks, 5 days a week, 60 minutes) routine hand rehabilitation program will be implemented. | Behavioral: routine treatment<br>* 20 sessions (4 weeks, 5 days a week, 60 minutes) routine hand rehabilitation program will be applied.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Jebsen Taylor Hand Function Test | Used to assess upper extremity functions. Activities are evaluated on a time basis. | from baseline to the end of the treatment (4 week) | 
| visual analog scale (VAS) | marks the severity of pain between 0 and 10. | from baseline to the end of the treatment (4 week) | 
| duruöz hand index | kitchen work, evaluates cleaning, workplace and other activities of daily living. The total score is between 0-90. | from baseline to the end of the treatment (4 week) | 
| Sammes Weinstein Monofilament Test (SWMT) | sensory threshold is used for assessment.sensed monofilament values will be collected and recorded. The highest total score will be considered as 15. | from baseline to the end of the treatment (4 week) | 
| Questionnaire Quick Disability of the Arm, Shoulder, and Hand (Quick DASH) | activity participation level will be assessed by Q-DASH.Each question will be scored between 1-5 points (1: no difficulty, 2: mild difficulty, 3: medium difficulty, 4: extreme difficulty, 5: not at all). The total score will be recorded. | from baseline to the end of the treatment (4 week) | 
| Jamar dynamometer | Jamar dynamometer will be used for grip strength. 3 repetitive measurements will be made and the average will be recorded.(in kilograms) | from baseline to the end of the treatment (4 week) |