Clinical trial NCT05973162: Effects of Virtual Reality in Pediatric Burn Patients
Official title: Effects of Virtual Reality as an Adjunctive to Transverse Friction Massage in Pediatric Burn Patients
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Burns Elbows
Pediatric ALL
Keywords: Virtual Reality
Pediatric burn patients,
transverse friction massage
Elbow burn injuries
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2023-08-02
Enrollment: 30
Sex: ALL
Minimum age (years): 6
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of this randomized controlled trial is to find the effectiveness of Virtual reality as an adjunctive to transverse friction massage in pediatric burn patients for reducing pain, anxiety and enhancing elbow range of motion.

Detailed description: A burn injury is damage to the skin or other body parts caused by heat, chemicals, electricity, radiation, or friction.Pain or discomfort, redness and swelling, blistering, peeling skin, scarring , difficulty breathing, shock in cases of severe burn, fever as a complication of burn, anxiety and depression are some main signs and symptoms after burn injuries. Upper limb burn injuries are more common as compared to lower limb , trunk or head and neck. Physical therapy plays an important role in reducing pain and improving range of motion and prevention of contractures formation after burn injuries.

Virtual Reality training (VR) uses a computer-generated simulation of a three-dimensional environment that can be interacted with in a seemingly real or physical way. In the context of burn injuries, VR can be used as a distraction technique during wound care procedures or as an adjunct to pain management, and reduction of anxiety level.

Transverse friction massage Therapy is a Cyriax technique , is applied by the fingers directly to the lesion and transverse to the direction of fibers.Pressure is applied with the ball of the practitioners thumb or fingers to the patient's skin or muscles. Friction massage applied correctly will quickly result in analgesic effect over the treated area. Friction prevents the adhesion formations as a result leads to improvement of range of motion , prevention of contractures formation as well as pain relief.

Eligibility criteria: Inclusion Criteria:

* Willingly participated in the study.
* Age group:6-18.
* Gender: both Male and Female
* Acute burn injuries of elbow region (grade 2)
* Superficial wounds healing phase( 5-10) days
* TBSA is less than 20%

Exclusion Criteria

* Motion sickness
* History of seizure activity
* Burns on body region that impede use of VR equipment (ears, eyes, head)
* Deep burn (Grade 3,4)
* Fractures

Primary outcomes:
measure: Mayo Elbow Performance Index
timeFrame: 2 weeks
Secondary outcomes:
measure: Burn Specific Pain Anxiety Scale (BSPAS)
timeFrame: 2 weeks
measure: Goniometer
timeFrame: 2 weeks
Other outcomes:
Locations:
city: Islamabad
country: Pakistan
facility: Burn units of Rawalpindi/Islamabad (PIMS hospital, Max Health hospital)
state: Punjab
Study officials:
affiliation: Riphah International University
name: Kinza Anwar, MS-OMPT
role: PRINCIPAL_INVESTIGATOR
References: