Clinical trial NCT05188040: Effectiveness of Virtual Reality in Hand Therapy
Official title: Virtual Reality in Hand Therapy Effectiveness and Implementation
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Distal Radius Fracture
Chronic Regional Pain Syndrome
Flexor Tendon Rupture
Keywords: Virtual Reality
Function
Hand Therapy
Exercises
Lead sponsor: University of Kentucky
Sponsor class: OTHER
Collaborators: name: University of Kentucky
name: Commonwealth Hand and Physical Therapy
First posted: 2022-01-12
Enrollment: 9
Sex: ALL
Minimum age (years): 18
Maximum age (years): 99
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: Participants at the Commonwealth Hand and Physical Therapy clinic with the 3 included arm and hand injury diagnoses will be offered the opportunity in a flyer at the clinic to participate in the VR study. Those consented will complete the pre and post outcome measures outlined within this document with the research team member. For intervention, the participants will be instructed by the treating therapist in standard of care rehabilitation and utilize Virtual Reality with the Oculus Quest 2 system as the active exercise component of their rehabilitation over approximately approximately 4 sessions, totally \~ 1-hour. The specific virtual reality games within the Oculus Quest 2 VR system will be selected by the therapist providing interventions each session. The virtual reality game allows for augmented visual feedback and will be directly supervised by the treating therapists.
Primary purpose: TREATMENT

Brief summary: The purpose of this study is to determine if the use of Virtual Reality as an intervention for patients following specific hand injuries will positively affect patients with decreased hand function and reduce pain and improve outcomes. Participants will be recruited from 3 different clinics in central Kentucky.

Detailed description: Participants will participate in four sessions of therapy treatment over a 2-3 week time span of schedule therapy appointments during their active phase of rehabilitation for approximately 1-hour virtual reality (VR) training dosage which will be recorded. The specific virtual reality games within the Oculus Quest 2 VR system will be selected by the therapist providing interventions each session.

In addition to the Virtual Reality intervention noted above, participants will participate in a pre and post-test outcome measure session (25-30 minutes) with a research team member. (See outcome measure section for more details).

Eligibility criteria: Inclusion Criteria:

1. Attending hand therapy for rehabilitation of an upper extremity injury with a diagnosis of distal radius fracture, complex regional pain syndrome or tendon ruptures
2. Must be in an active exercise phase of rehabilitation

Exclusion Criteria:

1. Not in a phase in their rehabilitation in which they can perform active exercises
2. Having arm injury due to a neurological disorder (stroke, Multiple sclerosis, spinal cord injury, other)
3. Non-English speaking
4. Patient reporting a history of severe claustrophobia or motion sickness

Primary outcomes:
measure: Hand Function Measures - Box and Block Test
timeFrame: 4 minutes
measure: Hand Function Measures - Nine Hole Peg Test
timeFrame: 8 minutes
Secondary outcomes:
measure: Quick Disability of Arm Shoulder and Hand (QDASH)
timeFrame: 5 minutes
measure: Visual Analog Scale
timeFrame: 1 minute
measure: Enjoyment Subscale of the Intrinsic Motivation Inventory scale
timeFrame: 7 minutes
Other outcomes:
Locations:
city: Georgetown
country: United States
facility: Commonwealth Hand and Physical Therapy
state: Kentucky
Study officials:
affiliation: University of Kentucky
name: Tim L Uhl, PhD
role: PRINCIPAL_INVESTIGATOR
References:
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