Clinical trial NCT04497103: Effect of Task Oriented Training and Xbox KinectTM on Hand Function in Pediatric Burn
Official title: Effect of Task Oriented Training and Xbox KinectTM on Hand Function in Pediatric Burn
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Burns
Hand Burn
Keywords: children burns
Hand Function
Grip strength
pinch strength
Jebsen-Taylor Hand Function Test
Duruoz Hand Index
Canadian Occupational Performance Measure
Lead sponsor: Qassim University
Sponsor class: OTHER
Collaborators: name: Cairo University
First posted: 2020-08-04
Enrollment: 46
Sex: ALL
Minimum age (years): 7
Maximum age (years): 14
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: FACTORIAL
Intervention model description: Task-oriented training TOT group and Xbox training group were conducted with an average of 50-min sessions three times a week for 8 weeks.

The traditional rehabilitation program conducted for 40-min sessions, three times per week for 8 weeks for all children.
Primary purpose: TREATMENT

Brief summary: The Jebsen-Taylor Hand Function Test and Canadian Occupational Performance Measure (COPM) were considered as primary outcome measurements. Secondary outcomes included total active range of motion (ROM) of the digits, hand grip strength and pinch strengths (tip, palmer and lateral pinch). All measurement was conducted at two occasions: at the baseline and after intervention.

Detailed description: The included participant were children with a deep partial thickness or a full thickness burn induced by either a scaled or a flame thermal burn with involvement of more than 50% of the hand and wrist, total body surface area (TBSA) less than 30% , age ranged from 7 to 14 years, recent discharge of inpatient acute care, spontaneous healing (within 34 weeks) or grafting with split thickness or full-thickness skin grafts (at least before 2 weeks). Children were excluded from this study if they had infection, juvenile arthritis, fracture, tendon injuries, muscle injury, degenerative joint diseases, peripheral nerve diseases, Pre - established psychologically and physically disorders (extreme aphasia, cognitive and developmental deficits that can influence the rehabilitation).

Eligibility criteria: Inclusion Criteria:

* children with deep partial thickness or a full thickness burn
* burn induced by either a scaled or a flame thermal burn
* involvement of more than 50% of the hand and wrist
* total body surface area (TBSA) less than 30%
* age ranged from 7 to 14 years
* recent discharge of inpatient acute care
* spontaneous healing (within 34 weeks)
* grafting with split thickness or full-thickness skin grafts (at least before 2 weeks).

Exclusion Criteria:

* children with infection
* juvenile arthritis
* fracture
* tendon injuries
* muscle injury
* degenerative joint diseases
* peripheral nerve diseases
* Pre - established psychologically and physically disorders
* extreme aphasia
* cognitive and developmental deficits that can influence the rehabilitation

Primary outcomes:
measure: Jebsen-Taylor Hand Function Test
timeFrame: baseline
measure: Jebsen-Taylor Hand Function Test
timeFrame: immediately after the intervention
measure: Duruoz Hand Index
timeFrame: baseline
measure: Duruoz Hand Index
timeFrame: immediately after the intervention
measure: Canadian Occupational Performance Measure
timeFrame: baseline
measure: Canadian Occupational Performance Measure
timeFrame: immediately after the intervention
Secondary outcomes:
measure: total active range of motion (ROM) of the digits
timeFrame: baseline
measure: total active range of motion (ROM) of the digits
timeFrame: immediately after the intervention
measure: hand grip strength
timeFrame: baseline
measure: hand grip strength
timeFrame: immediately after the intervention
measure: pinch strength
timeFrame: baseline
measure: pinch strength
timeFrame: immediately after the intervention
Other outcomes:
Locations:
city: Cairo
country: Egypt
facility: Shorook Physical Therapy Centers
Study officials:
affiliation: Qassim University
name: Maged Basha, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Parry I, Painting L, Bagley A, Kawada J, Molitor F, Sen S, Greenhalgh DG, Palmieri TL. A Pilot Prospective Randomized Control Trial Comparing Exercises Using Videogame Therapy to Standard Physical Therapy: 6 Months Follow-Up. J Burn Care Res. 2015 Sep-Oct;36(5):534-44. doi: 10.1097/BCR.0000000000000165.
citation: Voon K, Silberstein I, Eranki A, Phillips M, Wood FM, Edgar DW. Xbox Kinect based rehabilitation as a feasible adjunct for minor upper limb burns rehabilitation: A pilot RCT. Burns. 2016 Dec;42(8):1797-1804. doi: 10.1016/j.burns.2016.06.007. Epub 2016 Jul 9.
citation: Kamel FAH, Basha MA. Effects of Virtual Reality and Task-Oriented Training on Hand Function and Activity Performance in Pediatric Hand Burns: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2021 Jun;102(6):1059-1066. doi: 10.1016/j.apmr.2021.01.087. Epub 2021 Feb 20.