Clinical trial NCT06231173: Effects of Visual Feedback Therapy on Post Burn Children
Official title: Effects of Visual Feedback Therapy on Post Burn Hand Contractures in Children
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Burn Hand
Keywords: Burns, Goniometer, Hand contractures
Visual feedback therapy
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-01-30
Enrollment: 36
Sex: ALL
Minimum age (years): 8
Maximum age (years): 12
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Visual feedback therapy is a cheap, easy, and, most importantly, patient-directed treatment that may improve the recovery of hand motor functional skills. Visual feedback therapy consists of repeated bilateral, symmetrical movements in which the patient moves the affected body part as much as he/she could while observing the reflection.The hands account for less than 5 % of total body surface area. Many burns requiring hospitalization involve the upper extremity considered severe injuries by the American Burn Association and should be referred to specialized care centers to minimize sequella of thermal injury including nail deformities, hypertrophic scars, boutonniere deformity, digit loss, and contractures. Visual feedback therapy is a treatment method based on neuroplasticity of the brain.Although recent studies have demonstrated the benefit of visual feedback therapy for various diseases, research that applies visual feedback therapy to improve the restorative capability of hand function of patients with reduced hand function due to mutilated injury has not been reported yet.

Detailed description: This study will be a randomized controlled trial. Study will be approved by ethical committee. After that informed consent will be taken and patients will be included in the study based on the inclusion criteria. Non probability convenience sampling technique will be used and study will be conducted on 36 patients diagnosed with post burn hand contractures 8-12 years old children. Patient will be randomly categorized into two groups by using flip coin method. Experimental group will receive visual feedback therapy and conventional therapy treatment protocol. Control group will receive only conventional therapy. Pre and Post interventions assessment will be made for both groups. Post burn hand contractures of the patients will be assessed by checking ROMS of hands with goniometer. The ABILHAND questionnaire will also be performed to check the functional movements of hands and visual analogue scale will be used for pain assessment. Data will be analyzed by using SPSS 25.0 statistical tool. Appropriate statistical test will be used after checking normality of data.

Eligibility criteria: Inclusion Criteria:

* 8 to 12 years old children with post burn hand contractures
* Patients with flame burns
* Patients with 2nd degree burns

Exclusion Criteria:

* Patients with hand burns with any post burn complications
* Patients with wound infections
* Patients with 3rd degree burns Patients with hand fractures

Primary outcomes:
measure: Goniometer
timeFrame: 4 weeks
measure: THE ABILHAND
timeFrame: 4 weeks
measure: Visual analogue scale (VAS)
timeFrame: 4 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Riphah International University
state: Punjab
Study officials:
affiliation: Riphah International University
name: Sana Mushtaq, MS*
role: PRINCIPAL_INVESTIGATOR
References:
citation: Tofani M, Santecchia L, Conte A, Berardi A, Galeoto G, Sogos C, Petrarca M, Panuccio F, Castelli E. Effects of Mirror Neurons-Based Rehabilitation Techniques in Hand Injuries: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2022 May 2;19(9):5526. doi: 10.3390/ijerph19095526.
citation: Wang TN, Lin KC, Wu CY, Chung CY, Pei YC, Teng YK. Validity, responsiveness, and clinically important difference of the ABILHAND questionnaire in patients with stroke. Arch Phys Med Rehabil. 2011 Jul;92(7):1086-91. doi: 10.1016/j.apmr.2011.01.020.