Clinical trial NCT05352711: Virtual Reality on Pain and Range of Motion on Burn
Official title: Effect of Virtual Reality Exercise on Pain and Range of Motion in Pediatrics With Second Degree Anterior Shoulder Burn Injuries
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Burns
Keywords: burn injuries
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2022-04-29
Enrollment: 60
Sex: ALL
Minimum age (years): 9
Maximum age (years): 16
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The Purpose of the study is to determine the effect of virtual reality exercise on pain and shoulder range of motion in pediatrics with 2nd-degree anterior shoulder burn injuries.

Detailed description: Burns are an important cause of injury to young children, being the third most frequent cause of injury resulting in death behind motor vehicle accidents and drowning. Burn injuries account for the greatest length of stay of all hospital admissions for injuries and costs associated with care are substantial. The majority of burn injuries in children are scald injuries resulting from hot liquids, occurring most commonly in children aged 0-4 years. Other types of burns include electrical, chemical and intentional injury. Mechanisms of injury are often unique to children and involve exploratory behavior without the requisite comprehension of the dangers in their environment.

Immersive virtual reality (VR) is a new form of cognitive distraction and has been found to be an effective adjunctive, nonpharmacologic analgesic for postburn physical therapy. The VR gives the individual the illusion of "going into" the 3-dimensional computer generated environment, as if it were a place in which they are actually physically present. The strength of the presence is thought to reflect the amount of attention that is drawn into the virtual world. Because VR is a highly attention-grabbing experience, it can be an effective psychological pain control technique. Less attention to pain can result in reductions in pain intensity, unpleasantness, and the amount of time patients spend thinking about their pain.

Eligibility criteria: Inclusion Criteria:

* Age range between 9-16 years.
* Both sexes will participate in the study.
* Patients who suffered from anterior shoulder burns with involvement of axillary fold.
* patient who suffered from second degree burns.
* all patients are acute cases .

Exclusion Criteria:

* injuries to the face or head
* Injuries in hands
* Cognitive impairment
* A history of severe motion sickness
* Mental health problems.

Primary outcomes:
measure: status of ROM for shoulder flexion assessment in day 1
timeFrame: Goniometer record apps was used to measure shoulder flexion range of movement (ROM) in day 1
measure: change of ROM for shoulder flexion assessment in day 14
timeFrame: Goniometer record apps was used to measure shoulder flexion range of movement (ROM) in day 14
measure: change of ROM for shoulder flexion assessment in day 28
timeFrame: Goniometer record apps was used to measure shoulder flexion range of movement (ROM) in day 28
measure: status of shoulder pain assessment in day 1
timeFrame: evaluate psychometric properties within the distinct targeted samples in day 1
measure: change of shoulder pain assessment in day 14
timeFrame: evaluate psychometric properties within the distinct targeted samples in day 14
measure: change of shoulder pain assessment in day 28
timeFrame: evaluate psychometric properties within the distinct targeted samples in day 28
Secondary outcomes:
measure: presentation of an individual's perception of their current health state
timeFrame: questionnaire is used to asses the quality of patient's life at the first day of treatment
measure: change in presentation of an individual's perception of their current health state
timeFrame: this questionnaire will be used to asses the quality of patient's life at the day 28 of treatment
Other outcomes:
Locations:
city: Cairo
country: Egypt
facility: Ahmed Orabi hospital for burn and tumors
Study officials:
affiliation: Vice dean of high education Faculty of Physical Therapy Cairo University
name: Amal Mohamed Abd Albaky, Professor
role: STUDY_CHAIR
References: