The Feasibility of Virtual Reality in Children With Neuromuscular Disease and the Effectiveness of Virtual Reality and Biofeedback Training on Functional Levels of Children With Neuromuscular Disease
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Neuromuscular Disease
- Sponsor
- Merve Kurt
- Enrollment
- 24
- Locations
- 1
- Primary Endpoint
- The Motor Function Measure-32
- Last Updated
- 3 years ago
Overview
Brief Summary
Our study is a randomized controlled study and the subjects included in the study will be divided into three groups as virtual reality training, biofeedback training, and conventional rehabilitation.
Detailed Description
We have 3 purposes: 1. Determine the feasibility of virtual reality training in children with neuromuscular disease. 2. To determine the effect of virtual reality, biofeedback training, and conventional rehabilitation on functional levels and balances of children with neuromuscular disease. 3. To compare the motivation of children with neuromuscular disease to virtual reality, biofeedback training, and conventional rehabilitation.
Investigators
Merve Kurt
Research Assistant
Dokuz Eylul University
Eligibility Criteria
Inclusion Criteria
- •Volunteer to participate in the study
- •Being diagnosed with the neuromuscular disease
- •No other systemic or neurological disease
- •No significant visual or auditory loss
- •Continuation of ambulation (10 m walking independently)
- •Be able to understand simple commands
Exclusion Criteria
- •Performing a drug change at 3 months before treatment or during treatment which may affect muscle strength
- •Acute inflammation in the musculoskeletal system
- •Finding any orthopedic problem that prevents activities during the research
Outcomes
Primary Outcomes
The Motor Function Measure-32
Time Frame: 30 minutes
MFM-32 is a scale developed to evaluate motor functions of children and adults with neuromuscular disease. The scale can be used to evaluate both in children with and without walking problems.The MFM-32 consists of 32 items. Each item is answered with a 4-point likert scale (0 = cannot initiate the exercise or maintain its starting position, 1 = partially completes the exercise, 2 = completes exercises with compensations, slowly or roughly, 3 = completes the exercise in the standard pattern). The scale can be used for the evaluation of individuals aged between 6 and 60 years.
Feasibility of Virtual Reality
Time Frame: 1 Minutes
The feasibility of virtual reality will be examined by laboratory tests. Laboratory tests to be carried out are as follows: Creatine Kinase, Lactate Dehydrogenase (LDH), Myoglobin, Serum Electrolytes, C-Reactive Protein levels. These are agents that are indicative of muscle destruction or inflammation. Will be evaluated in order to follow muscle destruction.
Pediatric Functional Independence Measure
Time Frame: 5 minutes
WeeFIM consists of 18 items divided into 6 sub-scales (self-care, sphincter control, mobility, locomotion, communication, social communication). Each item is scored from 1 to 7. A higher score indicates a better functional level.
Balance Master System
Time Frame: 20 minutes
The static and dynamic balance evaluated using the Balance Master System ver. 8.1. (NeuroCom International Inc. Clackamas, OR, USA) force platform system which has multiple testing protocols designed to examine balance. The system includes a computer linked force plate that records data with the aid of crystal transducers.
Vignos Scale
Time Frame: 2 Minutes
The Vignos Scale has been developed to evaluate the lower extremity functions. The scale allows the lower extremity functions to be scored between 1 (can walk and climb stairs without help) and -10 (bed dependent).
Pediatric Motivation Scale
Time Frame: 5 Minutes
The PMOT is recommended for assessing motivation to rehabilitation program in children aged 8 to 18 years. It comprises six subscales (effort-importance, interest-enjoyment, competence, relatedness, autonomy, and value-usefulness) with total 21 items. While the 19 items of the scale are answered with a 6-point smiley face scale (1 = absolutely false, 6 = absolutely correct), there are 2 open-ended questions on the scale. The high scores in each sub-scales indicate that the child's motivation in that sub-section is high. A higher total score indicates that the motivation is intrinsically arranged and that the child has a high motivation. From this point of view, the scale gives information about both the type of motivation and the amount of motivation of the child.
Visual Analog Scale
Time Frame: 1 Minute
Visual Analog Scale will be applied to evaluate muscle pain. It has a fixed line between two end adjectives of 100 mm length. The end adjectives in our study will be "no pain" and "too much pain".
Secondary Outcomes
- Fall Frequency(1 Minute)
- Stand Up from Supine Position Test(1 Minutes)
- Stair Climb Test(2 Minutes)
- Pediatric Functional Reaching Test(1 Minute)
- Muscle Strength Test with Hand Held Dinamometer(20 minutes)
- Timed Up Go Test(2 Minutes)
- T-shirt Wear Remove Test(2 Minutes)