Use of Virtual Reality to Improve Sensorimotor Function in Patients with Traumatic Wrist and Hand Injuries

Not Applicable

Not yet recruiting

• Conditions: Wrist Injury

• Registration Number: NCT06832527
• Lead Sponsor: University of Malaga

Brief Summary

The goal of this randomized clinical trial is to compare how the incorporation of Virtual Reality could influence in proprioception, kinesiophobia, functionality and catastrophism in people that are undergoing a rehabilitation treatment after a wrist fracture. The principal questions it aims to answer are:

* Evaluate the effect of using virtual reality added to standard rehabilitation of wrist injuries in proprioception impairment.

* Evaluate the effect of using virtual reality on psychological factors as kinesiophobia and catastrofism.

* Evaluate the effect of using virtual reality in functionality on wrist-injured patients.

Intervention will be:

* Control group: participants of this group will receive conventional rehabilitation of the wrist, plus a specific proprioceptive exercise program.

* Experimental group: participants of this group will receive the same treatment as the control group but adding virtual reality games at the end of the session.

Researchers will compare control and experimental group to see if an implantation of Virtual Reality could had benefits on function, kinesiophobia, catastrofism and proprioception.

Detailed Description

Not available

Study Timeline

• Status Verified: 2025-02
• Study First Submitted: 2025-02-13
• Study First Submitted QC: 2025-02-13
• Study First Posted: 2025-02-18
• Last Update Submitted: 2025-02-18
• Last Update Posted: 2025-02-20
• Study Start: 2025-02-25
• Primary Completion: 2025-04
• Study Completion: 2025-07

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 79

Inclusion Criteria

• Adult (equal or more than 18 y/o).
• Suffering wrist injury
• Agree and sign informed consent.

Exclusion Criteria

• Not had suffered a wrist injury
• Suffer from any mental, cognitive, neurological or musculoskeletal disorder
• Have cervical pathology/impairment
• Have visual or balance problems

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Proprioception	Baseline, 1 and 3 months	Assessment of proprioception impairment using Joint Position Sense Test (JPST). Punctuation will be the difference between the asked position and the patient's replication. The test will be repeated with open and closed eyes.

Secondary Outcome Measures

Name	Time	Method
Kinesiophobia	Baseline, 1 and 3 months	Fear of movement, assessed with Tampa Scale for Kinesiophobia (TSK) which has 17 items with Likert's answers. Punctuation goes from 17 to 68 points, where \<37 points means a low level of kinesiophobia and \>37 a high level.
Catastrophism	Baseline, 1 and 3 months	Catastrophizing pain assessed with Pain Catasthrophizing Scale (PCS) which has 13 items with Likert's answers. Punctuation goes from 0 to 52 points, where 0-20 points means a low catastrophism, 21-30 points moderate catastrophism and \>30 points a high catastrophism.
Function	Baseline, 1 and 3 months	Functionality of the upper limb assessed with QuickDASH which has 11 items. Punctuation goes from 0 to 100, where 0 means no disability and 100 maximum disability.
Hand and Wrist function	Baseline, 1 and 3 months	Assessed with Patient-Rated Wrist Evaluation (PRWE) which has 15 items punctuated from 0 to 10. Punctuation goes from 0-100 where 0 means no disability and 100 maximum disability.
Range of motion	Baseline, 1 and 3 months	Range of motion of the wrist and fingers using a goniometer.
Force Sense	Baseline, 1 and 3 months	GRIP's force sense assessed with Force Sense Test (FST), where punctuation is the difference between the asked and replicated force.