Effects of Visual Feedback Therapy on Post Burn Children

Not Applicable

Completed

• Conditions: Burn Hand
• Interventions: Other: Visual Feedback Therapy and Conventional Therapy; Other: Conventional Therapy

• Registration Number: NCT06231173
• Lead Sponsor: Riphah International University

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.

Study Timeline

• Study Start: 2023-12-01
• Study First Submitted: 2023-12-26
• Study First Submitted QC: 2024-01-28
• Study First Posted: 2024-01-30
• Primary Completion: 2024-02-05
• Study Completion: 2024-02-05
• Status Verified: 2024-06
• Last Update Submitted: 2024-06-11
• Last Update Posted: 2024-06-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 36

Inclusion Criteria

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

Read More

Exclusion Criteria

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

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental	Visual Feedback Therapy and Conventional Therapy	Visual feedback therapy and conventional therapy
Controlled	Conventional Therapy	Conventional therapy

Primary Outcome Measures

Name	Time	Method
THE ABILHAND	4 weeks	The ABILHAND is a Rasch-based assessment that measures patients' perceived difficulty in performing ADLs that require the use of the bilateral upper limbs. It contains 23 items measuring manual ability and is rated on a 3-point response scale. The score, given in logits, is the conversion of the ordinal score into a linear measure of ability located on a unidimensional scale. The ABILHAND is a scale measuring bimanual ability that is often used to determine the level of UE dysfunction. Most of the validity studies on the ABILHAND demonstrated that the ABILHAND measured the concept of motor ability in a "standardized" or natural environment by significant correlations between the ABILHAND and grip strength, motricity, dexterity, or actual UE performance as measured by the accelerometers
Goniometer	4 weeks	Goniometer both for upper and lower limb, is the simplest and most extended tool for measuring ROM in the clinical practice It was developed approximately 60 years ago, and its versatility and usability led to this instrument being promptly integrated into the field of physiotherapy and rehabilitation as a helpful evaluation tool. The intra-class correlation coefficients (ICC) ranged from 0.94 to 0.97 from the goniometric measurements
Visual analogue scale (VAS)	4 weeks	Visual analogue scale (VAS) is a scale used for pain assessment, horizontal line 100mm in length, anchored by word descriptors at each end. The patient was asked to mark on the line the point they feel represents their perception of their current state. The VAS score is determined by measuring in millimeters from the left hand end of the line to the point that the patient marks

Trial Locations

Locations (1)

Riphah International University; 🇵🇰 Lahore, Punjab, Pakistan