Effects of Virtual Reality in Pediatric Burn Patients
- Conditions
- Pediatric ALLBurns Elbows
- Interventions
- Other: Virtual Realty TrainingOther: Transverse friction massage (TFM)
- Registration Number
- NCT05973162
- Lead Sponsor
- Riphah International University
- Brief Summary
The aim of this randomized controlled trial is to find the effectiveness of Virtual reality as an adjunctive to transverse friction massage in pediatric burn patients for reducing pain, anxiety and enhancing elbow range of motion.
- Detailed Description
A burn injury is damage to the skin or other body parts caused by heat, chemicals, electricity, radiation, or friction.Pain or discomfort, redness and swelling, blistering, peeling skin, scarring , difficulty breathing, shock in cases of severe burn, fever as a complication of burn, anxiety and depression are some main signs and symptoms after burn injuries. Upper limb burn injuries are more common as compared to lower limb , trunk or head and neck. Physical therapy plays an important role in reducing pain and improving range of motion and prevention of contractures formation after burn injuries.
Virtual Reality training (VR) uses a computer-generated simulation of a three-dimensional environment that can be interacted with in a seemingly real or physical way. In the context of burn injuries, VR can be used as a distraction technique during wound care procedures or as an adjunct to pain management, and reduction of anxiety level.
Transverse friction massage Therapy is a Cyriax technique , is applied by the fingers directly to the lesion and transverse to the direction of fibers.Pressure is applied with the ball of the practitioners thumb or fingers to the patient's skin or muscles. Friction massage applied correctly will quickly result in analgesic effect over the treated area. Friction prevents the adhesion formations as a result leads to improvement of range of motion , prevention of contractures formation as well as pain relief.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 30
- Willingly participated in the study.
- Age group:6-18.
- Gender: both Male and Female
- Acute burn injuries of elbow region (grade 2)
- Superficial wounds healing phase( 5-10) days
- TBSA is less than 20%
Exclusion Criteria
- Motion sickness
- History of seizure activity
- Burns on body region that impede use of VR equipment (ears, eyes, head)
- Deep burn (Grade 3,4)
- Fractures
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Virtual Reality training Virtual Realty Training Virtual Reality + Conventional PT Transverse friction massage (TFM) Transverse friction massage (TFM) Transverse friction massage (TFM)+ Conventional PT
- Primary Outcome Measures
Name Time Method Mayo Elbow Performance Index 2 weeks MEPI is an instrument used to test the limitations, caused by pathology, of the elbow during activities of daily living (ADL). This specific test uses 4 subscales:
* Pain,
* Range of Motion
* Stability
* Daily Function The clinical information is rated based on a 100 points scale.
* \<60 - poor
* 60-74 - fair
* 75-89 - good
* 90-100 - excellent
- Secondary Outcome Measures
Name Time Method Goniometer 2 weeks It is an instrument that measures the available range of motion at a joint.
Burn Specific Pain Anxiety Scale (BSPAS) 2 weeks The BSPAS is a 9 item self report scale for the assessment of pain related and anticipatory anxiety in burn patients. The items are scored on a 100 mm visual analog line with two reference points given values of 0 and 100. The reference points are identified by these numbers, and also by the expressions 'not at all' and 'the worst imaginable way'. There is no middle ranged reference position or 'neutral' point on this visual analog line.
Trial Locations
- Locations (1)
Burn units of Rawalpindi/Islamabad (PIMS hospital, Max Health hospital)
🇵🇰Islamabad, Punjab, Pakistan