Effect of Task Oriented Training and Xbox KinectTM on Hand Function in Pediatric Burn

Not Applicable

Completed

• Conditions: Hand Burn; Burns
• Interventions: Other: control; Other: task oriented training; Other: Xbox kinect

• Registration Number: NCT04497103
• Lead Sponsor: Qassim University

Brief Summary

The Jebsen-Taylor Hand Function Test and Canadian Occupational Performance Measure (COPM) were considered as primary outcome measurements. Secondary outcomes included total active range of motion (ROM) of the digits, hand grip strength and pinch strengths (tip, palmer and lateral pinch). All measurement was conducted at two occasions: at the baseline and after intervention.

Detailed Description

The included participant were children with a deep partial thickness or a full thickness burn induced by either a scaled or a flame thermal burn with involvement of more than 50% of the hand and wrist, total body surface area (TBSA) less than 30% , age ranged from 7 to 14 years, recent discharge of inpatient acute care, spontaneous healing (within 34 weeks) or grafting with split thickness or full-thickness skin grafts (at least before 2 weeks). Children were excluded from this study if they had infection, juvenile arthritis, fracture, tendon injuries, muscle injury, degenerative joint diseases, peripheral nerve diseases, Pre - established psychologically and physically disorders (extreme aphasia, cognitive and developmental deficits that can influence the rehabilitation).

Study Timeline

• Study Start: 2018-05-01
• Primary Completion: 2019-09-20
• Study Completion: 2019-09-20
• Status Verified: 2020-07
• Study First Submitted: 2020-07-24
• Study First Submitted QC: 2020-07-29
• Last Update Submitted: 2020-07-29
• Study First Posted: 2020-08-04
• Last Update Posted: 2020-08-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 46

Inclusion Criteria

• children with deep partial thickness or a full thickness burn
• burn induced by either a scaled or a flame thermal burn
• involvement of more than 50% of the hand and wrist
• total body surface area (TBSA) less than 30%
• age ranged from 7 to 14 years
• recent discharge of inpatient acute care
• spontaneous healing (within 34 weeks)
• grafting with split thickness or full-thickness skin grafts (at least before 2 weeks).

Exclusion Criteria

• children with infection
• juvenile arthritis
• fracture
• tendon injuries
• muscle injury
• degenerative joint diseases
• peripheral nerve diseases
• Pre - established psychologically and physically disorders
• extreme aphasia
• cognitive and developmental deficits that can influence the rehabilitation

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Arm && Interventions

Group	Intervention	Description
task oriented training	control	Task-oriented training TOT group was conducted with an average of 50-min sessions three times a week for 8 weeks. Baseline Canadian Occupational Performance Measure COPM results were used to generate individualized intervention goals for each participant.
Xbox kinect	control	Xbox training group was conducted with an average of 50-min sessions three times a week for 8 weeks. Baseline Canadian Occupational Performance Measure COPM results were used to generate individualized intervention goals for each participant.
task oriented training	task oriented training	Task-oriented training TOT group was conducted with an average of 50-min sessions three times a week for 8 weeks. Baseline Canadian Occupational Performance Measure COPM results were used to generate individualized intervention goals for each participant.
Xbox kinect	Xbox kinect	Xbox training group was conducted with an average of 50-min sessions three times a week for 8 weeks. Baseline Canadian Occupational Performance Measure COPM results were used to generate individualized intervention goals for each participant.
control	control	The traditional rehabilitation program conducted for 40-min sessions, three times per week for 8 weeks for all children.

Primary Outcome Measures

Name	Time	Method
Canadian Occupational Performance Measure	immediately after the intervention	is a client centered, occupation-focused outcome measure for the detection of change in perceived occupational performance over time.
Duruoz Hand Index	immediately after the intervention	is a self-reported questionnaire developed to assess hand ability in the kitchen, during dressing, while performing personal hygiene and office tasks, and other general items
Jebsen-Taylor Hand Function Test	immediately after the intervention	is an objective and standard method designed to assess the hand's functional abilities

Secondary Outcome Measures

Name	Time	Method
total active range of motion (ROM) of the digits	immediately after the intervention	The total active ROM was measured by a hand-held steel finger goniometer
hand grip strength	immediately after the intervention	Grip strength was assessed using a Jamar hydraulic dynamometer
pinch strength	immediately after the intervention	pinch strengths (tip, palmer and lateral pinch) were assessed using a pinch dynamometer

Trial Locations

Locations (1)

Shorook Physical Therapy Centers; 🇪🇬 Cairo, Egypt