Gaming Based Proprioceptive Neuromuscular Facilitation on Spatiotemporal Parameters in Upper Limb Burned Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 150
- 试验地点
- 1
- 主要终点
- Kinesiophobia
研究概览
简要总结
Burn injuries are among the most severe forms of trauma, often leading to significant physical and psychological challenges. The rehabilitation process for burn patients, particularly those with upper limb injuries, is complex due to the need for restoring functional movement and reducing scar contracture. Traditional rehabilitation methods focus on restoring range of motion, muscle strength, and coordination. However, these approaches can be limited in engaging patients and maintaining their motivation throughout the recovery process.
详细描述
Upper limb burn injury (ULBI) often leads to significant dysfunction . Severe pain, limited range of motion in the joint and kinesiophobia may affect upper limb functionality and activities of daily living in the acute term of injury . Increased pain and limitations in range of motion and function of the upper limb may cause deterioration in reciprocal arm swing which plays a substantial role in gait pattern by contributing to the co-ordination of the trunk, pelvis and leg movements, reducing energy expenditure and improving gait stability and balance.
Proprioceptive Neuromuscular Facilitation (PNF) is a therapeutic exercise technique used to enhance both passive and active range of motion with the aim of improving neuromuscular control and coordination. By integrating PNF with innovative technologies such as Virtual Reality (VR) gaming systems, rehabilitation can be transformed into an engaging and immersive experience. VR provides a unique environment that can simulate real-life scenarios, offering a controlled yet dynamic setting that encourages active participation and motivation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
盲法说明
Double blinded
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Clinical diagnosis of unilateral upper extremity burn injury
- •must be able to walk independently
- •Agreeing to participate voluntarily in the study
- •18-65 years of age
- •the ability to accurately express the level of pain that prevents cognitive, affective and verbal communication
排除标准
- •Walking with assist device
- •Having a visual deficits
- •Having an orthopedic problems that affect gait
- •Having a neurological disorders
- •Having a musculoskeletal disorders that affect gait
- •Having an undergone orthopedic surgery
研究组 & 干预措施
Proprioceptive neuromuscular facilitation (PNF)
In the PNF group, The PNF sequence included scapula, upper limb, Training was performed in different positions
干预措施: Proprioceptive neuromuscular facilitation (PNF) (Other)
Visual reality (VR)
In the VR group, the tasks were performed with the aid of a Nintendo Wii device.
干预措施: Visual reality (VR) (Other)
PNF and VR
The PNF/VR group performed both PNF and VR exercises. The duration of the exercises was modified so that half of the time was devoted to PNF and the other half to VR
干预措施: PNF and VR (Other)
Control group
No intervention
结局指标
主要结局
Kinesiophobia
时间窗: at baseline and at 12 weeks
the Arabic version of the Tampa Scale for Kinesiophobia (TSK) was used. The TSK is rated on a 4-point Likert scale ranging from 17 to 68, with higher scores indicating a high level of kinesiophobia . The TSK has been shown to be a reliable tool for the measurement of kinesiophobia in patients with (upper limb burn injury) ULBI.
Kinesiophobia
时间窗: at baseline and at 12 weeks
the Arabic version of the Tampa Scale for Kinesiophobia (TSK) was used. The TSK is rated on a 4-point Likert scale ranging from 17 to 68, with higher scores indicating a high level of kinesiophobia . The TSK has been shown to be a reliable tool for the measurement of kinesiophobia in patients with (upper limb burn injury) ULBI.
次要结局
- Gait Analysis(at baseline and at 12 weeks)
- Arm swing(at baseline and at 12 weeks)
- Gait Analysis(at baseline and at 12 weeks)
- Arm swing(at baseline and at 12 weeks)
研究者
Ahmed Mohamed Ahmed Abd El hady El Fahl,ph.d
Assisstant professor
MTI University