Burns
Conditions
Keywords
burn injuries
Brief summary
The Purpose of the study is to determine the effect of virtual reality exercise on pain and shoulder range of motion in pediatrics with 2nd-degree anterior shoulder burn injuries.
Detailed description
Burns are an important cause of injury to young children, being the third most frequent cause of injury resulting in death behind motor vehicle accidents and drowning. Burn injuries account for the greatest length of stay of all hospital admissions for injuries and costs associated with care are substantial. The majority of burn injuries in children are scald injuries resulting from hot liquids, occurring most commonly in children aged 0-4 years. Other types of burns include electrical, chemical and intentional injury. Mechanisms of injury are often unique to children and involve exploratory behavior without the requisite comprehension of the dangers in their environment. Immersive virtual reality (VR) is a new form of cognitive distraction and has been found to be an effective adjunctive, nonpharmacologic analgesic for postburn physical therapy. The VR gives the individual the illusion of going into the 3-dimensional computer generated environment, as if it were a place in which they are actually physically present. The strength of the presence is thought to reflect the amount of attention that is drawn into the virtual world. Because VR is a highly attention-grabbing experience, it can be an effective psychological pain control technique. Less attention to pain can result in reductions in pain intensity, unpleasantness, and the amount of time patients spend thinking about their pain.
Interventions
DEVICEactive assisted exercise and with fully immersive Head-Mounted Display virtual reality ( Oculus Quest virtual reality (VR) headset with hand con
VR is mainly created by generating visual effects through head-mounted display (HMD) systems. An HMD is a device worn on the head or as part of a helmet with a built-in display and lenses, allowing the user to experience the virtual world with the help of a wide viewing angle, head and hand movements tracking as well as objects interacting by controllers.
OTHERactive assisted range of motion exercise
Patients were treated active assisted ROM physical therapy 2 sessions per week for 4 weeks.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
9 Years to 16 Years
Healthy volunteers
No
Inclusion criteria
* Age range between 9-16 years. * Both sexes will participate in the study. * Patients who suffered from anterior shoulder burns with involvement of axillary fold. * patient who suffered from second degree burns. * all patients are acute cases .
Exclusion criteria
* injuries to the face or head * Injuries in hands * Cognitive impairment * A history of severe motion sickness * Mental health problems.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change of shoulder pain assessment in day 28 | evaluate psychometric properties within the distinct targeted samples in day 28 | Smart phone version of visual analogue scale (VAS) for assessing the pain ,the user touches the line, marking the location along the line that indicates the severity of the pain. An integer score between 0 and 100 is calculated based on the location of the marker relative to the ends of the line. (0 indicates no pain while 100 indicates worest pain) |
| status of shoulder pain assessment in day 1 | evaluate psychometric properties within the distinct targeted samples in day 1 | Smart phone version of visual analogue scale (VAS) for assessing the pain ,the user touches the line, marking the location along the line that indicates the severity of the pain. An integer score between 0 and 100 is calculated based on the location of the marker relative to the ends of the line.(0 indicates no pain while 100 indicates worest pain) |
| change of shoulder pain assessment in day 14 | evaluate psychometric properties within the distinct targeted samples in day 14 | Smart phone version of visual analogue scale (VAS) for assessing the pain ,the user touches the line, marking the location along the line that indicates the severity of the pain. An integer score between 0 and 100 is calculated based on the location of the marker relative to the ends of the line.(0 indicates no pain while 100 indicates worest pain) |
| status of ROM for shoulder flexion assessment in day 1 | Goniometer record apps was used to measure shoulder flexion range of movement (ROM) in day 1 | mobile applications (apps) specifically designed to measure ROM |
| change of ROM for shoulder flexion assessment in day 14 | Goniometer record apps was used to measure shoulder flexion range of movement (ROM) in day 14 | mobile applications (apps) specifically designed to measure ROM |
| change of ROM for shoulder flexion assessment in day 28 | Goniometer record apps was used to measure shoulder flexion range of movement (ROM) in day 28 | mobile applications (apps) specifically designed to measure ROM |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change in presentation of an individual's perception of their current health state | this questionnaire will be used to asses the quality of patient's life at the day 28 of treatment | Quality-of-Life Scale from 0 to 10 (0 is the worst health you could imagine. 10 is the best health you could imagine) |
| presentation of an individual's perception of their current health state | questionnaire is used to asses the quality of patient's life at the first day of treatment | Quality-of-Life Scale from 0 to 10 (0 is the worst health you could imagine. 10 is the best health you could imagine) |
Countries
Egypt
Outcome results
None listed