Wrist Injury
Conditions
Keywords
wrist injury, proprioception, virtual reality
Brief summary
The goal of this randomized clinical trial is to compare how the incorporation of Virtual Reality could influence in proprioception, kinesiophobia, functionality and catastrophism in people that are undergoing a rehabilitation treatment after a wrist fracture. The principal questions it aims to answer are: * Evaluate the effect of using virtual reality added to standard rehabilitation of wrist injuries in proprioception impairment. * Evaluate the effect of using virtual reality on psychological factors as kinesiophobia and catastrofism. * Evaluate the effect of using virtual reality in functionality on wrist-injured patients. Intervention will be: * Control group: participants of this group will receive conventional rehabilitation of the wrist, plus a specific proprioceptive exercise program. * Experimental group: participants of this group will receive the same treatment as the control group but adding virtual reality games at the end of the session. Researchers will compare control and experimental group to see if an implantation of Virtual Reality could had benefits on function, kinesiophobia, catastrofism and proprioception.
Interventions
ROM, strength, stretch and proprioception exercises
Virtual Reality games using META QUEST PRO glasses
Sponsors
University of Malaga
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult (equal or more than 18 y/o). * Suffering wrist injury * Agree and sign informed consent.
Exclusion criteria
* Not had suffered a wrist injury * Suffer from any mental, cognitive, neurological or musculoskeletal disorder * Have cervical pathology/impairment * Have visual or balance problems
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proprioception | Baseline, 1 and 3 months | Assessment of proprioception impairment using Joint Position Sense Test (JPST). Punctuation will be the difference between the asked position and the patient's replication. The test will be repeated with open and closed eyes. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Catastrophism | Baseline, 1 and 3 months | Catastrophizing pain assessed with Pain Catasthrophizing Scale (PCS) which has 13 items with Likert's answers. Punctuation goes from 0 to 52 points, where 0-20 points means a low catastrophism, 21-30 points moderate catastrophism and \>30 points a high catastrophism. |
| Function | Baseline, 1 and 3 months | Functionality of the upper limb assessed with QuickDASH which has 11 items. Punctuation goes from 0 to 100, where 0 means no disability and 100 maximum disability. |
| Kinesiophobia | Baseline, 1 and 3 months | Fear of movement, assessed with Tampa Scale for Kinesiophobia (TSK) which has 17 items with Likert's answers. Punctuation goes from 17 to 68 points, where \<37 points means a low level of kinesiophobia and \>37 a high level. |
| Range of motion | Baseline, 1 and 3 months | Range of motion of the wrist and fingers using a goniometer. |
| Force Sense | Baseline, 1 and 3 months | GRIP's force sense assessed with Force Sense Test (FST), where punctuation is the difference between the asked and replicated force. |
| Hand and Wrist function | Baseline, 1 and 3 months | Assessed with Patient-Rated Wrist Evaluation (PRWE) which has 15 items punctuated from 0 to 10. Punctuation goes from 0-100 where 0 means no disability and 100 maximum disability. |
Outcome results
None listed