Motor Disorders
Conditions
Interventions
This is a two-arm randomized controlled clinical trial with triple blinding, involving 40 participants divided into two groups of 20 participants each: Serious Game Group and Control Group. Randomizat
Sponsors
Faculdade de Engenharia Elétrica
Universidade Federal de Uberlândia
Eligibility
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Manual wheelchair users of both sexes; aged between 18 and 65 years; clinical diagnosis of shoulder dysfunction due to repetitive wheelchair use; preserved cognitive capacity to understand and follow study instructions; internet access and a device compatible with the telerehabilitation platform
Exclusion criteria
Exclusion criteria: Other orthopedic or neurological conditions affecting upper limb mobility; history of recent shoulder surgery (less than six months); current use of opioid analgesics for pain management; simultaneous participation in another rehabilitation program
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement in shoulder pain and functional disability is expected in participants submitted to the RehaBEAT serious game intervention compared to the group undergoing conventional physiotherapy. Verified using the Shoulder Pain and Disability Index (SPADI-Brazil), a 13-item instrument distributed across pain (5 items) and disability (8 items) domains, with scores converted to a percentage ranging from 0 to 100%. A statistically significant reduction (p < 0.05) in the total Shoulder Pain and Disability Index (SPADI-Brazil) score will be observed, with higher scores indicating greater shoulder dysfunction | — |
Secondary
| Measure | Time frame |
|---|---|
| Improvement in shoulder range of motion is expected for the movements of flexion, extension, abduction, adduction, internal rotation, and external rotation. Verified by goniometry, using the normative reference values from Marques (2003): flexion 180°, extension 45°, abduction 180°, adduction 40°, internal rotation 90°, and external rotation 90°. A statistically significant increase (p < 0.05) in joint angles relative to baseline values will be observed; reduction in pain catastrophizing and fear of movement is expected. Verified using the Brazilian version of the Pain Catastrophizing Scale (B-PCS), composed of 13 statements scored from 0 to 4 per item, totaling 0 to 52 points. A statistically significant reduction (p < 0.05) in the total Brazilian Pain Catastrophizing Scale (B-PCS) score will be observed, with higher scores indicating greater pain catastrophizing; reduction in movement avoidance behavior related to shoulder pain is expected. Verified using the Avoidance of Daily Activities Photo Scale (ADAP Shoulder Scale), a 15-image instrument distributed across three domains: free movement, effort, and self-care, with a total score ranging from 0 to 100. A statistically significant reduction (p < 0.05) in the total Avoidance of Daily Activities Photo Scale (ADAP Shoulder Scale) score will be observed, with higher scores indicating greater movement avoidance. | — |
Countries
BR, IE
Contacts
Public ContactDanilo Rocha
universidade federal de Uberlândia
Outcome results
None listed