Physical Therapy Using Virtual Reality/Augmented Reality

Stanford University41 enrolled

Overview

The purpose of this study is to determine if non-invasive distracting devices (Virtual Reality (VR) headset, Augmented Reality (AR) Headset) are more effective than the standard of care (i.e., no technology-based distraction) for improving clinical outcomes in patients requiring acute rehabilitation due to deconditioning and surgery. Measures will include include range of motion, gait progression, strength progression, time to first out of bed, time to first step.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Mobility Limitation Spinal Fusion Acute Pain

Interventions

Virtual Reality/Augmented Reality HeadsetOTHER

A virtual reality (VR) headset is a device the participant will wear over his/her head and eyes like a pair of goggles. It blocks out all external light and shows him/her an image on high-definition screens in front of his/hers eyes. It implies a complete immersion experience that shuts out the physical world. Augmented reality (AR) headset is a device that the participant will wear over his/hers head and eyes and it adds digital elements to a live view.

Eligibility

Sex: ALLMin age: 6 YearsMax age: 99 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age 6-99 * Diagnosis need for physical rehabilitation Exclusion Criteria: * Significant Cognitive Impairment * History of Severe Motion Sickness * Current Nausea * Seizures * Visual Problems * Patients whose children are clinically unstable or require urgent/emergent intervention * Patients who clinically unstable or requires urgent/emergent intervention

Locations (2)

Lucile Packard Children's Hospital Stanford

Palo Alto, California, United States

Stanford Health Care Hospital

Stanford, California, United States

Outcomes

Primary Outcomes

Aggregate Movement

Aggregate movement will be measured by either sensors in the VR/AR headset or by a physical therapist during the participants session

Time frame: Duration of physical therapy, approximately 10 minutes

Patient and Physical Therapist Feedback

Survey of patient and PT satisfaction will be administered after the session. Example of survey questions, to which patient answered 'Yes or No,' for patient include 1) 'The VR game helped me during physical therapy' 2) 'I felt less pain when I moved using the VR game' The survey administered to physical therapists will be rated 1-5 (1=Not at all, 5= A lot) with questions such as 1) 'The technology was helpful to my patients during physical therapy' and 2) 'I would like my patient to have access to this technology for future physical therapy sessions'

Time frame: Survey of patient and PT satisfaction will be administered after the physical therapy session, duration of survey should take approximately 15 minutes or less

Patient Fatigue

Patients will self-report fatigue according to the Adult OMNI-Walk/Run RPE Scale (OMNI RPE) scale after both the VR and standard of care portion. The OMNI RPE is an 11-category perceived exertion rating scale with a numerical rating from 0 to 10 (0= Not Tired at All, 10= Very, Very Tired).

Time frame: OMNI PRE Questionnaire will be administered after the physical therapy session, duration of questionnaire should take approximately 15 minutes or less

Data from ClinicalTrials.gov

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