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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
60
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.
Patients were treated active assisted ROM physical therapy 2 sessions per week for 4 weeks.
Ahmed Orabi hospital for burn and tumors
Cairo, Egypt
status of ROM for shoulder flexion assessment in day 1
mobile applications (apps) specifically designed to measure ROM
Time frame: Goniometer record apps was used to measure shoulder flexion range of movement (ROM) in day 1
change of ROM for shoulder flexion assessment in day 14
mobile applications (apps) specifically designed to measure ROM
Time frame: Goniometer record apps was used to measure shoulder flexion range of movement (ROM) in day 14
change of ROM for shoulder flexion assessment in day 28
mobile applications (apps) specifically designed to measure ROM
Time frame: Goniometer record apps was used to measure shoulder flexion range of movement (ROM) in day 28
status of shoulder pain assessment 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)
Time frame: evaluate psychometric properties within the distinct targeted samples in day 1
change of shoulder pain assessment 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)
Time frame: evaluate psychometric properties within the distinct targeted samples in day 14
change of shoulder pain assessment 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)
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Time frame: evaluate psychometric properties within the distinct targeted samples in day 28
presentation of an individual's perception of their current health state
Quality-of-Life Scale from 0 to 10 (0 is the worst health you could imagine. 10 is the best health you could imagine)
Time frame: questionnaire is used to asses the quality of patient's life at the first day of treatment
change in presentation of an individual's perception of their current health state
Quality-of-Life Scale from 0 to 10 (0 is the worst health you could imagine. 10 is the best health you could imagine)
Time frame: this questionnaire will be used to asses the quality of patient's life at the day 28 of treatment