Remote Intelligent Interactive Virtual Reality Assessment in Patients With Degenerative Lumbar Spine Diseases

National Taiwan University Hospital107 enrolled

Overview

This study will combine virtual reality (VR) technology with machine learning to focus on functional movement. Patients' symptoms will be evaluated, and exercise instruction with real-time feedback will be provided. The goals of this research are to: (1) develop a waist digital sensor for real-time monitoring as an evaluation tool, (2) apply a real-time monitoring system in conjunction with virtual reality for telerehabilitation, and (3) develop the standard model.

The remote assessment and training in this study can assist patients obtaining physical therapy care at home. It is suitable for patients who avoid going to the hospital due to the epidemic, and solve the problem of long-term treatment. The outcomes will provide DLSD patients tele-rehabilitation platform and system, help medical personnel to treat patients more effectively in the future, and reduce the burden of medical costs on close ones.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

107

Conditions

Degenerative Lumbar Spine Diseases

Interventions

Core muscle trainingOTHER

Combining virtual reality technology and waist wearable sensors, training the pelvis and lumbar spine movements as the main training goal, it is estimated that two 1-hour training sessions per week, a total of 6 weeks of training, to improve the core muscle of patients with lumbar degenerative diseases muscle strength.

Eligibility

Sex: ALLMin age: 20 YearsMax age: 80 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. able to stand and walk for 5 minutes independently 2. aged between 50 and 80 years 3. received a diagnosis of DLSD based on imaging Exclusion Criteria: 1. neurological disorder such as stroke or spinal cord injury 2. metabolic disease such as diabetes mellitus 3. vestibular disease such as Meniere's disease.

Locations (2)

National Taiwan University Hospital or Movement Science Lab of National Taiwan University

Taipei, Taipei, Taiwan

National Taiwan University Hospital

Taipei, Taiwan

Outcomes

Primary Outcomes

Functional assessment: Walking speed

Functional assessment is a process that allows for the identification of disability. The data from the functional assessment is used to calculate walking speed (unit: m/s).

Time frame: 6 months

Functional assessment: Walking distance

Functional assessment is a process that allows for the identification of disability. The data from the functional assessment is used to calculate walking distance (unit: m).

Time frame: 6 months

Functional assessment: Duration

Functional assessment is a process that allows for the identification of disability. The data from the functional assessment is used to calculate calculate the duration it took to complete the test (unit: s).

Time frame: 6 months

Postural balance

he postural balance measurements are performed by using a inertial sensor. The data from the inertial sensor is used to calculate the 95% confidence ellipse area (unit: cm\^2)

Time frame: 6 months

Kinematic variables: Joint angles

A motion capture system is used to measure the joint kinematics. The data is used to calculate joint angles (unit: degree).

Time frame: 6 months

Kinematic variables: Center of mass

A motion capture system is used to measure the displacement of the center of mass. The data is used to calculate the displacement of the center of mass (unit: cm).

Time frame: 6 months

Kinetic variables

A motion capture system is used to measure the joint kinetics. The data is used to calculate joint moments (unit: Nm)

Data from ClinicalTrials.gov

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