The goal of this clinical trial is to test the impact of virtual reality on rehabilitation for the patients after a major amputation. The main questions it aims to answer are: * Does the virtual-reality-assisted rehabilitation improve the life quality of patients (i.e. lesser pain, better spirit)? * Does the virtual-reality-assisted rehabilitation improve the daily life function of the patients? Participants will received a virtual-reality-assisted rehabilitation on the second postoperative day for ten days. The rehabilitation would be carried out two times per day and 30 minutes per training.
Despite the increasing development of revascularisation techniques, lower limb amputation often represent the last chance of survival for the vasculopathic patient with chronic limb threatening ischemia (CLTI). First goal after lower limb amputation is represented by a rapid prosthesis application. The patient in the immediate post-operative period must undergo intensive rehabilitation and physiotherapy, which involves not only a physical but also a psychological approach. "Classical" recovery following lower limb amputation includes adequate pain therapy and physiotherapy to regain independence, strength, mobility and finally prothesis application to improve quality of life and restore mobility. The aim of this study is to investigate the effect of adding virtual reality to traditional rehabilitation following a lower limb amputation in patients due to limited circulation, with particularly attention to a possible improvement of psychological state, reduction of post-operative pain and more rapid improvement in regaining functional mobility
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
20
All patients will receive VR-assisted rehabilitation. The VR-assisted rehabilitation is proceed with SyncVR® (Padualaan, Netherlands ) equipment, which is composed of a head set (PICO NEO 3) and one dashboard (TABLET), enabling the patients to receive stepwise rehabilitation program with 360° videos activities (SyncVR Medical Platform). The VR-assisted rehabilitation will be performed two times per day, 30 minutes per training. The first training will start on the second post-operative day.
University of Erlangen-Nuremberg (FAU), Department of Vascular Surgery
Erlangen, Bavaria, Germany
RECRUITINGBarthel Index
The change in activities of daily life among the patients before and after the implementation of the training program.
Time frame: single time point (1 day)
The Morton Mobility Index (DEMMI)
The change in mobility outcomes among the patients before and after the implementation of the training program.
Time frame: single time point (1 day)
Esslinger Transfer Scale
The change in the level of assistance needed for a safe transfer among the patients before and after the implementation of the training program.
Time frame: single time point (1 day)
SF-12® Health Survey
The change in life quality in terms of both mentally and physically among the patients before and after the implementation of the training program.
Time frame: single time point (1 day)
6-point Likert-scale
The change in pain among the patients before and after the implementation of the training program.
Time frame: single time point (1 day)
Situational Motivational Scale
The change in motivation among the patients before and after the implementation of the training program.
Time frame: single time point (1 day)
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