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Completed

NCT Number: NCT04497103

Effect of Task Oriented Training and Xbox KinectTM on Hand Function in Pediatric Burn

The Jebsen-Taylor Hand Function Test and Canadian Occupational Performance Measure (COPM) were considered as primary outcome measurements. Secondary outcomes included total active range of motion (ROM) of the digits, hand grip strength and pinch strengths (tip, palmer and lateral pinch). All measurement was conducted at two occasions: at the baseline and after intervention.

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Key information

Conditions

Burns Hand Burn Wounds and Injuries

Age range

7 year–14 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Shorook Physical Therapy Centers

Cairo, 11241, Egypt

About this study

The included participant were children with a deep partial thickness or a full thickness burn induced by either a scaled or a flame thermal burn with involvement of more than 50% of the hand and wrist, total body surface area (TBSA) less than 30% , age ranged from 7 to 14 years, recent discharge of inpatient acute care, spontaneous healing (within 34 weeks) or grafting with split thickness or full-thickness skin grafts (at least before 2 weeks). Children were excluded from this study if they had infection, juvenile arthritis, fracture, tendon injuries, muscle injury, degenerative joint diseases, peripheral nerve diseases, Pre - established psychologically and physically disorders (extreme aphasia, cognitive and developmental deficits that can influence the rehabilitation).

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • children with deep partial thickness or a full thickness burn
  • burn induced by either a scaled or a flame thermal burn
  • involvement of more than 50% of the hand and wrist
  • total body surface area (TBSA) less than 30%
  • age ranged from 7 to 14 years
  • recent discharge of inpatient acute care
  • spontaneous healing (within 34 weeks)
  • grafting with split thickness or full-thickness skin grafts (at least before 2 weeks).

Exclusion criteria

  • children with infection
  • juvenile arthritis
  • fracture
  • tendon injuries
  • muscle injury
  • degenerative joint diseases
  • peripheral nerve diseases
  • Pre - established psychologically and physically disorders
  • extreme aphasia
  • cognitive and developmental deficits that can influence the rehabilitation

Treatment and study plan

Control

Other

The traditional therapy included immersing the hand in paraffin for 10 min; soft massaging with a moisturizing gel for 5 min; passive mobilization of the wrist, MP, PIP, and DIP joints; active/passive ROM and stretching exercises; strengthening exercises (done in static mode initially and progressed in the second month to dynamic strengthening using elastic bands); desensitizing sensory stimulation of hypertrophic scars, occupational therapy.

Xbox kinect

Other

The traditional plus Xbox Kinect games were related to five target activities determined according to the person-centered analysis results were chosen for each patient.

Task Oriented Training

Other

The traditional plus the target activities involved training with the materials (clothes, spoons, pencils, buttons, rope, etc) needed for the activity as well as Velcro cylinders, skill cubes, exercise bands, screw sets, therapeutic putty, and tripled coordination tools.

Primary outcomes

  1. Jebsen-Taylor Hand Function Test

    Time frame: baseline

    is an objective and standard method designed to assess the hand's functional abilities

  2. Jebsen-Taylor Hand Function Test

    Time frame: immediately after the intervention

    is an objective and standard method designed to assess the hand's functional abilities

  3. Duruoz Hand Index

    Time frame: baseline

    is a self-reported questionnaire developed to assess hand ability in the kitchen, during dressing, while performing personal hygiene and office tasks, and other general items

  4. Duruoz Hand Index

    Time frame: immediately after the intervention

    is a self-reported questionnaire developed to assess hand ability in the kitchen, during dressing, while performing personal hygiene and office tasks, and other general items

  5. Canadian Occupational Performance Measure

    Time frame: baseline

    is a client centered, occupation-focused outcome measure for the detection of change in perceived occupational performance over time.

  6. Canadian Occupational Performance Measure

    Time frame: immediately after the intervention

    is a client centered, occupation-focused outcome measure for the detection of change in perceived occupational performance over time.

Secondary outcomes

  1. total active range of motion (ROM) of the digits

    Time frame: baseline

    The total active ROM was measured by a hand-held steel finger goniometer

  2. total active range of motion (ROM) of the digits

    Time frame: immediately after the intervention

    The total active ROM was measured by a hand-held steel finger goniometer

  3. hand grip strength

    Time frame: baseline

    Grip strength was assessed using a Jamar hydraulic dynamometer

  4. hand grip strength

    Time frame: immediately after the intervention

    Grip strength was assessed using a Jamar hydraulic dynamometer

  5. pinch strength

    Time frame: baseline

    pinch strengths (tip, palmer and lateral pinch) were assessed using a pinch dynamometer

  6. pinch strength

    Time frame: immediately after the intervention

    pinch strengths (tip, palmer and lateral pinch) were assessed using a pinch dynamometer

Sponsors and collaborators

Lead sponsor

Qassim University

Other

Collaborators

  • Cairo University

Registry information

Acronym: HandBurn

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
First posted
Aug 4, 2020
Registry last updated
Aug 4, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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