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Completed

NCT Number: NCT05188040

Effectiveness of Virtual Reality in Hand Therapy

The purpose of this study is to determine if the use of Virtual Reality as an intervention for patients following specific hand injuries will positively affect patients with decreased hand function and reduce pain and improve outcomes. Participants will be recruited from 3 different clinics in central Kentucky.

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Key information

Conditions

Distal Radius Fracture Arm Injuries Autonomic Nervous System Diseases Behavior Chronic Regional Pain Syndrome Complex Regional Pain Syndromes Flexor Tendon Rupture Fractures, Bone Motor Activity Nervous System Diseases Neuromuscular Diseases Peripheral Nervous System Diseases Wounds and Injuries Wrist Fractures Wrist Injuries

Age range

18 year–99 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Commonwealth Hand and Physical Therapy

Georgetown, Kentucky, 40324, United States

About this study

Participants will participate in four sessions of therapy treatment over a 2-3 week time span of schedule therapy appointments during their active phase of rehabilitation for approximately 1-hour virtual reality (VR) training dosage which will be recorded. The specific virtual reality games within the Oculus Quest 2 VR system will be selected by the therapist providing interventions each session.

In addition to the Virtual Reality intervention noted above, participants will participate in a pre and post-test outcome measure session (25-30 minutes) with a research team member. (See outcome measure section for more details).

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Attending hand therapy for rehabilitation of an upper extremity injury with a diagnosis of distal radius fracture, complex regional pain syndrome or tendon ruptures
  • Must be in an active exercise phase of rehabilitation

Exclusion criteria

  • Not in a phase in their rehabilitation in which they can perform active exercises
  • Having arm injury due to a neurological disorder (stroke, Multiple sclerosis, spinal cord injury, other)
  • Non-English speaking
  • Patient reporting a history of severe claustrophobia or motion sickness

Treatment and study plan

Virtual Reality Exercises

Other

Hand Therapy Exercises utilizing Oculus Quest 2 VR system with augmented feedback for patient to perform active hand therapy. Specific interventions / games will be selected by the participants individual therapist.

Primary outcomes

  1. Hand Function Measures - Box and Block Test

    Time frame: 4 minutes

    The patient is asked to grasp a single block out of one box and move the block into the other box. They must cross midline to drop the box into the other box. This is a timed test for 1 minute. The number of blocks moved are counted and then the test is repeated with the other hand. A 15 second trial practice is performed so the participant understands the test. The number of blocks move with each hand is recorded.

  2. Hand Function Measures - Nine Hole Peg Test

    Time frame: 8 minutes

    Nine Hole Peg Test measures finger dexterity and motor function. The participants will take 9 pegs from a container and place into a board as quickly as possible and then return them back to the container. A practice trial of this assessment will also occur prior to the documented time trial.

Secondary outcomes

  1. Quick Disability of Arm Shoulder and Hand (QDASH)

    Time frame: 5 minutes

    Quick DASH (QDASH) subjective report measure is an 11-item questionnaire to indicate the level of disability a person is currently having given their injury. It is scored from 0-100 with 0 representing no disability and 100 indicating the have severe disability. A lower score is a better score on this outcome measure.

  2. Visual Analog Scale

    Time frame: 1 minute

    Self-Report Pain Measure on a 0 - 10 scale.

  3. Enjoyment Subscale of the Intrinsic Motivation Inventory scale

    Time frame: 7 minutes

    7 items on a subjective questionnaire (7 point Likert scale) - completed post intervention only

Sponsors and collaborators

Lead sponsor

Timothy Uhl

Other

Collaborators

  • Commonwealth Hand and Physical Therapy
  • University of Kentucky

Registry information

Official study title

Virtual Reality in Hand Therapy Effectiveness and Implementation

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Jan 12, 2022
Registry last updated
Nov 22, 2023

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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