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

Burns Clinical Trial

— HandBurn  

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04497103
• Other study ID #: 2694PT
• Status: Completed
• Phase: N/A
• Start date: May 1, 2018
• Est. completion date: September 20, 2019

Study information

• Verified date: July 2020
• Source: Qassim University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Description:

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).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 46
• Est. completion date: September 20, 2019
• Est. primary completion date: September 20, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 7 Years to 14 Years

Eligibility

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

Related Conditions & MeSH terms

• Burns
• Hand Burn

Intervention

Other:
• control
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
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
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.

Locations

Country	Name	City	State
Egypt	Shorook Physical Therapy Centers	Cairo

Sponsors (2)

Lead Sponsor	Collaborator
Qassim University	Cairo University

Country where clinical trial is conducted

Egypt, 

References & Publications (2)

Parry I, Painting L, Bagley A, Kawada J, Molitor F, Sen S, Greenhalgh DG, Palmieri TL. A Pilot Prospective Randomized Control Trial Comparing Exercises Using Videogame Therapy to Standard Physical Therapy: 6 Months Follow-Up. J Burn Care Res. 2015 Sep-Oct — View Citation

Voon K, Silberstein I, Eranki A, Phillips M, Wood FM, Edgar DW. Xbox Kinect™ based rehabilitation as a feasible adjunct for minor upper limb burns rehabilitation: A pilot RCT. Burns. 2016 Dec;42(8):1797-1804. doi: 10.1016/j.burns.2016.06.007. Epub 2016 Ju — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Jebsen-Taylor Hand Function Test	is an objective and standard method designed to assess the hand's functional abilities	baseline
Primary	Jebsen-Taylor Hand Function Test	is an objective and standard method designed to assess the hand's functional abilities	immediately after the intervention
Primary	Duruoz Hand Index	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	baseline
Primary	Duruoz Hand Index	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	immediately after the intervention
Primary	Canadian Occupational Performance Measure	is a client centered, occupation-focused outcome measure for the detection of change in perceived occupational performance over time.	baseline
Primary	Canadian Occupational Performance Measure	is a client centered, occupation-focused outcome measure for the detection of change in perceived occupational performance over time.	immediately after the intervention
Secondary	total active range of motion (ROM) of the digits	The total active ROM was measured by a hand-held steel finger goniometer	baseline
Secondary	total active range of motion (ROM) of the digits	The total active ROM was measured by a hand-held steel finger goniometer	immediately after the intervention
Secondary	hand grip strength	Grip strength was assessed using a Jamar hydraulic dynamometer	baseline
Secondary	hand grip strength	Grip strength was assessed using a Jamar hydraulic dynamometer	immediately after the intervention
Secondary	pinch strength	pinch strengths (tip, palmer and lateral pinch) were assessed using a pinch dynamometer	baseline
Secondary	pinch strength	pinch strengths (tip, palmer and lateral pinch) were assessed using a pinch dynamometer	immediately after the intervention