Mixed Reality With Hololens® Exercise Protocol

Healthy Volunteers Clinical Trial

Official title:

Effectiveness of Mixed Reality With the Hololens System Versus Conventional Cervical Exercise Program for Asymptomatic Subjects. Crossover Pilot Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03703518
• Other study ID #: Holo-01
• Status: Completed
• Phase: N/A
• Start date: October 22, 2018
• Est. completion date: March 15, 2019

Study information

• Verified date: March 2019
• Source: Centro Universitario La Salle
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The study design is a cross-over pilot study with 15 asymptomatic subjects. There will be 2 groups, mixed reality group and conventional cervical exercise program. Both groups received 2 sessions per week with an interval of 48 hours between them during 3 consecutive weeks.

Description:

The study design is a cross-over pilot study. The study was approved by the ethical committee of the Centro Superior de Estudios Universitarios La Salle. People were recruited by referral from different places of the local community of Madrid according to the CONSORT statement (Consolidated Standards of Reporting Trials). Three assessors were trained during 300 minutes about how to perform the measurements (Investigator A) and the concerned intervention to each group (Investigator B and C). The whole procedure was conducted in the Centro Superior de Estudios Universitarios La Salle. After meeting the eligibility criteria for the study, participants were randomly allocated by an external investigator to one of the two groups:

• Mixed reality group

• Conventional Exercise group

Recruitment information / eligibility

• Status: Completed
• Enrollment: 15
• Est. completion date: March 15, 2019
• Est. primary completion date: March 15, 2019
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 40 Years

Eligibility

Inclusion Criteria:

• Age 18 to 40,

• Not experienced any neck and upper limb symptom

• Have no significant history of chronic pain disorder,

• Did not use any medication,

• Understand, write and speak Spanish fluently.

Exclusion Criteria:

• Craniocervical pain, peripheral neuropathy or history of migraine.

• Endocrine disorders, epilepsy or any psychiatric disorder, neurological disorder.

• Surgery and a history of traumatic injuries of the upper limb

Related Conditions & MeSH terms

• Healthy Volunteers

Intervention

Other:
• Mixed reality
This group received 6 exercise sessions over 3 weeks, 2 days/week with an interval of 48 to 72 hours between sessions, using the Microsoft Hololens "Roboraid" game. The duration of the sessions will be 10 minutes.
• Conventional exercise group
This group received 6 exercise sessions over 3 weeks, 2 days/week with an interval of 48 to 72 hours between sessions. This program will consist on stabilisation exercises of the cervical region, in neck deep flexors and neck deep extensors muscles to provide them with strength and resistance

Locations

Country	Name	City	State
Spain	CSEU La Salle	Madrid

Sponsors (1)

Lead Sponsor	Collaborator
Centro Universitario La Salle

Country where clinical trial is conducted

Spain, 

References & Publications (8)

Beltran-Alacreu H, López-de-Uralde-Villanueva I, Fernández-Carnero J, La Touche R. Manual Therapy, Therapeutic Patient Education, and Therapeutic Exercise, an Effective Multimodal Treatment of Nonspecific Chronic Neck Pain: A Randomized Controlled Trial. Am J Phys Med Rehabil. 2015 Oct;94(10 Suppl 1):887-97. doi: 10.1097/PHM.0000000000000293. — View Citation

Demers L, Monette M, Lapierre Y, Arnold DL, Wolfson C. Reliability, validity, and applicability of the Quebec User Evaluation of Satisfaction with assistive Technology (QUEST 2.0) for adults with multiple sclerosis. Disabil Rehabil. 2002 Jan 10-Feb 15;24(1-3):21-30. — View Citation

Edwards RR, Smith MT, Stonerock G, Haythornthwaite JA. Pain-related catastrophizing in healthy women is associated with greater temporal summation of and reduced habituation to thermal pain. Clin J Pain. 2006 Oct;22(8):730-7. — View Citation

Harris KD, Heer DM, Roy TC, Santos DM, Whitman JM, Wainner RS. Reliability of a measurement of neck flexor muscle endurance. Phys Ther. 2005 Dec;85(12):1349-55. — View Citation

Hoffman HG, Seibel EJ, Richards TL, Furness TA, Patterson DR, Sharar SR. Virtual reality helmet display quality influences the magnitude of virtual reality analgesia. J Pain. 2006 Nov;7(11):843-50. — View Citation

Juul T, Langberg H, Enoch F, Søgaard K. The intra- and inter-rater reliability of five clinical muscle performance tests in patients with and without neck pain. BMC Musculoskelet Disord. 2013 Dec 3;14:339. doi: 10.1186/1471-2474-14-339. — View Citation

Peñasco-Martín B, de los Reyes-Guzmán A, Gil-Agudo Á, Bernal-Sahún A, Pérez-Aguilar B, de la Peña-González AI. [Application of virtual reality in the motor aspects of neurorehabilitation]. Rev Neurol. 2010 Oct 16;51(8):481-8. Review. Spanish. — View Citation

Shahrbanian S, Ma X, Korner-Bitensky N, Simmonds MJ. Scientific evidence for the effectiveness of virtual reality for pain reduction in adults with acute or chronic pain. Stud Health Technol Inform. 2009;144:40-3. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Resistance test of the neck flexor muscles	To perform this test that will give us the resistance in seconds, the therapist lifts the patient's head and neck until the occipital bone is approximately 2.5 cm from the table, keeping the chin tucked into the chest.	change measures (Baseline, 3 weeks, 7 weeks, 10 weeks and 14 weeks)
Secondary	Cervical Joint Position Error Test	The aim of this test is to assess the subject's ability to return to the starting position after a cervical rotation movement has been performed. The patient will remain seated in a chair with a backrest. You will be given a headband with a laser pointer. At 90 cm, a stitch (a kind of target) will be placed. With the eyes closed, the participant will be asked to perform a cervical rotation and return to the starting position, as precisely as possible and without any feedback.	change measures (Baseline, 3 weeks, 7 weeks, 10 weeks and 14 weeks)
Secondary	Evaluation of User Satisfaction with Auxiliary Device Technology (QUEST 2.0)	This consists of 12 questions, each one of which the participant should circle with a circle the number that best describes his or her degree of satisfaction from 1 to 5 (1 being unsatisfied and 5 very satisfied)	change measures (Baseline, 3 weeks, 7 weeks, 10 weeks and 14 weeks)
Secondary	System Usability Scale (SUS):	It consists of 10 questions and the participant should dial the number that best describes their degree of satisfaction from 1 to 5 (1 being unsatisfied and 5 very satisfied)	change measures (Baseline, 3 weeks, 7 weeks, 10 weeks and 14 weeks)
Secondary	Suitability Evaluation Questionnaire (SEQ):	Made up of 14 questions, one of which is an open-ended question. For the remaining questions, the participant must select the number that best fits his or her answer, from 1 to 5, range 13 to 65 points. Higher values represent more dificulty using the device. This questionnaire assesses the subject's satisfaction and also the difficulty of its use.	change measures (Baseline, 3 weeks, 7 weeks, 10 weeks and 14 weeks)
Secondary	Q-Sense (Thermotest)	Q-Sense is a validated device for the measurement of heat/cold thresholds and painful heat thresholds.	change measures (Baseline, 3 weeks, 7 weeks, 10 weeks and 14 weeks)