Virtual Reality in Reeducation : Application to Shoulder Affections

The Use of Virtual Reality in Shoulder Reeducation : Interests and Limits.

The objective of this study is to assess the interest and the efficiency of virtual reality in functional rehabilitation of shoulder pain and shoulder injuries. Participants will follow a 12-week rehabilitation program based either on exercises or on a program integrating virtual reality. Results obtained with classical rehabilitation will be compared with the one obtained virtual reality.

Study Overview

• Status: Active, not recruiting
• Conditions: Shoulder Pain; Scapular Dyskinesis
• Intervention / Treatment: Other: EBM rehabilitation exercises; Device: Virtual reality device

Detailed Description

Fifty people will be included in the study. Then, they were randomly separated in two groups : 25 people will do the "classical rehabilitation" and the other 25 will have a treatment with virtual reality.

Each group (virtual reality and "classical rehabilitation") is going to follow 12 weeks of rehabilitation, at a rate of 2x 30 minutes per week. In "virtual reality group", each session will be divided in two parts : 15 minutes of virtual reality exercises and 15 minutes of exercises from "classical program". Exercises suggested in the classical program have been chosen among evidence based exercises described in literature.

Before the beginning of rehabilitation sessions, participants will be assessed at the Laboratory of Human Motion Analysis of the University of Liege. At this place, EMG activity of periscapular muscles (upper trapezius, lower trapezius and serratus anterior) (Delsys Trigno) , 3D scapular kinematics (Codamotion) will be assessed on the painful side when doing shoulder elevations in sagittal and in frontal planes. Maximum isometric strength will also be assessed using handheld dynamometer (MicroFet2) in 3 different positions (SeatedU90°, SeatedU125°, Prone-v-thumbs up)

This first evaluation will be done after the 12 week of rehabilitation too, with the same method.

Participants will also have to complete Dash (Disability of the Arm, Shoulder and Hand) questionnaire 3 times during the study (at the beginning, at 6 weeks and at the end of the study). Moreover, pain score will be asked to participants at each rehabilitation session.

• Study Type: Interventional
• Enrollment (Estimated): 50
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Belgium
  • Liège
    • Liege, Liège, Belgium, 4000
      • University of Liège

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 60 years (Adult)
• Accepts Healthy Volunteers: Yes

Description

Inclusion criteria:

• unilateral scapular dyskinesis
• positive scapular assistance test and positive resistance test
• shoulder pain
• ability to play sport despite shoulder pain
• one or more positive tendinous tests

Exclusion criteria :

• traumatic history of shoulder injury in the last 6 months
• surgical history at shoulder or cervical location
• scoliosis

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: classical rehabilitation group	Other: EBM rehabilitation exercises; scapular exercises will be done
Experimental: virtual reality group	Device: Virtual reality device; Functional exercises will be done by virtual reality group

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Score of Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire	Functional ability and quality of life will be assessed using this questionnaire, with a maximal score of 100	change from baseline at 12 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Shoulder pain	Shoulder pain will be assessed, with a maximum score of 10 (0= no pain and 10= maximum pain)	change from baseline at 12 weeks
EMG activity	EMG activity of upper trapezius, lower trapezius and serratus anterior will be assessed using surface EMG	Change from baseline at 12 weeks
3D scapular motion	Scapular motion will be assessed when doing elevations in sagittal and frontal planes (in loaded and unloaded conditions)	Change from baseline at 12 weeks
Maximum voluntary isometric contraction	Maximum isometric strength will be assessed in 3 different positions (SeatedU90°, SeatedU125°, Prone-v-thumbs up) with handheld dynamometer	Change from baseline at 12 weeks

Collaborators and Investigators

• Sponsor: University of Liege
• Investigators: Principal Investigator: Camille Tooth, University of Liège

Study record dates

Study Major Dates

• Study Start (Actual): February 1, 2019
• Primary Completion (Estimated): August 30, 2024
• Study Completion (Estimated): August 31, 2024

Study Registration Dates

• First Submitted: March 21, 2019
• First Submitted That Met QC Criteria: August 22, 2019
• First Posted (Actual): August 28, 2019

Study Record Updates

• Last Update Posted (Actual): November 29, 2023
• Last Update Submitted That Met QC Criteria: November 28, 2023
• Last Verified: November 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Joint Diseases; Musculoskeletal Diseases; Arthralgia; Shoulder Pain
• Other Study ID Numbers: 002 (University of CT Health Center)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No