Effectiveness of Virtual Reality in Hand Therapy

November 20, 2023 updated by: Timothy Uhl

Virtual Reality in Hand Therapy Effectiveness and Implementation

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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

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).

Study Type

Interventional

Enrollment (Actual)

9

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Kentucky
      • Georgetown, Kentucky, United States, 40324
        • Commonwealth Hand and Physical Therapy

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 99 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

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

Exclusion Criteria:

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

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Virtual Reality Intervention Group
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.
Other: Virtual Reality Exercises
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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
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.
4 minutes
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.
8 minutes

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
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.
5 minutes
Visual Analog Scale
Time Frame: 1 minute
Self-Report Pain Measure on a 0 - 10 scale.
1 minute
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
7 minutes

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Timothy Uhl

Collaborators

University of Kentucky
Commonwealth Hand and Physical Therapy

Investigators

  • Principal Investigator: Tim L Uhl, PhD, University of Kentucky

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

May 16, 2022

Primary Completion (Actual)

July 19, 2023

Study Completion (Actual)

November 1, 2023

Study Registration Dates

First Submitted

December 10, 2021

First Submitted That Met QC Criteria

December 26, 2021

First Posted (Actual)

January 12, 2022

Study Record Updates

Last Update Posted (Actual)

November 22, 2023

Last Update Submitted That Met QC Criteria

November 20, 2023

Last Verified

November 1, 2023

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 72833

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

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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