- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05527171
Virtual Reality Mindfulness Meditation After ACL Reconstruction
Virtual Reality Mindfulness Meditation in Patients After Anterior Cruciate Ligament Reconstruction
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Shelby E Baez, Ph.D., ATC
- Phone Number: 910-273-1821
- Email: sbaez@unc.edu
Study Locations
-
-
North Carolina
-
Chapel Hill, North Carolina, United States, 27514
- Recruiting
- Fetzer Hall, 210 South Road
-
Contact:
- Shelby E Baez, PhD
- Email: sbaez@email.unc.edu
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Female
- Ages 14-25 years
- Have self-reported levels of fear on the Tampa Scale of Kinesiophobia-11
- Have poor jump-landing movement quality as measured by the Landing Error Scoring System-Real Time
- Injured their knee playing or training for sports (recreational or organized)
- Have a history of unilateral left-side ACLR
- Right-hand dominant
- 1 to 5-years post-ACLR
- Demonstrate magnetic resonance imaging (MRI) compliance
Exclusion Criteria:
- Male
- Concussion in the past 3 months
- Presence of metal fragments, pins, plates, or clips, shrapnel, permanent makeup, body piercings that cannot be removed, surgical implants, or orthodontics that cannot be removed
- On any medication that affects the central nervous system
- Any neurological conditions (i.e. epilepsy)
- Claustrophobia
- Under the influence of alcohol or other recreational drugs
- Pregnancy or suspicion of pregnancy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: VR Mindfulness Meditation Group
Participants will complete 8-weeks of virtual reality mindfulness meditation and an advanced neuromuscular training program.
Mindfulness meditation is the practice of sustaining attention on the body, breath, or sensations in any given moment and allows for the self-regulation of attention by decreasing rumination about past or future events.
During the practice of mindfulness meditation, the individual is aware of all incoming thoughts and feelings, but rather than reacting to them, the individual accepts them.
Virtual reality mindfulness meditation has been demonstrated to be superior in inducing mindfulness states when compared to traditional mindfulness meditation.
Use of a virtual reality system to implement mindfulness meditation not only decreases the barrier of time to implement psychological interventions, but also improves the clinician's confidence in implementing the intervention as the virtual reality system guides the patient through the mindfulness meditation process.
|
Participants will be immersed in a virtual environment of their choosing.
While in the virtual environment, participants will follow a guided mindfulness meditation script.
Participants will complete the intervention 3 times a week over the course of 8-weeks.
|
Sham Comparator: VR Sham Group
Participants will complete 8-weeks of virtual reality sham and an advanced neuromuscular training program.
Participants will be immersed in a virtual environment but will not receive the mindfulness meditation.
|
Participants will be immersed in a virtual environment of their choosing, such as at a beach, forest, or lake.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percentage of participants who were eligible and enrolled in the study
Time Frame: Through study completion, a total of approximately 3 years.
|
Feasibility of the Virtual Reality and Advanced Neuromuscular Training Rehabilitation Program will be assessed through established recruitment for patients post-ACLR.
Recruitment is defined as the percentage of participants who were eligible and enrolled in the study.
|
Through study completion, a total of approximately 3 years.
|
Percentage of participants retained in the study
Time Frame: Through study completion, a total of approximately 8-weeks
|
Feasibility of Virtual Reality and Advanced Neuromuscular Training Rehabilitation Program will be assessed to determine participant retention.
Retention is defined as the percentage of participants enrolled and who have completed all study measures through 8-weeks.
|
Through study completion, a total of approximately 8-weeks
|
Mean Acceptability Survey Score
Time Frame: Collected post-treatment after completion of the intervention/sham at week 8
|
Feasibility of Virtual Reality and Advanced Neuromuscular Training Rehabilitation Program will be assessed via an acceptability survey during the final assessment post-treatment at week 8. Mean score greater than 8 will be interpreted as high acceptability.
|
Collected post-treatment after completion of the intervention/sham at week 8
|
Change in Injury-related fear as measured by the Tampa Scale of Kinesiophobia-11
Time Frame: Collected at baseline and post-treatment after completion of the intervention/sham at week 8
|
The Tampa Scale of Kinesiophobia-11 is a patient-reported outcome measure that assesses fear of movement and/or reinjury.
This is an 11-item questionnaire that is valid.
Scores range from 11 to 44, with higher scores indicating elevated fear.
|
Collected at baseline and post-treatment after completion of the intervention/sham at week 8
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in external knee abduction moment
Time Frame: Collected at baseline and post-treatment after completion of the intervention/sham at week 8
|
External knee abduction moment is a biomechanical assessment pertinent to patients with ACL reconstruction.
Increased knee abduction moment has been associated with ACL reinjury risk.
Patients will complete a jump-landing task to assess knee abduction moment using a three-dimensional motion capture system and embedded force plates.
|
Collected at baseline and post-treatment after completion of the intervention/sham at week 8
|
Change in knee flexion excursion
Time Frame: Collected at baseline and post-treatment after completion of the intervention/sham at week 8
|
Knee flexion excursion is a biomechanical assessment pertinent to patients with ACL reconstruction.
Decreased knee flexion excursion has been associated with ACL reinjury risk.
Patients will complete a jump-landing task to assess knee flexion excursion using a three-dimensional motion capture system and embedded force plates.
|
Collected at baseline and post-treatment after completion of the intervention/sham at week 8
|
Change in Mean percent Blood Oxygen Level Dependent signal in Default Mode Network.
Time Frame: Collected at baseline and post-treatment after completion of the intervention/sham at week 8
|
Blood Oxygen Level Dependent (BOLD) fMRI is a non-invasive diagnostic method of assessing brain activity by detecting signal changes secondary to changes in blood flow and oxygenation. Increased mean percent BOLD signal is associated with increased brain activity and decreased mean percent BOLD is associated with decreased brain activity. BOLD signal will be measured during a picture imagination task with sport-specific images and activity of daily living (ADL) images presented during the fMRI scan. Images are presented for 3 seconds with a 12-second rest between images. Whole brain functional images will be collected via a 3T PRI Scanner. Functional data will be acquired with BOLD echoplanar imaging (EPI) and processed using Analysis of Functional NeuroImages (AFNI). Mean BOLD percentage change based on image category, sport-specific versus ADL, will be examined. |
Collected at baseline and post-treatment after completion of the intervention/sham at week 8
|
Collaborators and Investigators
Investigators
- Principal Investigator: Shelby E Baez, Ph.D., ATC, UNC-Chapel Hill
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 22-0493
- K23AR079056 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
Deidentified individual data that supports the results will be shared beginning 9 to 36 months following publication provided the investigator who proposes to use the data has approval from an Institutional Review Board (IRB), Independent Ethics Committee (IEC), or Research Ethics Board (REB), as applicable, and executes a data use/sharing agreement with UNC.
To further protect the privacy and confidentiality of the data, the data and associated documentation will be made available only under a data-sharing agreement that provides for: (1) requirements to protect patients' privacy and data confidentiality including appropriate data security; (2) restrictions for the transferring of data to others; (3) commitments that the data will be used for research purposes only and not for a profit-making enterprise, and (4) prohibition of manipulation of data for the purposes of attempting to identify research participants.
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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.
Clinical Trials on Anterior Cruciate Ligament Injury
-
Bezirkskrankenhaus SchwazNot yet recruitingAnterior Cruciate Ligament Rupture | Anterior Cruciate Ligament Reconstruction | Anterior Cruciate Ligament InjuryAustria
-
eMKa MED Medical CenterWroclaw Medical UniversityRecruitingAnterior Cruciate Ligament Injuries | Anterior Cruciate Ligament Rupture | Anterior Cruciate Ligament Tear | Knee Injuries | Knee Ligament InjuryPoland
-
University of WashingtonCompletedAnterior Cruciate Ligament Injury | ACL Injury | ACL - Anterior Cruciate Ligament RuptureUnited States
-
eMKa MED Medical CenterWroclaw Medical UniversityRecruitingAnterior Cruciate Ligament Injuries | Anterior Cruciate Ligament Rupture | Anterior Cruciate Ligament Tear | Knee Injuries | Knee Ligament InjuryPoland
-
University of California, San FranciscoArthritis FoundationCompletedAcute Injury of Anterior Cruciate LigamentUnited States
-
Miach OrthopaedicsActive, not recruitingAnterior Cruciate Ligament Tear | Anterior Cruciate Ligament InjuryUnited States
-
Lynn Snyder-MacklerCompletedAcute Injury of Anterior Cruciate LigamentUnited States
-
Universidad de GranadaCompletedAcute Injury of Anterior Cruciate LigamentSpain
-
Rush University Medical CenterEnrolling by invitationAnterior Cruciate Ligament Rupture | Anterior Cruciate Ligament InjuryUnited States
-
Miach OrthopaedicsActive, not recruitingAnterior Cruciate Ligament Rupture | Anterior Cruciate Ligament InjuryUnited States
Clinical Trials on Virtual Reality Mindfulness Meditation
-
Seçkin KARAKUŞNot yet recruitingLaparoscopic Cholecystectomy | Gall Bladder DiseaseTurkey
-
University of California, Los AngelesNot yet recruitingDepression | Stress | Anxiety | Pain, Acute | Pain, Chronic
-
Ospedale Regionale di MendrisioRecruitingAnxiety State | Test Anxiety | Preoperative PeriodSwitzerland
-
University of PennsylvaniaSuspendedPrenatal StressUnited States
-
University of the Sciences in PhiladelphiaCompleted
-
University of WashingtonCompleted
-
OHSU Knight Cancer InstituteOregon Health and Science UniversityCompletedHematopoietic and Lymphoid Cell Neoplasm | Malignant Solid NeoplasmUnited States
-
Tufts UniversityBrigham and Women's Hospital; Rheumatology Research FoundationCompleted
-
Ohio State UniversityCompletedStress, PhysiologicalUnited States
-
Chinese University of Hong KongNot yet recruitingStress | Virtual Reality | Mindfulness | StudentChina