Effects of Virtual Reality in Pediatric Burn Patients

Riphah International University

Status: Enrolling

Conditions: Burns Elbows; Pediatric ALL

Treatments: Other: Virtual Realty Training; Other: Transverse friction massage (TFM)

Study type: Interventional

Funder types: Other

Identifiers

NCT05973162

REC/01651 Lareb Sattar

Details and patient eligibility

About

The aim of this randomized controlled trial is to find the effectiveness of Virtual reality as an adjunctive to transverse friction massage in pediatric burn patients for reducing pain, anxiety and enhancing elbow range of motion.

Full description

A burn injury is damage to the skin or other body parts caused by heat, chemicals, electricity, radiation, or friction.Pain or discomfort, redness and swelling, blistering, peeling skin, scarring , difficulty breathing, shock in cases of severe burn, fever as a complication of burn, anxiety and depression are some main signs and symptoms after burn injuries. Upper limb burn injuries are more common as compared to lower limb , trunk or head and neck. Physical therapy plays an important role in reducing pain and improving range of motion and prevention of contractures formation after burn injuries.

Virtual Reality training (VR) uses a computer-generated simulation of a three-dimensional environment that can be interacted with in a seemingly real or physical way. In the context of burn injuries, VR can be used as a distraction technique during wound care procedures or as an adjunct to pain management, and reduction of anxiety level.

Transverse friction massage Therapy is a Cyriax technique , is applied by the fingers directly to the lesion and transverse to the direction of fibers.Pressure is applied with the ball of the practitioners thumb or fingers to the patient's skin or muscles. Friction massage applied correctly will quickly result in analgesic effect over the treated area. Friction prevents the adhesion formations as a result leads to improvement of range of motion , prevention of contractures formation as well as pain relief.

Enrollment: 30 estimated patients

Sex: All

Ages: 6 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• Willingly participated in the study.
• Age group:6-18.
• Gender: both Male and Female
• Acute burn injuries of elbow region (grade 2)
• Superficial wounds healing phase( 5-10) days
• TBSA is less than 20%

Exclusion Criteria

• Motion sickness
• History of seizure activity
• Burns on body region that impede use of VR equipment (ears, eyes, head)
• Deep burn (Grade 3,4)
• Fractures

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

Virtual Reality training

Active Comparator group

Description:

Virtual Reality + Conventional PT

Treatment:

Other: Virtual Realty Training

Transverse friction massage (TFM)

Experimental group

Description:

Transverse friction massage (TFM)+ Conventional PT

Treatment:

Other: Transverse friction massage (TFM)