Virtual Reality Approach in Subacromial Impingement Syndrome

Marmara University

Status: Unknown

Conditions: Rehabilitation; Shoulder Impingement Syndrome; Virtual Reality; Subacromial Impingement Syndrome

Treatments: Other: Conventional Physiotherapy and Rehabilitation; Device: Game Based Virtual Reality Exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT03912493

29.11.2016/36

Details and patient eligibility

About

The aim of our study is to investigate the effects of game-based virtual reality exercise added to conventional physiotherapy and rehabilitation program in patients with Subacromial Impingement Syndrome (SIS). In order to evaluate its effectiveness, assessment of pain, range of motion and disability will be applied.

Full description

Subacromial Impingement Syndrome (SIS) is the result of contraction of the structures passing through the subacromial area. Problems in upper limb function in people with SIS adversely affect quality of life and functional independence of the patients. Recovery of restricted daily life functions (such as dressing, personal care, eating and body care) is one of the main goals of physiotherapy and rehabilitation in SIS and currently, conventional physiotherapy and rehabilitation methods are most commonly used. The main purpose of this method is to reduce pain, increase range of motion and muscle strength. With the developing technology various virtual reality applications have begun to take place in physiotherapy and rehabilitation programs recently. These virtual reality applications are used to motivate the patient and keep their interest in the rehabilitation. In addition, the diversity of virtual reality applications is increasing day by day so that participation of the patients and the interest in the treatment can be increased. Various measurements of the user's performance can be transferred to the clinician simultaneously with these systems. Also for most of these systems exercise modes, difficulty and duration are programmable so that the training sessions can be varied. The aim of our study is to investigate the effects of game-based virtual reality exercises added to conventional physiotherapy and rehabilitation program in patients with SIS.

Enrollment: 40 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Volunteered to participate in the study
• Aged 18-65 years,

Exclusion criteria

• Any visual or hearing problem,
• Other neurological, orthopedic or rheumatic problems that may restrict shoulder motion or cause pain,
• Having a physical disability or uncontrolled chronic systemic disease,
• Major trauma,
• Treatment for shoulder problems within the last 6 months,
• History of epileptic attacks

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Control Group

Active Comparator group

Description:

Number of participants in this group is anticipated to be 20. Conventional physiotherapy and rehabilitation methods will be applied to this group. The conventional program includes the application of Transcutaneous Electrical Nerve Stimulation (TENS), cold pack, therapeutic ultrasound, Codman Exercises, Wand exercises, shoulder wheel exercises, finger ladder exercises, strengthening exercises with elastic band and capsule stretching.

Treatment:

Other: Conventional Physiotherapy and Rehabilitation

Study Group

Active Comparator group

Description:

Number of participants in this group is anticipated to be 20. Participants in this group will be receiving conventional physiotherapy and rehabilitation methods and 10 minutes of exercise with the game-based virtual reality system (USE-IT). In the USE-IT system two games will be played for 5 minutes each.

Treatment:

Device: Game Based Virtual Reality Exercises

Other: Conventional Physiotherapy and Rehabilitation