VR Gaming Based PNF on Spatiotemporal Parameters in Upper Limb Burned Patients

MTI University

Status: Completed

Conditions: Burns

Treatments: Other: Visual reality (VR); Other: PNF and VR; Other: Proprioceptive neuromuscular facilitation (PNF)

Study type: Interventional

Funder types: Other

Identifiers

NCT07183943

P.T.REC/012/005914

Details and patient eligibility

About

Burn injuries are among the most severe forms of trauma, often leading to significant physical and psychological challenges. The rehabilitation process for burn patients, particularly those with upper limb injuries, is complex due to the need for restoring functional movement and reducing scar contracture. Traditional rehabilitation methods focus on restoring range of motion, muscle strength, and coordination. However, these approaches can be limited in engaging patients and maintaining their motivation throughout the recovery process.

Full description

Upper limb burn injury (ULBI) often leads to significant dysfunction . Severe pain, limited range of motion in the joint and kinesiophobia may affect upper limb functionality and activities of daily living in the acute term of injury . Increased pain and limitations in range of motion and function of the upper limb may cause deterioration in reciprocal arm swing which plays a substantial role in gait pattern by contributing to the co-ordination of the trunk, pelvis and leg movements, reducing energy expenditure and improving gait stability and balance.

Proprioceptive Neuromuscular Facilitation (PNF) is a therapeutic exercise technique used to enhance both passive and active range of motion with the aim of improving neuromuscular control and coordination. By integrating PNF with innovative technologies such as Virtual Reality (VR) gaming systems, rehabilitation can be transformed into an engaging and immersive experience. VR provides a unique environment that can simulate real-life scenarios, offering a controlled yet dynamic setting that encourages active participation and motivation.

Enrollment: 150 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Clinical diagnosis of unilateral upper extremity burn injury
• must be able to walk independently
• Agreeing to participate voluntarily in the study
• 18-65 years of age
• the ability to accurately express the level of pain that prevents cognitive, affective and verbal communication

Exclusion criteria

• Walking with assist device
• Having a visual deficits
• Having an orthopedic problems that affect gait
• Having a neurological disorders
• Having a musculoskeletal disorders that affect gait
• Having an undergone orthopedic surgery

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

150 participants in 4 patient groups

Proprioceptive neuromuscular facilitation (PNF)

Experimental group

Description:

In the PNF group, The PNF sequence included scapula, upper limb, Training was performed in different positions

Treatment:

Other: Proprioceptive neuromuscular facilitation (PNF)

Visual reality (VR)

Experimental group

Description:

In the VR group, the tasks were performed with the aid of a Nintendo Wii device.

Treatment:

Other: Visual reality (VR)

PNF and VR

Experimental group

Description:

The PNF/VR group performed both PNF and VR exercises. The duration of the exercises was modified so that half of the time was devoted to PNF and the other half to VR

Treatment:

Other: PNF and VR

Control group

No Intervention group

Description:

No intervention