Effects of Virtual Reality and Task-Oriented Training on Hand Function and Activity Performance in Pediatric Hand Burns: A Randomized Controlled Trial...American Society for Gastrointestinal Endoscopy, Digestive Disease Week (virtual), 21-23 May, 2021

To assess the efficacy of a motion-sensing, hands-free gaming device and task-oriented training (TOT) programs on improving hand function, activity performance, and satisfaction in pediatric hand burns. A randomized controlled trial. Outpatient rehabilitation center. Fifty children with deep partial...

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Publicado en:Archives of Physical Medicine & Rehabilitation Vol. 102; no. 6; pp. 1059 - 1067
Autores principales: Kamel, Fatma Alzahraa H., Basha, Maged A.
Formato: research randomized controlled trial Journal Article
Publicado: W B Saunders Jun2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2021
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      pub: W B Saunders
      place: Philadelphia, Pennsylvania
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        10.1016/j.apmr.2021.01.087
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        atl: Effects of Virtual Reality and Task-Oriented Training on Hand Function and Activity Performance in Pediatric Hand Burns: A Randomized Controlled Trial...American Society for Gastrointestinal Endoscopy, Digestive Disease Week (virtual), 21-23 May, 2021
      aug:
        au:
          Kamel, Fatma Alzahraa H.
          Basha, Maged A.
        affil: Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
      sug:
        subj:
          Hand Physiology
          Physical Activity In Infancy and Childhood
          Physical Performance In Infancy and Childhood
          Hand Injuries Rehabilitation
          Burns
          Task Performance and Analysis
          Training Effect (Physiology)
          Virtual Reality Exposure Therapy
          Treatment Outcomes
          Outcome Assessment
          Video Games Equipment and Supplies
          Patient Satisfaction
          Human
          Child
          Randomized Controlled Trials
          Pediatric Care
          Outpatients
          Rehabilitation Centers
          Severity of Illness
          Control Group
          Range of Motion
          Grip Strength
          Comparative Studies
          Clinical Assessment Tools
          Child: 6-12 years
      ab: To assess the efficacy of a motion-sensing, hands-free gaming device and task-oriented training (TOT) programs on improving hand function, activity performance, and satisfaction in pediatric hand burns. A randomized controlled trial. Outpatient rehabilitation center. Fifty children with deep partial-thickness or full-thickness hand burns. (N=50; mean age, 10.70±1.64y; range, 7-14y) Children were randomized into 1 of the following 3 groups: the motion-sensing, hands-free gaming device group that used interactive video games plus traditional rehabilitation (TR); the TOT group that used real materials plus TR; and the control group that only received TR, all groups received the interventions 3 days per week for 8 weeks. We assessed the children at the baseline and after 8 weeks of intervention. The primary outcome measures were the Jebsen-Taylor Hand Function Test, Duruoz Hand Index (DHI), and Canadian Occupational Performance Measure (COPM). The secondary outcome measures were range of motion (ROM) of the digits, grip strength, and pinch strengths (tip, palmer, and lateral pinch). There was a significant increase in all measurements of the motion-sensing, hands-free gaming device and TOT groups compared with that of the control group postintervention (P <.05). There was no significant change in Jebsen-Taylor Hand Function Test, COPM performance, ROM, grip strength, and tip and lateral pinch strengths between the motion-sensing, hands-free gaming device group and TOT group (P >.05), whereas there was a significant increase in DHI, COPM satisfaction, and palmer pinch strength (P <.05) in the motion-sensing, hands-free gaming device group compared with the TOT group postintervention. The motion-sensing, hands-free gaming device and TOT programs resulted in significant improvement in hand function, activity performance and satisfaction, ROM of the digits, grip strength, and pinch strengths in pediatric hand burns compared with the traditional hand rehabilitation. • Xbox Kinect and task-oriented training improved hand function, activity performance, range of motion of fingers, grip strength, and pinch strengths as compared with traditional hand rehabilitation in pediatric hand burns. • Xbox Kinect is superior to task-oriented training in improvement of hand function, palmer pinch strength and activity satisfaction. • Xbox Kinect and task-oriented training may be an effective rehabilitation for pediatric hand burns.
      pubtype: Academic Journal
      doctype:
        research
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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