| Titre : | Effects of Virtual Reality and Task-Oriented Training on Hand Function and Activity Performance in Pediatric Hand Burns: A Randomized Controlled Trial (2021) |
| Auteurs : | Fatma Alzahraa H. Kamel ; Maged A. Basha |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 6, 2021) |
| Article en page(s) : | p. 1059-1066 |
| Note générale : | https://doi.org/10.1016/j.apmr.2021.01.087 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Brûlures ; Réadaptation ; Réalité de synthèse |
| Résumé : |
Objective
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. Design A randomized controlled trial. Setting Outpatient rehabilitation center. Participants Fifty children with deep partial-thickness or full-thickness hand burns. (N=50; mean age, 10.70±1.64y; range, 7-14y) Interventions 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. Main Outcome Measures 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). Results 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 lateral pinch strengths between the motion-sensing hands-free gaming device group tot>.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 tot postintervention.> Conclusions 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. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321001581#! |
Bibliothèques HE Vinci
