RecruitingNot ApplicableNCT06373341

Hand and Arm Rehabilitation Using VR

Rehabilitation of HAND and Arm Function Using a Meta QUEST-based Virtual Reality Game in ICU Patients


Sponsor

Frisius Medisch Centrum

Enrollment

108 participants

Start Date

Jan 15, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

Patients admitted to the ICU due to critical illness often experience physical, mental, cognitive, or social issues. Research indicates that inadequate physical recovery is associated with lower handgrip strength, and hand function in ICU patients is lower compared to healthy individuals. To address this, a Virtual Reality (VR) exergame was developed to aid rehabilitation. This study aims to investigate the effect of a 4-week VR-exergame intervention on handgrip strength, hand and arm functionality, balance, mobility, and support needs in ICU patients staying for 48 hours or longer. It is a multicenter mixed-methods randomized controlled trial involving adult ICU patients. The intervention involves a 4-week VR-exergame program. Main study parameters include handgrip strength, hand and arm functionality, range of motion, balance, mobility, and support needs. The burden and risks associated with participation are minimal, as VR-based exercises are deemed safe and voluntary. Overall, the study aims to assess the effect of incorporating VR-based rehabilitation into standard care for ICU patients.


Eligibility

Min Age: 18 Years

Inclusion Criteria4

  • Length of stay ICU ≥48 hours
  • Lives in catchment area of one of the Frisian hospitals
  • Understands the Dutch language
  • Intact motor skills of at least one upper extremity

Exclusion Criteria3

  • Active delirium (CAM-ICU ≥1)
  • Severe cognitive dysfunction
  • Internal cardiac defibrillator

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Interventions

BEHAVIORALVR training for arm and hand rehabilitation

The intervention group will participate in training with a VR-exergame for 4 weeks after inclusion. For this training a Meta Quest VR-headset with a game specifically designed for and with ICU patients that was previously pilot tested for feasibility and safety will be used under supervision of a researcher or caregiver until the patient feels ready to practice alone.


Locations(1)

Dept of intensive care, Medical Centre Leeuwarden

Leeuwarden, Provincie Friesland, Netherlands

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NCT06373341


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