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The goal of this randomized clinical trial is to compare how the incorporation of Virtual Reality could influence in proprioception, kinesiophobia, functionality and catastrophism in people that are undergoing a rehabilitation treatment after a wrist fracture. The principal questions it aims to answer are:
Intervention will be:
Researchers will compare control and experimental group to see if an implantation of Virtual Reality could had benefits on function, kinesiophobia, catastrofism and proprioception.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Conventional rehabilitation | Active Comparator | Conventional rehabilitation treatment for the wrist plus a specific proprioceptive exercise program. |
|
| Rehabilitation+virtual reality | Experimental | Conventional rehabilitation treatment for the wrist plus a specific proprioceptive exercise program and virtual reality games |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rehabilitation treatment | Other | ROM, strength, stretch and proprioception exercises |
|
| Measure | Description | Time Frame |
|---|---|---|
| Proprioception | Assessment of proprioception impairment using Joint Position Sense Test (JPST). Punctuation will be the difference between the asked position and the patient's replication. The test will be repeated with open and closed eyes. | Baseline, 1 and 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Kinesiophobia | Fear of movement, assessed with Tampa Scale for Kinesiophobia (TSK) which has 17 items with Likert's answers. Punctuation goes from 17 to 68 points, where <37 points means a low level of kinesiophobia and >37 a high level. | Baseline, 1 and 3 months |
| Catastrophism |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D014954 | Wrist Injuries |
| ID | Term |
|---|---|
| D001134 | Arm Injuries |
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| ID | Term |
|---|---|
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D013812 | Therapeutics |
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| Virtual Reality games | Other | Virtual Reality games using META QUEST PRO glasses |
|
Catastrophizing pain assessed with Pain Catasthrophizing Scale (PCS) which has 13 items with Likert's answers. Punctuation goes from 0 to 52 points, where 0-20 points means a low catastrophism, 21-30 points moderate catastrophism and >30 points a high catastrophism. |
| Baseline, 1 and 3 months |
| Function | Functionality of the upper limb assessed with QuickDASH which has 11 items. Punctuation goes from 0 to 100, where 0 means no disability and 100 maximum disability. | Baseline, 1 and 3 months |
| Hand and Wrist function | Assessed with Patient-Rated Wrist Evaluation (PRWE) which has 15 items punctuated from 0 to 10. Punctuation goes from 0-100 where 0 means no disability and 100 maximum disability. | Baseline, 1 and 3 months |
| Range of motion | Range of motion of the wrist and fingers using a goniometer. | Baseline, 1 and 3 months |
| Force Sense | GRIP's force sense assessed with Force Sense Test (FST), where punctuation is the difference between the asked and replicated force. | Baseline, 1 and 3 months |
| D006296 |
| Health Services |
| D005159 | Health Care Facilities Workforce and Services |