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The purpose of this study is to investigate the effectiveness of integrating game based virtual reality on muscle strength ,balance , range of motion ,functional mobility after foot tendon repair and to compare it with standard rehabilitation methods.
This research is significant for several reasons:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| gemes based virtual reality | Experimental | This group includes 30 patients who will receive game based virtual reality exercise using samsung Gear VR plus accelerate functional rehab programe physical therapy 3 times per week for 30 minutes for 12 weeks starting once patient able to do partial or complete weight bearing around (4-6 weeks post operative). |
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| accelerated functional rehab protocol | Active Comparator | This group includes 30 patients who will receive accelerated functional rehab programe only for 3 sessions per week . |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| samsung gear VR google | Device | do some of games based VR exercise Headmaster 3.0 Dream Match Tennis Beat Saber (PSVR) Knockout League Hoops Richie's Plank Experience Pong It VR Egg Time VR Sparc VR plus accelerated functional rehab protocol General Principles: Goal: Promote tendon healing while minimizing stiffness, muscle atrophy, and encouraging a faster return to full function. Approach: Early controlled mobilization, gradual loading based on patient tolerance (without excessive pain or swelling). Important: Supervised by an orthopedic surgeon and a physical therapist. Device: Start with a walker boot or splint keeping the ankle plantarflexed. Phases of Rehabilitation: |
| Measure | Description | Time Frame |
|---|---|---|
| Balance | Biodex balance system for balance assessment | At base line and 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Symptom relief | Visual analogue scale | At base line and at 6 and 12 week |
| Range of motion | Goniometer | At baseline and at 6 weeks and 12 weeks |
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Inclusion Criteria:
Patients aged 18 to 26 years. Patients undergoing or who have undergone unilateral achilles tendon surgical repair .
4-6 weeks post operative ,partial to full weight bearing Patients willing to participate in rehabilitation protocol.
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Exclusion Criteria:
o Patients with severe diseases or impaired control of gait patterns.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mohamed AR osman, MSC | Contact | +201221291916 | Arabydr22@gmail.com | |
| mohamed AR osman, MSC | Contact | 01221291916 | 01121540402 | Arabydr22@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Mohamed AR Osman, MSC | Police hospital ,cairo ,egypt | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Police Hospital Ministry of Interior | Cairo | +2 | Egypt |
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Single (participant )
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| Traditional theraapy | Other | General Principles: accelerated functional rehab protocol Goal: Promote tendon healing while minimizing stiffness, muscle atrophy, and encouraging a faster return to full function. Approach: Early controlled mobilization, gradual loading based on patient tolerance (without excessive pain or swelling). Important: Supervised by an orthopedic surgeon and a physical therapist. Device: Start with a walker boot or splint keeping the ankle plantarflexed. Phases of Rehabilitation: |
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| Functional ability | 6 minute walk test | At base line and at 6 weeks and at 12 weeks |
| Symmetry | Limb symmetry index | At base line and week 6 and wee12 |
| Muscle strength | Hand held dynamometer | At baseline and week 6 and 12 |