Xbox Kinect Promote Physical Fitness and Lean Mass in Severely Burned Children

Overview

The outcome measures included quadriceps muscle strength as measured using an isokinetic dynamometer, LBM is measured by DEXA and cardiopulmonary fitness was assessed by measuring VO2 peak during a standardized treadmill exercise test using the modified Bruce protocol. All outcome measures were evaluated immediately after discharge as baseline and after 12 weeks of intervention.

Full Title of Study: “Xbox Kinect™ to Promote Physical Fitness and Lean Mass in Severely Burned Children: A Randomized Controlled Trial”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Factorial Assignment
    • Primary Purpose: Treatment
    • Masking: Double (Participant, Outcomes Assessor)
  • Study Primary Completion Date: September 20, 2019

Detailed Description

Forty healed pediatric burn patients (24 boys and 16 girls), aged 10 – 15 years, were enrolled from the outpatient clinic in the faculty of physical therapy, Cairo university, Egypt. The inclusion criteria were: total body surface area (TBSA) of 40-60%, being ambulatory without an assistant. The exclusion criteria included metabolic disorders, neuropathy, visual or vestibular disorders, amputation, participation in another study, any adverse medication reactions, history of epilepsy, loss of balance, and lower or upper limb deformity. All patients received similar standard medical care and treatment from the time of admission until the time of discharge. Total burn surface area was assessed by the "modified Lund and Browder charts" method during excisional surgery immediately following hospital admittance. Informed written consent was obtained from each patient's guardian prior to enrollment. All procedures were approved by the ethical committee of the faculty of physical therapy, Cairo university, Giza, Egypt. After consent was obtained, patients were randomly assigned to standard of care group (SOC) or Xbox training group (Xbox). The Xbox group participated in a 12-week of routine physiotherapy program supplemented with Xbox training program (N=20). In contrast, the SOC group participated in the routine physiotherapy program (N=20). A normal activity of daily living (ADL), diet and patient's lifestyle were maintained for all participants as much as possible.

Interventions

  • Other: Xbox training
    • patients in this group received routine physical therapy protocol plus Xbox training. Before the intervention started, the Xbox group was given a 45 min introductory session on how to use the xbox adventure games and its tools. All sessions were led by a single experienced physiotherapist (different to the physiotherapist who performed the assessments tests) in order to provide instruction on how to perform each exercise.
  • Other: Control group
    • routine physical therapy protocol (RPTP) including joint range of motion exercises (ROM), muscle stretching technique, splinting, daily walking, and ADL training.

Arms, Groups and Cohorts

  • Experimental: Xbox training group
    • The study group received Xbox training plus routine physical therapy protocol treatment. The dose of Xbox training was 50 min, three times a week for 12 weeks, using the Xbox gaming system (Xbox 360 Kinect console; Microsoft Inc., Redmond, Washington, USA).
  • Placebo Comparator: Control group
    • patients participated in a routine physical therapy protocol (RPTP) including joint range of motion exercises (ROM), muscle stretching technique, splinting, daily walking, and ADL training.

Clinical Trial Outcome Measures

Primary Measures

  • VO2 peak
    • Time Frame: pre-intervention (1 month after burn injury)
    • determined using a Graded Exercise Test (GXT) using a modified Bruce protocol treadmill test.
  • VO2 peak
    • Time Frame: after 12 weeks of treatment
    • determined using a Graded Exercise Test (GXT) using a modified Bruce protocol treadmill test.

Secondary Measures

  • Isokinetic testing Muscle strength
    • Time Frame: pre-intervention (1 month after burn injury)
    • assessed using a Biodex dynamometer (Biodex Medical System, Shirley, NY,USA ).
  • Isokinetic testing Muscle strength
    • Time Frame: after 12 weeks of treatment
    • assessed using a Biodex dynamometer (Biodex Medical System, Shirley, NY,USA ).

Participating in This Clinical Trial

Inclusion Criteria

  • total body surface area (TBSA) of 40-60%. – being ambulatory without an assistant. Exclusion Criteria:

  • metabolic disorders.neuropathy. – visual or vestibular disorders. – amputation. – participation in another study. – history of epilepsy. – loss of balance. – lower or upper limb deformity.

Gender Eligibility: All

Minimum Age: 10 Years

Maximum Age: 15 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Qassim University
  • Collaborator
    • Cairo University
  • Provider of Information About this Clinical Study
    • Principal Investigator: Maged Basha, Assistant Professor, College of Medical Rehabilitation, Qassim University, Saudi Arabia, Qassim, Buraidah. Consultant Physical Therapist, El-Sahel Teaching Hospital, General Organization for Teaching Hospitals and Institutes, Cairo, Egypt. – Qassim University

References

Herndon DN, Rodriguez NA, Diaz EC, Hegde S, Jennings K, Mlcak RP, Suri JS, Lee JO, Williams FN, Meyer W, Suman OE, Barrow RE, Jeschke MG, Finnerty CC. Long-term propranolol use in severely burned pediatric patients: a randomized controlled study. Ann Surg. 2012 Sep;256(3):402-11. doi: 10.1097/SLA.0b013e318265427e.

Hettiaratchy S, Papini R. Initial management of a major burn: II–assessment and resuscitation. BMJ. 2004 Jul 10;329(7457):101-3. doi: 10.1136/bmj.329.7457.101. No abstract available.

Przkora R, Herndon DN, Suman OE. The effects of oxandrolone and exercise on muscle mass and function in children with severe burns. Pediatrics. 2007 Jan;119(1):e109-16. doi: 10.1542/peds.2006-1548. Epub 2006 Nov 27.

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