Tele-Rehabilitation for Burns

Overseen By Steven E. Wolf, MD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: The University of Texas Medical Branch, Galveston

Disqualifiers: Psychiatric condition, Drug addiction, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 5

Duration: 4 weeks

30 Participants Needed

Trial Summary

What is the purpose of this trial?

The purpose of this study is to examine the effect of participating in a tele-rehabilitation program after a burn.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial team or your doctor.

What data supports the effectiveness of the treatment Tele-Rehabilitation for Burns?

Research shows that tele-rehabilitation can help patients recover after surgeries, like knee and hip replacements, by making it easier for them to stick to their exercise routines and improve their outcomes. This suggests that similar benefits might be seen in burn recovery, as tele-rehabilitation offers flexibility and convenience for patients. ^{1 2 3 4 5}

How does tele-rehabilitation for burns differ from other treatments?

Tele-rehabilitation for burns is unique because it allows patients to receive rehabilitation therapy remotely, using technology to connect with healthcare providers from home. This approach can be particularly beneficial for those who have difficulty accessing traditional in-person rehabilitation services, offering a convenient and continuous care option. ^{3 6 7 8 9}

Research Team

Celeste Finnerty, PhD

Principal Investigator

University of Texas

Eligibility Criteria

This trial is for adults aged 18 to 79 who have burns across at least one joint and are admitted to the Blocker Burn Unit. Participants need regular internet access via a smart device and must be willing to follow the study's protocol. Those with conditions that increase risk, in other trials, or with compliance issues due to psychiatric conditions can't join.

Inclusion Criteria

I have a burn scar or contracture over a joint.

Not participating in another interventional trial

Has regular access to smart phone, tablet, or computer with internet access

Exclusion Criteria

Any medical condition that, in the opinion of the investigator or physician, would place the subject at increased risk for participation

Concurrent participation on another interventional clinical trial

History of prior non-compliance or the presence or history of psychiatric condition (including drug or alcohol addiction) that would, in the opinion of the investigator, make it difficult for the subject to comply with the study procedures or follow the investigators instructions

Timeline

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Treatment

Participants receive either standard care or technology-enhanced support for physical therapy, including virtual movement therapy and use of a Fitbit

4 weeks

4 virtual sessions

Follow-up

Participants are monitored for range of motion, pain, scar assessment, and overall activity at multiple timepoints post-discharge

6 months

Clinic visits at 1, 3, and 6 months post-discharge

Post Interview

Participants meet with study staff for a non-structured interview to discuss their experience and provide feedback

6 months post-discharge

Treatment Details

Interventions

• Tele-Rehabilitation

Trial Overview The study is testing a tele-rehabilitation program designed for post-burn recovery. It aims to see how effective this remote rehab method is when participants use technology like smartphones or computers from their homes.

Participant Groups

Group I: A Standard of Care group (SOC) combined with technology enhancement Experimental Treatment 1 Intervention

Participants will receive standard of care education by the physical or occupational therapist regarding performance of the prescribed movements prior to discharge. Participants will undergo additional training in the use of a goniometer to measure range of motion at home and record the measurement once a week for 6 months. Participants will engage in 4 virtual sessions as well as wear a Fitbit

Group II: A Standard of Care group (SOC) Experimental Treatment 1 Intervention

Participants will receive standard of care education by the physical or occupational therapist regarding performance of the prescribed movements prior to discharge. Participants will complete the study about 6 months after discharge.

Who Is Running the Clinical Trial?

The University of Texas Medical Branch, Galveston

Lead Sponsor

Trials

263

Recruited

55,400+

Findings from Research

This systematic review aims to identify and summarize the outcome measures used in tele-rehabilitation and virtual reality for stroke rehabilitation, addressing a gap in current research despite growing interest in these technologies.

The review will evaluate the psychometric properties of these measures and their alignment with the International Classification of Functioning, ultimately guiding clinicians and policymakers in selecting appropriate assessment tools for stroke rehabilitation.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Outcome Measures in Tele-Rehabilitation and Virtual Reality for Stroke Survivors: Protocol for a Scoping Review. Veras, M., Kairy, D., Rogante, M., et al.[2018]

Tele-rehabilitation for patients after total hip replacement has been found to be as effective as traditional face-to-face rehabilitation in improving daily activities and quality of life, based on a systematic review of 11 studies.

Out of the 150 studies initially identified, only 11 met the criteria for detailed review, with 72.7% of these studies rated as 'high' quality, indicating a strong level of evidence supporting the use of tele-rehabilitation.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Role of tele-rehabilitation in patients following total hip replacement: Systematic review of clinical trials. Sadiq, S., Ahmad, A., Ahmed, A., et al.[2022]

The study developed a tele-rehabilitation platform using the Microsoft Azure Kinect device to enhance shoulder motor function recovery through engaging serious games, which can help improve patient participation in rehabilitation.

Initial testing by medical personnel indicated that the platform is promising for daily shoulder rehabilitation, although further enhancements to the virtual environment of the games are needed.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A Tele-Rehabilitation Platform for Shoulder Motor Function Recovery Using Serious Games and an Azure Kinect Device. Belotti, N., Bonfanti, S., Locatelli, A., et al.[2022]

Physiotherapy with telerehabilitation significantly improves quality of life in surgical patients, with a pooled effect size of 1.01 based on seven studies, indicating a positive outcome compared to usual care.

While telerehabilitation is feasible and at least as effective as traditional physiotherapy, the overall effectiveness on physical outcomes remains uncertain due to variability in intervention content and outcome measures across studies.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effectiveness of physiotherapy with telerehabilitation in surgical patients: a systematic review and meta-analysis. van Egmond, MA., van der Schaaf, M., Vredeveld, T., et al.[2019]

A study involving 604 users of a digital medical device (DMD) for home-based rehabilitation after knee injuries showed that users had significantly higher adherence to their rehabilitation program (86%) compared to a control group (74%), indicating that the DMD effectively supports patient engagement.

The DMD not only improved adherence but also allowed users to perform rehabilitation exercises with greater intensity, contributing to clinically expected improvements in rehabilitation outcomes without any reported adverse events.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Sensor-based telerehabilitation system increases patient adherence after knee surgery. Höher, J., Lischke, B., Petersen, W., et al.[2023]

Tele-rehabilitation for stroke survivors shows promise in improving recovery from motor deficits, cognitive dysfunction, and post-stroke depression, based on a systematic review of 22 studies.

While most studies indicated positive effects of tele-rehabilitation, only 8 out of 22 showed significant differences favoring tele-rehabilitation over standard care, suggesting that while effective, results may vary.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Tele-Rehabilitation after Stroke: An Updated Systematic Review of the Literature. Sarfo, FS., Ulasavets, U., Opare-Sem, OK., et al.[2023]

Tele-rehabilitation is an emerging field that combines advancements in rehabilitation studies and technology, allowing for remote control of rehabilitation processes, particularly for upper limb recovery.

The authors report on their preliminary experiences with two tele-rehabilitation systems, H-CAD and HELLODOC, developed during European projects from 2003 to 2007, highlighting the potential for these systems to improve access to rehabilitation services for disabled individuals.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Tele-rehabilitation: present and future. Zampolini, M., Todeschini, E., Bernabeu Guitart, M., et al.[2022]

The SIDERA∧B telerehabilitation system demonstrated high usability (SUS Median = 77.5) and acceptability among 112 patients with chronic conditions, indicating it is user-friendly and effective for home-based rehabilitation.

Participants reported high scores in perceived usefulness and ease of use, suggesting that even those with lower technological expertise can benefit from this digital healthcare solution, although older age and higher disability levels were associated with lower perceived ease of use.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

System Integrated Digital Empowering and teleRehabilitation to promote patient Activation and well-Being in chronic disabilities: A usability and acceptability study. Rossetto, F., Borgnis, F., Isernia, S., et al.[2023]

A study involving 19 post-stroke patients demonstrated that telerehabilitation (TR) using a Virtual Reality Rehabilitation System significantly improved motor recovery, as measured by the Barthel Index, Fugl-Meyer motor score, and Motricity Index after 12 weeks of treatment.

This research highlights the feasibility and effectiveness of TR in a low-income region of Italy, where access to traditional rehabilitation services is limited, suggesting that TR can be a valuable alternative for patients in similar situations.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Stroke Telerehabilitation in Calabria: A Health Technology Assessment. Contrada, M., Arcuri, F., Tonin, P., et al.[2022]

References

1. Canada pubmed.ncbi.nlm.nih.gov

Outcome Measures in Tele-Rehabilitation and Virtual Reality for Stroke Survivors: Protocol for a Scoping Review. [2018]

2. Pakistan pubmed.ncbi.nlm.nih.gov

Role of tele-rehabilitation in patients following total hip replacement: Systematic review of clinical trials. [2022]

3. Netherlands pubmed.ncbi.nlm.nih.gov

A Tele-Rehabilitation Platform for Shoulder Motor Function Recovery Using Serious Games and an Azure Kinect Device. [2022]

4. England pubmed.ncbi.nlm.nih.gov

Effectiveness of physiotherapy with telerehabilitation in surgical patients: a systematic review and meta-analysis. [2019]

5. United States pubmed.ncbi.nlm.nih.gov

Sensor-based telerehabilitation system increases patient adherence after knee surgery. [2023]

6. United States pubmed.ncbi.nlm.nih.gov

Tele-Rehabilitation after Stroke: An Updated Systematic Review of the Literature. [2023]

7. Italy pubmed.ncbi.nlm.nih.gov

Tele-rehabilitation: present and future. [2022]

8. Switzerland pubmed.ncbi.nlm.nih.gov

System Integrated Digital Empowering and teleRehabilitation to promote patient Activation and well-Being in chronic disabilities: A usability and acceptability study. [2023]

9. Switzerland pubmed.ncbi.nlm.nih.gov

Stroke Telerehabilitation in Calabria: A Health Technology Assessment. [2022]