Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
68 participants
INTERVENTIONAL
2023-06-01
2023-10-01
Brief Summary
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Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Immersive Virtual Reality Therapy
Conventional orthopedic rehabilitation supplemented by VR therapy
Immersive Virtual Reality Therapy
8 sessions of VR therapy over 4 weeks (each of them 20 minutes long).
As a virtual reality source, VRTierOne device (Stolgraf®) were used. Thanks to using head mounted display and the phenomenon of total immersion VR therapy provides an intense visual, auditory and kinesthetic stimulation. It can have a calming and mood-improving effect or help the patients recognize their psychological resources and motivate to the rehabilitation process. In the virtual therapeutic garden there are a rich set of symbols and metaphors based on Ericksonian Psychotherapy approach. The most important is the Garden of Revival which symbolizes the patient's health. It used to be full of life and energy, now it is neglected, requires work to be revived. In the therapeutic process day by day, the therapist tells the patient a symbolic story about his/her situation.
Conventional rehabilitation
Four weeks of conventional rehabilitation including:
* Two hours of kinesiotherapy (120 minutes, including gait training).
* Thirty minutes of ergotherapy.
* Three physical therapy procedures (i.e. laser therapy, magnetic therapy, electrotherapy) tailored to individual ailments and needs.
Conventional rehabilitation
Conventional orthopedic rehabilitation
Conventional rehabilitation
Four weeks of conventional rehabilitation including:
* Two hours of kinesiotherapy (120 minutes, including gait training).
* Thirty minutes of ergotherapy.
* Three physical therapy procedures (i.e. laser therapy, magnetic therapy, electrotherapy) tailored to individual ailments and needs.
Interventions
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Immersive Virtual Reality Therapy
8 sessions of VR therapy over 4 weeks (each of them 20 minutes long).
As a virtual reality source, VRTierOne device (Stolgraf®) were used. Thanks to using head mounted display and the phenomenon of total immersion VR therapy provides an intense visual, auditory and kinesthetic stimulation. It can have a calming and mood-improving effect or help the patients recognize their psychological resources and motivate to the rehabilitation process. In the virtual therapeutic garden there are a rich set of symbols and metaphors based on Ericksonian Psychotherapy approach. The most important is the Garden of Revival which symbolizes the patient's health. It used to be full of life and energy, now it is neglected, requires work to be revived. In the therapeutic process day by day, the therapist tells the patient a symbolic story about his/her situation.
Conventional rehabilitation
Four weeks of conventional rehabilitation including:
* Two hours of kinesiotherapy (120 minutes, including gait training).
* Thirty minutes of ergotherapy.
* Three physical therapy procedures (i.e. laser therapy, magnetic therapy, electrotherapy) tailored to individual ailments and needs.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* reported consciousness disorders
* bipolar affective disorder and other serious mental disorders in the patient's medical history
* use of psychoactive drugs
* ongoing psychiatric treatment or individual psychological therapy
* contraindications to Virtual Reality such as epilepsy, vertigo, serious vision disorders
* functional status preventing independent movement (orthopedic aids are allowed, e.g., crutches, walker)
* refusal to participate in the study at any stage
60 Years
ALL
No
Sponsors
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Wroclaw Medical University
OTHER
Wroclaw University of Health and Sport Sciences
OTHER
Jan Dlugosz University in Czestochowa
OTHER
Joanna Szczepańska-Gieracha
OTHER
Responsible Party
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Joanna Szczepańska-Gieracha
Professor
Principal Investigators
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Justyna Mazurek, PhD
Role: STUDY_CHAIR
Wroclaw Medical University
Błażej Cieślik, PhD
Role: STUDY_CHAIR
Jan Dlugosz University in Czestochowa, Poland
Justyna Mazurek, RhD
Role: PRINCIPAL_INVESTIGATOR
Wroclaw Medical University
Joanna Szczepańska-Gieracha, Professor
Role: STUDY_DIRECTOR
Wrocław University of Health and Sport Sciences
Robert Gajda, PhD
Role: STUDY_DIRECTOR
Gajda-Med District Hospital in Pułtusk
Locations
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St. Hedwig of Silesia Hospital in Trzebnica
Trzebnica, Lower Silesian Voivodeship, Poland
Countries
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References
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Cieslik B, Mazurek J, Rutkowski S, Kiper P, Turolla A, Szczepanska-Gieracha J. Virtual reality in psychiatric disorders: A systematic review of reviews. Complement Ther Med. 2020 Aug;52:102480. doi: 10.1016/j.ctim.2020.102480. Epub 2020 Jun 9.
Rutkowski S, Kiper P, Cacciante L, Cieslik B, Mazurek J, Turolla A, Szczepanska-Gieracha J. Use of virtual reality-based training in different fields of rehabilitation: A systematic review and meta-analysis. J Rehabil Med. 2020 Nov 19;52(11):jrm00121. doi: 10.2340/16501977-2755.
Kiper P, Przysiezna E, Cieslik B, Broniec-Siekaniec K, Kucinska A, Szczygiel J, Turek K, Gajda R, Szczepanska-Gieracha J. Effects of Immersive Virtual Therapy as a Method Supporting Recovery of Depressive Symptoms in Post-Stroke Rehabilitation: Randomized Controlled Trial. Clin Interv Aging. 2022 Nov 23;17:1673-1685. doi: 10.2147/CIA.S375754. eCollection 2022.
Szczepanska-Gieracha J, Cieslik B, Rutkowski S, Kiper P, Turolla A. What can virtual reality offer to stroke patients? A narrative review of the literature. NeuroRehabilitation. 2020;47(2):109-120. doi: 10.3233/NRE-203209.
Czech O, Siewierska K, Krzywinska A, Skorniak J, Maciejczyk A, Matkowski R, Szczepanska-Gieracha J, Malicka I. Virtual Therapy Complementary Prehabilitation of Women Diagnosed with Breast Cancer-A Pilot Study. Int J Environ Res Public Health. 2022 Dec 30;20(1):722. doi: 10.3390/ijerph20010722.
Szczepanska-Gieracha J, Jozwik S, Cieslik B, Mazurek J, Gajda R. Immersive Virtual Reality Therapy as a Support for Cardiac Rehabilitation: A Pilot Randomized-Controlled Trial. Cyberpsychol Behav Soc Netw. 2021 Aug;24(8):543-549. doi: 10.1089/cyber.2020.0297. Epub 2021 Feb 11.
Cieslik B, Juszko K, Kiper P, Szczepanska-Gieracha J. Immersive virtual reality as support for the mental health of elderly women: a randomized controlled trial. Virtual Real. 2023 May 7:1-9. doi: 10.1007/s10055-023-00797-w. Online ahead of print.
Rutkowski S, Szczegielniak J, Szczepanska-Gieracha J. Evaluation of the Efficacy of Immersive Virtual Reality Therapy as a Method Supporting Pulmonary Rehabilitation: A Randomized Controlled Trial. J Clin Med. 2021 Jan 18;10(2):352. doi: 10.3390/jcm10020352.
Other Identifiers
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VRortoTrzebnica
Identifier Type: -
Identifier Source: org_study_id