Virtual Reality for Medial Epicondyle Apophysitis
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: The Control Group, The Study Group.
- Who it may be relevant to
- Registry conditions: Adolescent Athelets, Medial Epicondyle Apophysitis. Basic parameters: 12 years — 16 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
The Efficacy of Virtual Reality Training on Medial Epicondyle Apophysitis in Adolescent Athletes
Overview
Traction apophysitis of the medial epicondyle (MEC) is a common elbow injury in adolescent baseball players. The underlying pathology of the lesions associated with apophysitis seems to be due to repetitive traction stress via the medial ulnar collateral ligament (MUCL) to the skeletally immature MEC, as seen in young baseball players. Various types of morphological changes are observed at the MEC in baseball players, and fragmentation and hypertrophy have been commonly reported.
Detailed description
Phases of rehabilitation for Medial Epicondyle Apophysitis Phase I treatment involves resting and protecting the elbow to permit healing, to prevent further injury, and to control pain and swelling. Phase II treatment begins once pain and swelling have subsided to the point where the athlete can comfortably bear weight and walk from place to place. Virtual reality (VR) is a simulated experience that can be similar to or completely different from the real world. Applications of virtual reality can include entertainment (i.e. video games) and educational purposes (i.e. medical or military training). Other, distinct types of VR style technology include augmented reality and mixed reality.
Interventions
- Other The Control Group
All adolescents will receive 60 min. of the selected physical therapy program including strengthening the muscles of upper limb, stretching for elbow flexors and forearms pronators - Other The Study Group
all adolescents will receive selected physical therapy program for 30 min. containing strengthening the muscles of upper limb, stretching for elbow flexors and forearms pronators plus 30 of virtual reality training
Primary outcome measures
- Visual Analogue Scale [Time frame: at day 0]
- Visual Analogue Scale [Time frame: at day 90]
Secondary outcome measures (4)
- Range of Motion [Time frame: at day 0]
- Range of Motion [Time frame: at day 90]
- Range of Motion [Time frame: at day 0]
- Range of Motion [Time frame: at day 90]
Eligibility criteria
Inclusion criteria
- Cases diagnosed with medial epicondyle apophysitis.
- Cases participated in this study will from both sexes.
- Cases receiving standard treatment protocol.
- Cases with a disease duration of more than four months.
Exclusion criteria
- Cases with resent fractures in affected upper limb.
- Cases diagnosis of any neurological disease or musculoskeletal disease affecting upper extremity functional ability.
- Uncooperative cases.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- Nehad A Abo-zaid — Asyut
Publications
- Lohse KR, Hilderman CG, Cheung KL, Tatla S, Van der Loos HF. Virtual reality therapy for adults post-stroke: a systematic review and meta-analysis exploring virtual environments and commercial games in therapy. PLoS One. 2014 Mar 28;9(3):e93318. doi: 10.1371/journal.pone.0093318. eCollection 2014. PMID 24681826
- Thomas S, Fazakarley L, Thomas PW, Collyer S, Brenton S, Perring S, Scott R, Thomas F, Thomas C, Jones K, Hickson J, Hillier C. Mii-vitaliSe: a pilot randomised controlled trial of a home gaming system (Nintendo Wii) to increase activity levels, vitality and well-being in people with multiple sclerosis. BMJ Open. 2017 Sep 27;7(9):e016966. doi: 10.1136/bmjopen-2017-016966. PMID 28954791
- McPhail SM, O'Hara M, Gane E, Tonks P, Bullock-Saxton J, Kuys SS. Nintendo Wii Fit as an adjunct to physiotherapy following lower limb fractures: preliminary feasibility, safety and sample size considerations. Physiotherapy. 2016 Jun;102(2):217-20. doi: 10.1016/j.physio.2015.04.006. Epub 2015 Jun 17. PMID 26209909
- Shousha TM, Abo-Zaid NA, Hamada HA, Abdelsamee MYA, Behiry MA. Virtual reality versus Biodex training in adolescents with chronic ankle instability: a randomized controlled trial. Arch Med Sci. 2021 Mar 18;19(4):1059-1068. doi: 10.5114/aoms/134635. eCollection 2023. PMID 37560731
- Benzing V, Schmidt M. Exergaming for Children and Adolescents: Strengths, Weaknesses, Opportunities and Threats. J Clin Med. 2018 Nov 8;7(11):422. doi: 10.3390/jcm7110422. PMID 30413016
- Mouhamed HA, Abo-Zaid NA, Khalifa HA, Ali ME, Elserty NS, Behiry MA, Heneidy WE. Efficacy of virtual reality on balance impairment in ataxic cerebral palsy children: randomized controlled trial. Eur J Phys Rehabil Med. 2024 Dec;60(6):949-955. doi: 10.23736/S1973-9087.24.08617-9. Epub 2024 Oct 23. PMID 39441113
- Abo-Zaid, N.A., Helmy, N.A., Elsayed, N.I., & Mohammed, A.H. (2021). Wii Sport versus task-oriented training on gait in unilateral cerebral palsy: A randomized controlled trial. Journal of Human Sport and Exercise, 16(2proc), S522-S531. doi:https://doi.org/10.14198/jhse.2021.16.Proc2.36
Identifiers
NCT: NCT07713342 · P.T.REC/012/006533