Virtual Reality-based Rehabilitation for Traumatic Hand and Wrist Injuries

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

• Ages 18 to 75 years
• All sexes
• No healthy volunteers
• Adult, Older adult

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

About this study

Official title: Use of Virtual Reality to Improve Sensorimotor Function in Patients With Traumatic Wrist and Hand Injuries

Conditions

Wrist Injury, Hand and Upper Limb Trauma, Hand and Forearm Trauma, Muskuloskeletal Diseases

Being tested

Immersive Virtual Reality Action Observation Therapy, Conventional Rehabilitation

Keywords

Virtual Reality, Upper limb rehabilitation, Sensorimotor Function, Functional recovery

Medical subject headings

Wrist Injuries

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

• Immersive Virtual Reality Action Observation TherapyBehavioural

  Also called IVR group

  Participants observe and subsequently perform functional wrist and hand movements within immersive virtual reality environments using a Meta Quest Pro headset. The intervention is delivered twice weekly for six weeks, with sessions lasting approximately 45 minutes.

• Conventional RehabilitationOther

  Also called CR group

  Standard rehabilitation program for traumatic wrist and hand injuries including active and passive mobilization, strengthening exercises, functional training, and pain management.

What is being measured

The primary outcome is the main question the study is designed to answer.

1. Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) Score

   Self-reported upper limb disability assessed with QuickDASH questionnaire (0-100, higher scores indicate greater disability).

   Measured: Baseline (approximately 5 days after immobilization removal), week 6 (beginning of the sixth week of intervention), and 3 months after completion of the intervention

2. Patient-Rated Wrist and Hand Evaluation (PRWHE) Total Score

   Wrist and hand pain and function assessed with the PRWHE questionnaire (0-100, lower scores indicate better outcomes).

   Measured: Baseline (approximately 5 days after immobilization removal), week 6 (beginning of the sixth week of intervention), and 3 months after completion of the intervention.

3. Michigan Hand Outcomes Questionnaire (MHQ) Total Score

   Hand-specific function, pain, activities of daily living, work performance, aesthetics and satisfaction assessed with the MHQ (0-100 scale).

   Measured: Baseline (approximately 5 days after immobilization removal), week 6 (beginning of the sixth week of intervention), and 3 months after completion of the intervention.

4. Shoulder Pain and Disability Index (SPADI) Total Score

   Shoulder pain and disability assessed with SPADI questionnaire (0-100, lower scores indicate better outcomes).

   Measured: Baseline (approximately 5 days after immobilization removal), week 6 (beginning of the sixth week of intervention), and 3 months after completion of the intervention.

5. Pain Catastrophizing scale (PCS) Total Score

   Maladaptive pain-related cognitions assessed with the PCS (0-52, higher scores indicate greater catastrophizing).

   Measured: Baseline (approximately 5 days after immobilization removal), week 6 (beginning of the sixth week of intervention), and 3 months after completion of the intervention.

6. Tampa Scale for Kinesiophobia (TSK-11) Total Score

   Fear of movement assessed with the TSK-11 questionnaire (11-44, higher scores indicate greater kinesiophobia).

   Measured: Baseline (approximately 5 days after immobilization removal), week 6 (beginning of the sixth week of intervention), and 3 months after completion of the intervention.

7. Active Wrist range of motion (degrees)

   Active wrist flexion, extension, radial deviation, ulnar deviation, pronation and supination measured with a universal goniometer (degrees).

   Measured: Baseline (approximately 5 days after immobilization removal), week 6 (beginning of the sixth week of intervention), and 3 months after completion of the intervention.

8. Grip strength (Kg)

   Grip strength measured in kilograms using a Jamar dynamometer in standardized position.

   Measured: Baseline (approximately 5 days after immobilization removal), week 6 (beginning of the sixth week of intervention), and 3 months after completion of the intervention.

9. Wrist joint position sense error (Degrees)

   Proprioceptive accuracy assessed as the mean absolute angular error (degrees) between a target wrist joint position set by the examiner and the position actively reproduced by the participant with eyes closed. Lower values indicate better proprioceptive accuracy.

   Measured: Baseline (approximately 5 days after immobilization removal), week 6 (beginning of the sixth week of intervention), and 3 months after completion of the intervention.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

1. First posted8 Jun 2026
2. Study start1 Oct 2026 (estimated)
3. Primary completion30 Jun 2027 (estimated)
4. Study completion30 Sep 2027 (estimated)

Resources

• Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
• Other trials for Wrist InjuryStudies of the same condition, open and under way.
• What the trial phases meanHow a treatment moves from first tests in people to approval.

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.