ClinicalTrials.gg
Status unknownNCT05773560Updated Mar 17, 2023

Virtual Reality in the Rehabilitation in Patients With Lower Limb Amputation.

An interventional study of virtual reality rehabilitation in Amputation, Lower Limb and Rehabilitation, sponsored by University Hospital Erlangen. Status unknown at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-03-17.

Sponsored by University Hospital Erlangen · Not applicable, Interventional, and Supportive care

The sponsor has not verified this record recently (last verified Mar 2023), so the status shown — last known as Recruiting — may be out of date.

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled Nov 2022, registered Mar 2023).
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to test the impact of virtual reality on rehabilitation for the patients after a major amputation.

The main questions it aims to answer are:

  • Does the virtual-reality-assisted rehabilitation improve the life quality of patients (i.e. lesser pain, better spirit)?
  • Does the virtual-reality-assisted rehabilitation improve the daily life function of the patients? Participants will received a virtual-reality-assisted rehabilitation on the second postoperative day for ten days. The rehabilitation would be carried out two times per day and 30 minutes per training.
Read the detailed description

Despite the increasing development of revascularisation techniques, lower limb amputation often represent the last chance of survival for the vasculopathic patient with chronic limb threatening ischemia (CLTI). First goal after lower limb amputation is represented by a rapid prosthesis application. The patient in the immediate post-operative period must undergo intensive rehabilitation and physiotherapy, which involves not only a physical but also a psychological approach.

"Classical" recovery following lower limb amputation includes adequate pain therapy and physiotherapy to regain independence, strength, mobility and finally prothesis application to improve quality of life and restore mobility. The aim of this study is to investigate the effect of adding virtual reality to traditional rehabilitation following a lower limb amputation in patients due to limited circulation, with particularly attention to a possible improvement of psychological state, reduction of post-operative pain and more rapid improvement in regaining functional mobility

02

Conditions studied

  • Amputation
  • Lower Limb
  • Rehabilitation
  • Activities of Daily Living
  • Virtual Reality
  • Lower Extremity

Keywords

  • Amputation
  • Lower Extremity Ischemia
  • Lower Limb
  • Lower Limb Ischemia
  • Rehabilitation
  • Activities of Daily Living
  • Virtual Reality
  • Lower Limb Amputation Knee
  • Lower Limb Amputation Above Knee
  • Lower Limb Amputation Below Knee
  • Lower Extremity Wound
03

In context

Lead sponsor

University Hospital Erlangen is the lead sponsor of 28 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • > 18 years
  • critical limb ischemia or acute limb ischemia
  • amputation above/below knee
  • unilateral lower limb amputees

Exclusion criteria

Exclusion Criteria:

  • physical disability (paralysis, plegia)
  • inability to give
  • neurological or psychiatric problem that reduces compliance
  • loss of planned post-operative assessments
  • traumatic amputation in a patient without circulatory disorders
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Patients receiving rehabilitation with virtual reality.

    Single Group Assignment Patients after a major amputation would received at least 10 days of rehabilitation with the assistance of virtual reality. Before the operation, patients consent, life quality, pain score and motivation score were be evaluated. The rehabiliation with virtual reality started on the second postoperative day. The pain score would be evaluated everyday before and after the rebilitation. On the fifth and tenth day, motivation, life quality and functional index would be carried out again as the evaluation of the outcome of training.

    Device: virtual reality rehabilitation

Interventions

  • Devicevirtual reality rehabilitation

    All patients will receive VR-assisted rehabilitation. The VR-assisted rehabilitation is proceed with SyncVR® (Padualaan, Netherlands ) equipment, which is composed of a head set (PICO NEO 3) and one dashboard (TABLET), enabling the patients to receive stepwise rehabilitation program with 360° videos activities (SyncVR Medical Platform). The VR-assisted rehabilitation will be performed two times per day, 30 minutes per training. The first training will start on the second post-operative day.

06

What researchers measure

Primary outcomes

  1. Barthel Index

    The change in activities of daily life among the patients before and after the implementation of the training program.

    Time frame: single time point (1 day)

  2. The Morton Mobility Index (DEMMI)

    The change in mobility outcomes among the patients before and after the implementation of the training program.

    Time frame: single time point (1 day)

  3. Esslinger Transfer Scale

    The change in the level of assistance needed for a safe transfer among the patients before and after the implementation of the training program.

    Time frame: single time point (1 day)

Secondary outcomes

  1. SF-12® Health Survey

    The change in life quality in terms of both mentally and physically among the patients before and after the implementation of the training program.

    Time frame: single time point (1 day)

  2. 6-point Likert-scale

    The change in pain among the patients before and after the implementation of the training program.

    Time frame: single time point (1 day)

  3. Situational Motivational Scale

    The change in motivation among the patients before and after the implementation of the training program.

    Time frame: single time point (1 day)

07

Study locations

1 of 1 sites recruiting
  • University of Erlangen-Nuremberg (FAU), Department of Vascular Surgery
    Erlangen, Bavaria 91054, Germany
    Recruiting
08

References and documents

Publications

  • Norgren L, Hiatt WR, Dormandy JA, Nehler MR, Harris KA, Fowkes FG; TASC II Working Group; Bell K, Caporusso J, Durand-Zaleski I, Komori K, Lammer J, Liapis C, Novo S, Razavi M, Robbs J, Schaper N, Shigematsu H, Sapoval M, White C, White J, Clement D, Creager M, Jaff M, Mohler E 3rd, Rutherford RB, Sheehan P, Sillesen H, Rosenfield K. Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II). Eur J Vasc Endovasc Surg. 2007;33 Suppl 1:S1-75. doi: 10.1016/j.ejvs.2006.09.024. Epub 2006 Nov 29. No abstract available. PubMed 17140820 ↗
  • Esquenazi A. Amputation rehabilitation and prosthetic restoration. From surgery to community reintegration. Disabil Rehabil. 2004 Jul 22-Aug 5;26(14-15):831-6. doi: 10.1080/09638280410001708850. PubMed 15497912 ↗
  • Rau B, Bonvin F, de Bie R. Short-term effect of physiotherapy rehabilitation on functional performance of lower limb amputees. Prosthet Orthot Int. 2007 Sep;31(3):258-70. doi: 10.1080/03093640600994615. PubMed 17979011 ↗
  • Andrysek J, Klejman S, Steinnagel B, Torres-Moreno R, Zabjek KF, Salbach NM, Moody K. Preliminary evaluation of a commercially available videogame system as an adjunct therapeutic intervention for improving balance among children and adolescents with lower limb amputations. Arch Phys Med Rehabil. 2012 Feb;93(2):358-66. doi: 10.1016/j.apmr.2011.08.031. PubMed 22289250 ↗
  • Murray CD, Patchick E, Pettifer S, Caillette F, Howard T. Immersive virtual reality as a rehabilitative technology for phantom limb experience: a protocol. Cyberpsychol Behav. 2006 Apr;9(2):167-70. doi: 10.1089/cpb.2006.9.167. PubMed 16640472 ↗
  • Rothgangel A, Bekrater-Bodmann R. Mirror therapy versus augmented/virtual reality applications: towards a tailored mechanism-based treatment for phantom limb pain. Pain Manag. 2019 Mar 1;9(2):151-159. doi: 10.2217/pmt-2018-0066. Epub 2019 Jan 25. PubMed 30681034 ↗
  • de Rooij IJM, van de Port IGL, Punt M, Abbink-van Moorsel PJM, Kortsmit M, van Eijk RPA, Visser-Meily JMA, Meijer JG. Effect of Virtual Reality Gait Training on Participation in Survivors of Subacute Stroke: A Randomized Controlled Trial. Phys Ther. 2021 May 4;101(5):pzab051. doi: 10.1093/ptj/pzab051. PubMed 33594443 ↗
  • Dominguez-Navarro F, Igual-Camacho C, Silvestre-Munoz A, Roig-Casasus S, Blasco JM. Effects of balance and proprioceptive training on total hip and knee replacement rehabilitation: A systematic review and meta-analysis. Gait Posture. 2018 May;62:68-74. doi: 10.1016/j.gaitpost.2018.03.003. Epub 2018 Mar 5. PubMed 29525292 ↗
  • Smits M, Staal JB, van Goor H. Could Virtual Reality play a role in the rehabilitation after COVID-19 infection? BMJ Open Sport Exerc Med. 2020 Oct 23;6(1):e000943. doi: 10.1136/bmjsem-2020-000943. eCollection 2020. PubMed 33178449 ↗
  • de Morton NA, Davidson M, Keating JL. The de Morton Mobility Index (DEMMI): an essential health index for an ageing world. Health Qual Life Outcomes. 2008 Aug 19;6:63. doi: 10.1186/1477-7525-6-63. PubMed 18713451 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 17, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05773560
Lead sponsor
University Hospital Erlangen
Responsible party
Ulrich Rother (PD Dr. med., University Hospital Erlangen) — Principal investigator
First posted
Mar 17, 2023
Start date
Nov 29, 2022
Primary completion
Oct 2023 (estimated)
Completion
Jan 2024 (estimated)
Last update
Mar 17, 2023

Study contacts

Ulrich Rother, PD Dr. med.
Contact
ulrich.rother@uk-erlangen.de
+4991318542028
Werner Lang, Prof. Dr. med.
Contact
werner.lang@uk-erlangen.de
+4991318532968

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

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