CClinicalTrials.gg
CompletedNCT06968819Updated Apr 1, 2026

Virtual Reality and Robotics in Inflammatory Myopathy Rehabilitation

An interventional study of Non-immersive virtual reality and Standard physical therapy in Inflammatory Myopathy, sponsored by National Institute of Geriatrics, Rheumatology and Rehabilitation, Poland. Completed at 1 site in Poland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-01.

Sponsored by National Institute of Geriatrics, Rheumatology and Rehabilitation, Poland · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
33
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to learn if a virtual reality based robot assisted dual task intervention leads to better rehabilitation effects than standard physical therapy in patients with inflammatory myopathy. The main question it aims to answer is whether a non-immersive virtual reality based rehabilitation improves muscular strength and relieves psychological distress to a greater extent than standard physical therapy conducted by physiotherapists.

  • Participants will be divided into intervention and control group.
  • The control group will participate in a standard rehabilitation program consisting of exercise sessions with physiotherapists.
  • The intervention group will train on the robotic devices (Zebris treadmill, Alfa stabilometric platform, Diego robotic set).
  • Both group will train from 4 to 6 weeks, 5 times a week.
  • 6 weeks after completing the rehabilitation program, patients will return for a follow-up assessement.
02

Conditions studied

  • Inflammatory Myopathy

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Keywords

  • virtual reality
  • robot assisted rehabilitation
  • dual-task intervention
  • randomised controlled trial
03

In context

Myositis

242 studies on the registry are indexed under Myositis; 103 are open to participants now.

This study's enrollment of 33 is close to the median of 30 across 159 interventional studies indexed under Myositis.

Browse Myositis studies →

Lead sponsor

National Institute of Geriatrics, Rheumatology and Rehabilitation, Poland is the lead sponsor of 9 studies on the registry; 7 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

Inclusion criteria

  • age ≥ 18 y.o,
  • meeting the Bohan/Peter criteria for myositis or the ENMC criteria for immune-mediated necrotising myopathy and for inclusion body myositis,
  • reduced muscular strength defined by ≤ 64/80 result in MMT-8 and/or ≤ 7/10 result in MMT in ≥ 1 proximal muscle group

Exclusion criteria

Exclusion Criteria:

  • severe cardiopulmonary diseases,
  • concurrent malignancies,
  • severe psychiatric disorders
  • injuries and comorbidities preventing exercise participation
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
33 participants (actual)

Study arms

  • Experimental
    Non-immersive virtual reality based rehabilitation

    Other: Non-immersive virtual reality

  • Active comparator
    Standard physical therapy

    Other: Standard physical therapy

Interventions

  • OtherNon-immersive virtual reality

    Non-immersive virtual reality-based robot-assisted intervention includes balance and coordination training, muscle strengthening exercises as well as cognitive stimulation activities on an interactive treadmill, stabilometric platform and robot-assisted upper limb rehabilitation device. In addition, the experimental group takes part in group sessions featuring active and isometric exercises or motor coordination training.

  • OtherStandard physical therapy

    Participants receive standard physical therapy, which includes individual sessions focused on muscle strengthening, balance training, stretching, suspension therapy, and treadmill exercises. In addition, they take part in group sessions featuring active, isometric exercises or motor coordination training.

06

What researchers measure

Primary outcomes

  1. Muscle strength

    The Manual Muscle Testing (MMT-8) evaluates the strength of eight designated muscle groups: Deltoid, Biceps, Wrist extensors, Quadriceps, Ankle dorsiflexors, Neck flexors, Gluteus medius, and Gluteus maximus. Each muscle group is rated on a scale from 0 to 10 points, with the total score ranging from 0 to 150.

    Time frame: change from baseline at week 4-6 and week 10-12

  2. Muscle endurance

    The Functional Index-3 (FI-3) involves the assessment of the number of repetitions of shoulder flexion, neck flexion, and hip flexion. Maximum number of repetitions for shoulder flexion and hip flexion is 60 each. Maximum number of repetitions for neck flexion is 30. The total score (summation of the individual tasks divided by 3) ranges from 0 to 50.

    Time frame: change from baseline at week 4-6 and week 10-12

Secondary outcomes

  1. Functional exercise capacity and aerobic fitness

    Ergospirometry assesses maximal oxygen uptake (VO₂max), defined as the maximum amount of oxygen consumed per minute per kilogram of body weight (mL/kg/min). A higher VO₂max reflects greater aerobic fitness and functional exercise capacity.

    Time frame: change from baseline at week 4-6 and week 10-12

  2. Health Assessment Questionnaire

    Self-assessment tool to measure the functional status. The score ranges from 0 to 3, where 0 indicates no difficulty in performing daily physical activities, and 3 indicates an inability to perform them

    Time frame: change from baseline at week 4-6 and week 10-12

  3. Gait analysis

    Gait analysis is performed on a force-sensing Zebris® treadmill. Step length, stride length, cadence, velocity, step time, stride time, single limb support are measured.

    Time frame: change from baseline at week 4-6 and week 10-12

  4. Stance analysis

    Centre of pressure path length measured with the use of Zebris® treadmill system

    Time frame: change from baseline at week 4-6 and week 10-12

  5. Functional exercise capacity

    In a Six Minute Walk Test (6MWT) a total distance walked by a patient (in meters) is recorded. A greater distance covered indicates better physical performance and higher functional capacity.

    Time frame: change from baseline at week 4-6 and week 10-12

  6. Serum activity of creatine phosphokinase

    Reference range: 39-308 U/L

    Time frame: change from baseline at week 4-6 and week 10-12

  7. Serum activity of lactate dehydrogenase

    Reference rage: 135-225 U/L

    Time frame: change from baseline at week 4-6 and week 10-12

  8. Serum activity of C reactive protein

    Reference range: \< 5 mg/L

    Time frame: change from baseline at week 4-6 and week 10-12

  9. Patient Global Activity

    self-assessment tool to measure patient's overall disease activity using a 10 cm visual analogue scale where 0 cm indicates no evidence of disease activity and 10 cm indicates extremely active or severe disease activity

    Time frame: change from baseline at week 4-6 and week 10-12

  10. Self-reported quality of life

    The WHOQOL-BREF questionnaire is used for self-assessment across four domains: physical health, psychological health, social relationships, and environment. Each item is scored from 1 (very unhappy) to 5 (very happy). Total score ranges from 0 to 100.

    Time frame: change from baseline at week 4-6 and week 10-12

  11. Depression, Anxiety, Stress

    DASS-42 (depression, anxiety, stress scale). The score in each category (depression, anxiety, stress) ranges from 0 to 42. A higher score is an indicator of greater intensity of the assessed trait.

    Time frame: change from baseline at week 4-6 and week 10-12

  12. Fatigue

    Modified Fatigue Impact Scale (MFIS): the score ranges from 0 to 84, where 0 indicates the lowest level of fatigue and 84 indicates the highest level of fatigue

    Time frame: change from baseline at week 4-6 and week 10-12

  13. Pain coping strategies

    Pain coping strategies questionnaire (CSQ), the score in each strategy (distraction, re-evaluation of pain, catastrophizing, ignoring sensations, praying/hoping, declaring coping, increased behavioral activity) ranges from 0 to 6. The higher the score, the greater the importance attributed to the given coping strategy for pain.

    Time frame: change from baseline at week 4-6 and week 10-12

  14. Personality domains

    Big Five Inventory questionnaire (BFI-2) is used to assess 5 personality domains: extraversion, agreeableness, conscientiousness, neuroticism and openness. Each statement is rated from 1 (strongly disagree) to 5 (strongly agree). Higher scores indicate a greater tendency toward that personality trait.

    Time frame: baseline

07

Study locations

1 site
  • National Institute of Geriatrics, Rheumatology and Rehabilitation
    Warsaw, Poland
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06968819
Lead sponsor
National Institute of Geriatrics, Rheumatology and Rehabilitation, Poland
Responsible party
Sponsor
First posted
May 13, 2025
Start date
Feb 11, 2025
Primary completion
Mar 27, 2026
Completion
Mar 27, 2026
Last update
Apr 1, 2026

Study contacts

Aleksandra Markowska
principal investigator · National Institute of Geriatrics, Rheumatology and Rehabilitation
Beata Tarnacka, Professor
principal investigator · National Institute of Geriatrics, Rheumatology and Rehabilitation
Justyna Frasuńska, PhD
principal investigator · National Institute of Geriatrics, Rheumatology and Rehabilitation

Oversight

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

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