Effect of augmented reality–based rehabilitation of hand burns on hand function in children: A randomized controlled trial

Abstract

BackgroundDespite the use of traditional rehabilitation methods, hand function may still remain impaired in children suffering from burn injuries. PurposeThis study aimed to assess the impact of implementing an augmented reality (AR) rehabilitation booklet designed for pediatric hand burn on their hand functionality. Study designThis was a randomized controlled trial. MethodsSeventy-two children, aged 8-14 years with a hand burn, were randomly allocated into intervention (n = 36) and control (n = 36) groups. Children in the control group received routine rehabilitation program, while in the intervention group, children performed exercises using a printed booklet with related AR application. The Jebsen-Taylor Hand Function Test was completed before the intervention at the time of the patients' discharge and 1 month later. ResultsThe results of analysis of covariance based on baseline- and fully-adjusted models showed significant intervention effect after discharge as well as after intervention for hand function (mean difference [95% confidence interval] for discharge: −8.2 [−15.0 to −1.4] and for after intervention: −74.0 [−88.8 to −59.1]) and the items (all p < 0.05), except for writing and lifting large light objects for both after discharge and after intervention measures (all p-value > 0.05). ConclusionsA significant decrease in the total time taking to complete the Jebsen-Taylor hand function test was observed in the intervention group compared to the control group 1 month after discharge. Rehabilitation of children with hand burns, using printed educational booklet with related AR application, improves their hand function.