Evidence map›Paper›PMID 34151871›Full record

ArticleJournal of pediatric rehabilitation medicine2021

Immersive virtual reality in children with upper limb injuries: Findings from a feasibility study.

Ivan Phelan, Penny J Furness, Heather D Dunn, Alicia Carrion-Plaza, Maria Matsangidou, Paul Dimitri, Shirley Lindley

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of pediatric rehabilitation medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07729878 (Effects of Comprehensive Hand Repetitive Intensive Strength Training on Rang of Motion and Function in Post Fracture Rehabilitation), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07729878 nacompletednot on this mapstarted 2026, after this paper: background citation

Effects of Comprehensive Hand Repetitive Intensive Strength Training on Rang of Motion and Function in Post Fracture Rehabilitation

TypeinterventionalSponsorRiphah International UniversityRan2026 to 2026Enrolled9ConditionsElbow FracturesArmsComprehensive Hand Repetitive Intensive Strength Training
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Ivan PhelanCentre for Culture, Media and Society, College of Social Sciences and Arts, Sheffield Hallam University, Sheffield, United Kingdom.
Penny J FurnessCentre for Behavioural Sciences and Applied Psychology (CeBSAP), Department of Psychology, Sociology and Politics, College of Social Sciences and Arts, Sheffield Hallam University, Sheffield, United Kingdom.
Heather D DunnCentre for Behavioural Sciences and Applied Psychology (CeBSAP), Department of Psychology, Sociology and Politics, College of Social Sciences and Arts, Sheffield Hallam University, Sheffield, United Kingdom.
Alicia Carrion-PlazaCentre for Culture, Media and Society, College of Social Sciences and Arts, Sheffield Hallam University, Sheffield, United Kingdom.
Maria MatsangidouCentre for Culture, Media and Society, College of Social Sciences and Arts, Sheffield Hallam University, Sheffield, United Kingdom.
Paul DimitriNIHR Children & Young People MedTech Cooperative, Sheffield Children's NHS Foundation Trust, Sheffield, United Kingdom.
Shirley LindleyCentre for Culture, Media and Society, College of Social Sciences and Arts, Sheffield Hallam University, Sheffield, United Kingdom.
Sheffield Hallam University · GBSheffield Children's NHS Foundation Trust · GB

Funding

Medical Research Council MC_PC_16058
6 · The paper itself

Abstract

purposeChildren who sustain Upper Limb Injuries (ULIs), including fractures and burns, may undergo intensive rehabilitation. The discomfort of therapy can reduce their compliance, limit their range of motion (ROM) and lead to chronic pain. Virtual Reality (VR) interventions have been found to reduce anticipated and procedural pain.This feasibility study aimed to explore perceptions and impacts of a custom-made, fully immersive Head-Mounted Display VR (HMD-VR) experience within a United Kingdom (UK) National Health Service (NHS) outpatient rehabilitation service for children with ULIs.

methodsTen children aged 9-16 in one UK Children's hospital trialled HMD-VR during one rehabilitation session. They, their parents (n = 10), and hospital physiotherapy staff (n = 2) were interviewed about their perceptions of pain, difficulty, enjoyability, therapeutic impacts, benefits, and limitations. Children rated the sessions on enjoyability, difficulty, and pain compared to usual rehabilitation exercises. Physiotherapists were asked to provide range of motion readings.

resultsInductive thematic analysis of interview data generated three themes, 'Escape through Engagement'; 'Enhanced Movement'; and 'Adaptability and Practicality'. Children rated the session as more enjoyable, less difficult and painful than their usual rehabilitation exercises. Findings suggested that HMD-VR was an engaging, enjoyable experience that distracted children from the pain and boredom of therapy. Also, it seemed to enhance the movement they achieved. Participants perceived it was useful for rehabilitation and adaptable to individual needs and other patient groups. Suggestions were made to increase adaptability and build in practical safeguards.

conclusionFindings from this small-scale feasibility study suggested HMD-VR was perceived as usable, acceptable, and effective with potential for further development. Future work could include larger scale trials.

Indexed as

Virtual RealityChildExercise TherapyFeasibility StudiesHumansState MedicineUpper Extremityburnschildren’s rehabilitationfracturesphysiotherapyupper limb injuryVirtual reality

Identifiers

PMID34151871
PMCPMC9108569
OpenAlexW3153738472

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.