search
Back to results

6Degrees VR System for Treatment of Phantom Limb Pain

Primary Purpose

Pain, Phantom

Status
Unknown status
Phase
Not Applicable
Locations
Israel
Study Type
Interventional
Intervention
MyMove/VR system
Mirror therapy
Sponsored by
6Degrees LTD
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Pain, Phantom focused on measuring phantom limb pain, VAS, Telerehabilitation

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Clearance by the treating physician.
  • Unilateral below-knee amputation
  • History of phantom-limb pain with an intensity of 5-or-greater (VAS scale)
  • Pain is not responsive to conventional drugs or other standard treatment.
  • Range of motion (knee) of 10-to-90 degrees.

Exclusion Criteria:

  • Bilateral amputation
  • History of phantom-limb pain with an intensity of 4-or-less (VAS scale)
  • No prior attempt at therapy
  • Declined by patient
  • Pregnancy or other limitation related to special health-care groups.

Sites / Locations

  • Sheba Medical Center'Recruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Standard care

MyMove/VR system

Arm Description

12 sessions in total: sessions 1: Meeting with a doctor and physical therapist. sessions 2-11:Mirror therapy (standard care) for a total of 10 sessions over a period of 5 weeks (15-20 minutes per session). sessions 12: Meeting with a doctor and physical therapist.

sessions 1: Meeting with a doctor and physical therapist. sessions 2-11:MyMove devices and VR gear for a total of 10 sessions over a period of 5 weeks 15-20 minutes per session. sessions 12: Meeting with a doctor and physical therapist.

Outcomes

Primary Outcome Measures

Pain change
Demonstrate non-inferiority in comparison with existing treatments - change pain level by at least two visual analog scale (VAS) levels. VAS scale runs from 0 (pain-free) to 10 (extreme pain).

Secondary Outcome Measures

Physical Rehabilitation Recovery
Demonstrate non-inferiority in comparison with existing treatments - change in range of motion over time. Angles measure from 0-120 degrees.

Full Information

First Posted
May 5, 2021
Last Updated
June 29, 2021
Sponsor
6Degrees LTD
Collaborators
Sheba Medical Center
search

1. Study Identification

Unique Protocol Identification Number
NCT04955613
Brief Title
6Degrees VR System for Treatment of Phantom Limb Pain
Official Title
6Degrees VR System for Treatment of Phantom Limb Pain
Study Type
Interventional

2. Study Status

Record Verification Date
May 2021
Overall Recruitment Status
Unknown status
Study Start Date
July 29, 2021 (Anticipated)
Primary Completion Date
April 1, 2022 (Anticipated)
Study Completion Date
August 1, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
6Degrees LTD
Collaborators
Sheba Medical Center

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The treatment system consists of two light-weight MyMove bands and virtual-reality gear. Built-in software allows tracking of performance in real-time, with feedback to both the patient and treating personnel. MyMove is a wearable device that allows patients with loss of upper-limb function to operate computers, cellular phones, and similar devices. The technology is non-invasive and does not involve risk to the patient. MyMove+ is a Physical Medicine and Rehabilitation software intended for use in upper extremity and full-body conventional rehabilitation by: Tracking motion and movement kinematics. Guiding patients in the performance of physical exercises according to the treating practitioner's guidelines. MyMove+ software is not intended for use in diagnosis, treatment or decision-making, or as a stand-alone device.
Detailed Description
A non-blinded controlled study of adults, ages 18-65, with unilateral, below-knee limb amputation. All subjects will be initially evaluated by a single group of licensed physical- and occupational therapists. Following a structured introductory session, subjects will be assigned to MyMove devices and VR gear for a total of 10 sessions over a period of 5 weeks (15-20 minutes per session).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pain, Phantom
Keywords
phantom limb pain, VAS, Telerehabilitation

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
A non-blinded controlled study of adults. Each patient admitted to the study will be randomly allocated to either the treatment or control group (provided standard care) in consecutive order.
Masking
None (Open Label)
Allocation
Randomized
Enrollment
122 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Standard care
Arm Type
Active Comparator
Arm Description
12 sessions in total: sessions 1: Meeting with a doctor and physical therapist. sessions 2-11:Mirror therapy (standard care) for a total of 10 sessions over a period of 5 weeks (15-20 minutes per session). sessions 12: Meeting with a doctor and physical therapist.
Arm Title
MyMove/VR system
Arm Type
Active Comparator
Arm Description
sessions 1: Meeting with a doctor and physical therapist. sessions 2-11:MyMove devices and VR gear for a total of 10 sessions over a period of 5 weeks 15-20 minutes per session. sessions 12: Meeting with a doctor and physical therapist.
Intervention Type
Device
Intervention Name(s)
MyMove/VR system
Intervention Description
The treatment system consists of two lightweight MyMove bands and Virtual-Reality (VR) gear. Proprietary software and content allow tracking of performance in real-time, with feedback to both the patient and treating - personnel. MyMove is a wearable device that allows patients with loss of upper limb function to operate computers, cellular phones, and similar devices. The technology is non-invasive and does not involve risk to the patient. Virtual-Reality (VR) gear is a wearable computer running within goggles that project content and allow for interaction using controllers.
Intervention Type
Device
Intervention Name(s)
Mirror therapy
Intervention Description
Mirror therapy or mirror visual feedback is a therapy for pain or disability that affects one side of the patient more than the other side
Primary Outcome Measure Information:
Title
Pain change
Description
Demonstrate non-inferiority in comparison with existing treatments - change pain level by at least two visual analog scale (VAS) levels. VAS scale runs from 0 (pain-free) to 10 (extreme pain).
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Physical Rehabilitation Recovery
Description
Demonstrate non-inferiority in comparison with existing treatments - change in range of motion over time. Angles measure from 0-120 degrees.
Time Frame
12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Clearance by the treating physician. Unilateral below-knee amputation History of phantom-limb pain with an intensity of 5-or-greater (VAS scale) Pain is not responsive to conventional drugs or other standard treatment. Range of motion (knee) of 10-to-90 degrees. Exclusion Criteria: Bilateral amputation History of phantom-limb pain with an intensity of 4-or-less (VAS scale) No prior attempt at therapy Declined by patient Pregnancy or other limitation related to special health-care groups.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Miri Berger
Phone
+9720522700352
Email
mb@6degrees.tech
First Name & Middle Initial & Last Name or Official Title & Degree
Aryeh H Katz
Phone
+9720547796910
Email
ar@6degrees.tech
Facility Information:
Facility Name
Sheba Medical Center'
City
Ramat Gan
ZIP/Postal Code
52621
Country
Israel
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Israel Dudkevitch, Prof.
Phone
+9720586503077
Email
avi.avitan@sheba.health.gov.il
First Name & Middle Initial & Last Name & Degree
Avi Avitan, Dr.
Phone
+9720586503077
Email
avi.avitan@sheba.health.gov.il

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
Data is system-specific to the MyMove bands and can only be analyzed with embedded algorithm reference.
Citations:
PubMed Identifier
32482376
Citation
Hoffman HG, Boe DA, Rombokas E, Khadra C, LeMay S, Meyer WJ, Patterson S, Ballesteros A, Pitt SW. Virtual reality hand therapy: A new tool for nonopioid analgesia for acute procedural pain, hand rehabilitation, and VR embodiment therapy for phantom limb pain. J Hand Ther. 2020 Apr-Jun;33(2):254-262. doi: 10.1016/j.jht.2020.04.001. Epub 2020 May 30.
Results Reference
background
PubMed Identifier
18295618
Citation
Ziegler-Graham K, MacKenzie EJ, Ephraim PL, Travison TG, Brookmeyer R. Estimating the prevalence of limb loss in the United States: 2005 to 2050. Arch Phys Med Rehabil. 2008 Mar;89(3):422-9. doi: 10.1016/j.apmr.2007.11.005.
Results Reference
background
PubMed Identifier
6709380
Citation
Sherman RA, Sherman CJ, Parker L. Chronic phantom and stump pain among American veterans: results of a survey. Pain. 1984 Jan;18(1):83-95. doi: 10.1016/0304-3959(84)90128-3.
Results Reference
background
PubMed Identifier
24224475
Citation
McCormick Z, Chang-Chien G, Marshall B, Huang M, Harden RN. Phantom limb pain: a systematic neuroanatomical-based review of pharmacologic treatment. Pain Med. 2014 Feb;15(2):292-305. doi: 10.1111/pme.12283. Epub 2013 Nov 13.
Results Reference
background
PubMed Identifier
8637922
Citation
Ramachandran VS, Rogers-Ramachandran D. Synaesthesia in phantom limbs induced with mirrors. Proc Biol Sci. 1996 Apr 22;263(1369):377-86. doi: 10.1098/rspb.1996.0058.
Results Reference
background
PubMed Identifier
20827116
Citation
Weeks SR, Anderson-Barnes VC, Tsao JW. Phantom limb pain: theories and therapies. Neurologist. 2010 Sep;16(5):277-86. doi: 10.1097/NRL.0b013e3181edf128.
Results Reference
background

Learn more about this trial

6Degrees VR System for Treatment of Phantom Limb Pain

We'll reach out to this number within 24 hrs