xml: <clinical_study>
    <!-- This xml conforms to an XML Schema at:
      https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
    <required_header>
      <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
      <link_text>Link to the current ClinicalTrials.gov record.</link_text>
      <url>https://clinicaltrials.gov/ct2/show/NCT06002139</url>
    </required_header>
    <id_info>
      <org_study_id>VRortoTrzebnica</org_study_id>
      <nct_id>NCT06002139</nct_id>
    </id_info>
    <brief_title>Virtual Reality in Orthopedic Rehabilitation</brief_title>
    <official_title>Does Immersive Virtual Reality Therapy Support Orthopedic Rehabilitation? A Randomized-Controlled Trial</official_title>
    <sponsors>
      <lead_sponsor>
        <agency>Joanna Szczepańska-Gieracha</agency>
        <agency_class>Other</agency_class>
      </lead_sponsor>
      <collaborator>
        <agency>Wroclaw Medical University</agency>
        <agency_class>Other</agency_class>
      </collaborator>
      <collaborator>
        <agency>Wroclaw University of Health and Sport Sciences</agency>
        <agency_class>Other</agency_class>
      </collaborator>
      <collaborator>
        <agency>Jan Dlugosz University in Czestochowa</agency>
        <agency_class>Other</agency_class>
      </collaborator>
    </sponsors>
    <source>Wroclaw University of Health and Sport Sciences</source>
    <oversight_info>
      <has_dmc>No</has_dmc>
      <is_fda_regulated_drug>No</is_fda_regulated_drug>
      <is_fda_regulated_device>No</is_fda_regulated_device>
    </oversight_info>
    <brief_summary>
      <textblock>
        The study's objective is to evaluate the efficacy of implemented Virtual Reality therapy for&#xD;
        patients who have undergone lower limb arthroplasty and are in inpatient rehabilitation. We&#xD;
        aim to examine its influence on reducing anxiety levels, mitigating depressive symptoms,&#xD;
        enhancing motivation for elderly patients to participate in physiotherapy, and improving&#xD;
        their overall functional state and fall risk.&#xD;
      </textblock>
    </brief_summary>
    <detailed_description>
      <textblock>
        The study will include elderly patients (60+) who present sequentially at the General&#xD;
        Systemic Rehabilitation Department of St. Hedwig of Silesia Hospital in Trzebnica, within 3&#xD;
        months of having undergone hip or knee joint arthroplasty surgery. Patients will be randomly&#xD;
        assigned to one of two groups: A. Virtual Reality Group: 8 therapy sessions, two sessions per&#xD;
        week; B. Control group, undergoing conventional rehabilitation. Participation in the study is&#xD;
        entirely voluntary, and written consent is required.&#xD;
      </textblock>
    </detailed_description>
    <overall_status>Active, not recruiting</overall_status>
    <start_date type="Actual">June 1, 2023</start_date>
    <completion_date type="Anticipated">October 2023</completion_date>
    <primary_completion_date type="Anticipated">September 2023</primary_completion_date>
    <phase>N/A</phase>
    <study_type>Interventional</study_type>
    <has_expanded_access>No</has_expanded_access>
    <study_design_info>
      <allocation>Randomized</allocation>
      <intervention_model>Parallel Assignment</intervention_model>
      <primary_purpose>Treatment</primary_purpose>
      <masking>Single (Outcomes Assessor)</masking>
    </study_design_info>
    <primary_outcome>
      <measure>Hospital Anxiety and Depression Scale (HADS)</measure>
      <time_frame>15 minutes</time_frame>
      <description>The Hospital Anxiety and Depression Scale (HADS) is a fourteen-item scale scoring from 0 to 3 for each item. The first seven items relate to anxiety (HADS-A), and the remaining seven items relate to depression (HADS-D). The global scoring ranges from 0 to 42 with a cut-off point of 8/21 for anxiety and 8/21 for depression. The higher the score, the greater anxiety or depression symptoms.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Perceived Stress Scale (PSS-10)</measure>
      <time_frame>10 minutes</time_frame>
      <description>The Perceived Stress Scale (PSS-10) is a ten-item scale that assesses the level of stress perceived by an individual in the last month. The questions are general in nature and fairly free of content specific to any subpopulation group. The items are designed to tap into how unpredictable, uncontrollable, and overloaded respondents find their lives to be. The scores range from 0 to 40, with higher scores indicating higher perceived stress. The PSS-10 will be administered at the beginning and after four weeks of treatment.</description>
    </primary_outcome>
    <secondary_outcome>
      <measure>Generalized Self-Efficacy Scale (GSES)</measure>
      <time_frame>15 minutes</time_frame>
      <description>The Generalized Self-Efficacy Scale (GSES) is a ten-item psychometric scale that is designed to assess optimistic self-beliefs to cope with a variety of difficult demands in life. The scale measures the belief in one's competence to cope with a broad range of stressful or challenging demands. The score ranges from 10 to 40, with a higher score indicating a greater sense of self-efficacy. The GSES will be applied at the beginning and after four weeks of treatment.</description>
    </secondary_outcome>
    <secondary_outcome>
      <measure>Barthel Index (BI)</measure>
      <time_frame>15 minutes</time_frame>
      <description>The Barthel Index (BI) is an ordinal scale used to measure performance in activities of daily living (ADL). Each performance item is rated on this scale with a given number of points assigned to each level or ranking. It uses ten variables describing ADL and mobility. A higher number is associated with a greater likelihood of being able to live at home with a degree of independence following discharge from the hospital. The BI will be administered at the beginning and after four weeks of treatment.</description>
    </secondary_outcome>
    <secondary_outcome>
      <measure>Rivermead Mobility Index (RMI)</measure>
      <time_frame>15 minutes</time_frame>
      <description>The Rivermead Mobility Index (RMI) was developed from the Rivermead Motor Assessment Gross Function subscale as a means to quantify mobility disability. It is composed of 14 items representing different mobility tasks, ranging from turning over in bed to running. Each item is scored as 'unable' (0) or 'able' (1), leading to a maximum score of 14, which indicates full mobility. The RMA-GF will be administered at the beginning and after four weeks of treatment.</description>
    </secondary_outcome>
    <secondary_outcome>
      <measure>Tinetti's Short Scale</measure>
      <time_frame>15 minutes</time_frame>
      <description>Tinetti's Short Scale for fall risk assessment is a shortened version of Performance-Oriented Mobility Assessment (POMA). It is easily administered test that measures a patient's gait and balance. The test is scored on the patient's ability to perform following tasks:Change from sitting to standing, Immobilization in standing position for 5 seconds, Passing 3 meters, Turn of 180 degrees, Keeping a sitting position. Each task is rated in 3-point Likert scale.</description>
    </secondary_outcome>
    <secondary_outcome>
      <measure>Short Physical Performance Battery (SPPB)</measure>
      <time_frame>15 minutes</time_frame>
      <description>The Short Physical Performance Battery (SPPB) is a group of measures that combines the results of the gait speed, chair stand and balance tests. It provides a composite score ranging from 0 (worst performance) to 12 (best performance), offering a global assessment of physical functioning in older individuals. The SPPB will be administered at the beginning and after four weeks of treatment.</description>
    </secondary_outcome>
    <secondary_outcome>
      <measure>Perception of Stress Questionnaire (PSQ)</measure>
      <time_frame>20 minutes</time_frame>
      <description>The PSQ was created by Plopa and Makarowski. It is a 27-item scale scoring from 1 to 5 points for each item, where 21 items examine the level of stress in the areas of emotional tension, external stress and intrapsychic stress, and six items refer to the lie scale. The global scoring for the perception of stress ranges from 21 to 105, with a cut-off point of 60 for an elevated level of perceived stress.</description>
    </secondary_outcome>
    <number_of_arms>2</number_of_arms>
    <enrollment type="Actual">68</enrollment>
    <condition>Arthropathy</condition>
    <condition>Anxiety</condition>
    <condition>Stress</condition>
    <arm_group>
      <arm_group_label>Immersive Virtual Reality Therapy</arm_group_label>
      <arm_group_type>Experimental</arm_group_type>
      <description>Conventional orthopedic rehabilitation supplemented by VR therapy</description>
    </arm_group>
    <arm_group>
      <arm_group_label>Conventional rehabilitation</arm_group_label>
      <arm_group_type>Active Comparator</arm_group_type>
      <description>Conventional orthopedic rehabilitation</description>
    </arm_group>
    <intervention>
      <intervention_type>Behavioral</intervention_type>
      <intervention_name>Immersive Virtual Reality Therapy</intervention_name>
      <description>8 sessions of VR therapy over 4 weeks (each of them 20 minutes long).&#xD;
  As a virtual reality source, VRTierOne device (Stolgraf®) were used. Thanks to using head mounted display and the phenomenon of total immersion VR therapy provides an intense visual, auditory and kinesthetic stimulation. It can have a calming and mood-improving effect or help the patients recognize their psychological resources and motivate to the rehabilitation process. In the virtual therapeutic garden there are a rich set of symbols and metaphors based on Ericksonian Psychotherapy approach. The most important is the Garden of Revival which symbolizes the patient's health. It used to be full of life and energy, now it is neglected, requires work to be revived. In the therapeutic process day by day, the therapist tells the patient a symbolic story about his/her situation.</description>
      <arm_group_label>Immersive Virtual Reality Therapy</arm_group_label>
    </intervention>
    <intervention>
      <intervention_type>Behavioral</intervention_type>
      <intervention_name>Conventional rehabilitation</intervention_name>
      <description>Four weeks of conventional rehabilitation including:&#xD;
  Two hours of kinesiotherapy (120 minutes, including gait training).&#xD;
  Thirty minutes of ergotherapy.&#xD;
  Three physical therapy procedures (i.e. laser therapy, magnetic therapy, electrotherapy) tailored to individual ailments and needs.</description>
      <arm_group_label>Conventional rehabilitation</arm_group_label>
      <arm_group_label>Immersive Virtual Reality Therapy</arm_group_label>
    </intervention>
    <eligibility>
      <criteria>
        <textblock>
          Inclusion Criteria:&#xD;
  &#xD;
            -  Individuals who have recently undergone hip or knee joint arthroplasty surgeries aged&#xD;
               60 years and above.&#xD;
  &#xD;
          Exclusion Criteria:&#xD;
  &#xD;
            -  cognitive impairments that prevent independent completion of research questionnaires&#xD;
  &#xD;
            -  reported consciousness disorders&#xD;
  &#xD;
            -  bipolar affective disorder and other serious mental disorders in the patient's medical&#xD;
               history&#xD;
  &#xD;
            -  use of psychoactive drugs&#xD;
  &#xD;
            -  ongoing psychiatric treatment or individual psychological therapy&#xD;
  &#xD;
            -  contraindications to Virtual Reality such as epilepsy, vertigo, serious vision&#xD;
               disorders&#xD;
  &#xD;
            -  functional status preventing independent movement (orthopedic aids are allowed, e.g.,&#xD;
               crutches, walker)&#xD;
  &#xD;
            -  refusal to participate in the study at any stage&#xD;
        </textblock>
      </criteria>
      <gender>All</gender>
      <minimum_age>60 Years</minimum_age>
      <maximum_age>N/A</maximum_age>
      <healthy_volunteers>No</healthy_volunteers>
    </eligibility>
    <overall_official>
      <last_name>Justyna Mazurek, PhD</last_name>
      <role>Study Chair</role>
      <affiliation>Wroclaw Medical University</affiliation>
    </overall_official>
    <overall_official>
      <last_name>Błażej Cieślik, PhD</last_name>
      <role>Study Chair</role>
      <affiliation>Jan Dlugosz University in Czestochowa, Poland</affiliation>
    </overall_official>
    <overall_official>
      <last_name>Justyna Mazurek, RhD</last_name>
      <role>Principal Investigator</role>
      <affiliation>Wroclaw Medical University</affiliation>
    </overall_official>
    <overall_official>
      <last_name>Joanna Szczepańska-Gieracha, Professor</last_name>
      <role>Study Director</role>
      <affiliation>Wrocław University of Health and Sport Sciences</affiliation>
    </overall_official>
    <overall_official>
      <last_name>Robert Gajda, PhD</last_name>
      <role>Study Director</role>
      <affiliation>Gajda-Med District Hospital in Pułtusk</affiliation>
    </overall_official>
    <location>
      <facility>
        <name>St. Hedwig of Silesia Hospital in Trzebnica</name>
        <address>
          <city>Trzebnica</city>
          <state>Lower Silesia</state>
          <zip>55-100</zip>
          <country>Poland</country>
        </address>
      </facility>
    </location>
    <location_countries>
      <country>Poland</country>
    </location_countries>
    <reference>
      <citation>Cieslik B, Mazurek J, Rutkowski S, Kiper P, Turolla A, Szczepanska-Gieracha J. Virtual reality in psychiatric disorders: A systematic review of reviews. Complement Ther Med. 2020 Aug;52:102480. doi: 10.1016/j.ctim.2020.102480. Epub 2020 Jun 9.</citation>
      <PMID>32951730</PMID>
    </reference>
    <reference>
      <citation>Rutkowski S, Kiper P, Cacciante L, Cieslik B, Mazurek J, Turolla A, Szczepanska-Gieracha J. Use of virtual reality-based training in different fields of rehabilitation: A systematic review and meta-analysis. J Rehabil Med. 2020 Nov 19;52(11):jrm00121. doi: 10.2340/16501977-2755.</citation>
      <PMID>33073855</PMID>
    </reference>
    <reference>
      <citation>Kiper P, Przysiezna E, Cieslik B, Broniec-Siekaniec K, Kucinska A, Szczygiel J, Turek K, Gajda R, Szczepanska-Gieracha J. Effects of Immersive Virtual Therapy as a Method Supporting Recovery of Depressive Symptoms in Post-Stroke Rehabilitation: Randomized Controlled Trial. Clin Interv Aging. 2022 Nov 23;17:1673-1685. doi: 10.2147/CIA.S375754. eCollection 2022.</citation>
      <PMID>36447623</PMID>
    </reference>
    <reference>
      <citation>Szczepanska-Gieracha J, Cieslik B, Rutkowski S, Kiper P, Turolla A. What can virtual reality offer to stroke patients? A narrative review of the literature. NeuroRehabilitation. 2020;47(2):109-120. doi: 10.3233/NRE-203209.</citation>
      <PMID>32741792</PMID>
    </reference>
    <reference>
      <citation>Czech O, Siewierska K, Krzywinska A, Skorniak J, Maciejczyk A, Matkowski R, Szczepanska-Gieracha J, Malicka I. Virtual Therapy Complementary Prehabilitation of Women Diagnosed with Breast Cancer-A Pilot Study. Int J Environ Res Public Health. 2022 Dec 30;20(1):722. doi: 10.3390/ijerph20010722.</citation>
      <PMID>36613047</PMID>
    </reference>
    <reference>
      <citation>Szczepanska-Gieracha J, Jozwik S, Cieslik B, Mazurek J, Gajda R. Immersive Virtual Reality Therapy as a Support for Cardiac Rehabilitation: A Pilot Randomized-Controlled Trial. Cyberpsychol Behav Soc Netw. 2021 Aug;24(8):543-549. doi: 10.1089/cyber.2020.0297. Epub 2021 Feb 11.</citation>
      <PMID>33577375</PMID>
    </reference>
    <reference>
      <citation>Cieslik B, Juszko K, Kiper P, Szczepanska-Gieracha J. Immersive virtual reality as support for the mental health of elderly women: a randomized controlled trial. Virtual Real. 2023 May 7:1-9. doi: 10.1007/s10055-023-00797-w. Online ahead of print.</citation>
      <PMID>37360811</PMID>
    </reference>
    <reference>
      <citation>Rutkowski S, Szczegielniak J, Szczepanska-Gieracha J. Evaluation of the Efficacy of Immersive Virtual Reality Therapy as a Method Supporting Pulmonary Rehabilitation: A Randomized Controlled Trial. J Clin Med. 2021 Jan 18;10(2):352. doi: 10.3390/jcm10020352.</citation>
      <PMID>33477733</PMID>
    </reference>
    <verification_date>August 2023</verification_date>
    <study_first_submitted>August 14, 2023</study_first_submitted>
    <study_first_submitted_qc>August 14, 2023</study_first_submitted_qc>
    <study_first_posted type="Actual">August 21, 2023</study_first_posted>
    <last_update_submitted>August 14, 2023</last_update_submitted>
    <last_update_submitted_qc>August 14, 2023</last_update_submitted_qc>
    <last_update_posted type="Actual">August 21, 2023</last_update_posted>
    <responsible_party>
      <responsible_party_type>Sponsor-Investigator</responsible_party_type>
      <investigator_affiliation>Wroclaw University of Health and Sport Sciences</investigator_affiliation>
      <investigator_full_name>Joanna Szczepańska-Gieracha</investigator_full_name>
      <investigator_title>Professor</investigator_title>
    </responsible_party>
    <keyword>arthroplasty</keyword>
    <keyword>stress</keyword>
    <keyword>fall risk</keyword>
    <keyword>depression</keyword>
    <keyword>anxiety</keyword>
    <keyword>self-efficacy</keyword>
    <condition_browse>
      <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
      <mesh_term>Joint Diseases</mesh_term>
    </condition_browse>
    <patient_data>
      <sharing_ipd>No</sharing_ipd>
    </patient_data>
    <!-- Results have not yet been posted for this study                                          -->
  </clinical_study>
  
  
text: download date: ClinicalTrials.gov processed this data on September 20, 2023
  link text: Link to the current ClinicalTrials.gov record.
  url: https://clinicaltrials.gov/ct2/show/NCT06002139
  org study id: VRortoTrzebnica
  nct id: NCT06002139
  lead sponsor: 
  collaborator: 
  collaborator: 
  collaborator: 
  has dmc: No
  is fda regulated drug: No
  is fda regulated device: No
  The study's objective is to evaluate the efficacy of implemented Virtual Reality therapy for
        patients who have undergone lower limb arthroplasty and are in inpatient rehabilitation. We
        aim to examine its influence on reducing anxiety levels, mitigating depressive symptoms,
        enhancing motivation for elderly patients to participate in physiotherapy, and improving
        their overall functional state and fall risk.
  The study will include elderly patients (60+) who present sequentially at the General
        Systemic Rehabilitation Department of St. Hedwig of Silesia Hospital in Trzebnica, within 3
        months of having undergone hip or knee joint arthroplasty surgery. Patients will be randomly
        assigned to one of two groups: A. Virtual Reality Group: 8 therapy sessions, two sessions per
        week; B. Control group, undergoing conventional rehabilitation. Participation in the study is
        entirely voluntary, and written consent is required.
  allocation: Randomized
  intervention model: Parallel Assignment
  primary purpose: Treatment
  masking: Single (Outcomes Assessor)
  measure: Hospital Anxiety and Depression Scale (HADS)
  time frame: 15 minutes
  description: The Hospital Anxiety and Depression Scale (HADS) is a fourteen-item scale scoring from 0 to 3 for each item. The first seven items relate to anxiety (HADS-A), and the remaining seven items relate to depression (HADS-D). The global scoring ranges from 0 to 42 with a cut-off point of 8/21 for anxiety and 8/21 for depression. The higher the score, the greater anxiety or depression symptoms.
  measure: Perceived Stress Scale (PSS-10)
  time frame: 10 minutes
  description: The Perceived Stress Scale (PSS-10) is a ten-item scale that assesses the level of stress perceived by an individual in the last month. The questions are general in nature and fairly free of content specific to any subpopulation group. The items are designed to tap into how unpredictable, uncontrollable, and overloaded respondents find their lives to be. The scores range from 0 to 40, with higher scores indicating higher perceived stress. The PSS-10 will be administered at the beginning and after four weeks of treatment.
  measure: Generalized Self-Efficacy Scale (GSES)
  time frame: 15 minutes
  description: The Generalized Self-Efficacy Scale (GSES) is a ten-item psychometric scale that is designed to assess optimistic self-beliefs to cope with a variety of difficult demands in life. The scale measures the belief in one's competence to cope with a broad range of stressful or challenging demands. The score ranges from 10 to 40, with a higher score indicating a greater sense of self-efficacy. The GSES will be applied at the beginning and after four weeks of treatment.
  measure: Barthel Index (BI)
  time frame: 15 minutes
  description: The Barthel Index (BI) is an ordinal scale used to measure performance in activities of daily living (ADL). Each performance item is rated on this scale with a given number of points assigned to each level or ranking. It uses ten variables describing ADL and mobility. A higher number is associated with a greater likelihood of being able to live at home with a degree of independence following discharge from the hospital. The BI will be administered at the beginning and after four weeks of treatment.
  measure: Rivermead Mobility Index (RMI)
  time frame: 15 minutes
  description: The Rivermead Mobility Index (RMI) was developed from the Rivermead Motor Assessment Gross Function subscale as a means to quantify mobility disability. It is composed of 14 items representing different mobility tasks, ranging from turning over in bed to running. Each item is scored as 'unable' (0) or 'able' (1), leading to a maximum score of 14, which indicates full mobility. The RMA-GF will be administered at the beginning and after four weeks of treatment.
  measure: Tinetti's Short Scale
  time frame: 15 minutes
  description: Tinetti's Short Scale for fall risk assessment is a shortened version of Performance-Oriented Mobility Assessment (POMA). It is easily administered test that measures a patient's gait and balance. The test is scored on the patient's ability to perform following tasks:Change from sitting to standing, Immobilization in standing position for 5 seconds, Passing 3 meters, Turn of 180 degrees, Keeping a sitting position. Each task is rated in 3-point Likert scale.
  measure: Short Physical Performance Battery (SPPB)
  time frame: 15 minutes
  description: The Short Physical Performance Battery (SPPB) is a group of measures that combines the results of the gait speed, chair stand and balance tests. It provides a composite score ranging from 0 (worst performance) to 12 (best performance), offering a global assessment of physical functioning in older individuals. The SPPB will be administered at the beginning and after four weeks of treatment.
  measure: Perception of Stress Questionnaire (PSQ)
  time frame: 20 minutes
  description: The PSQ was created by Plopa and Makarowski. It is a 27-item scale scoring from 1 to 5 points for each item, where 21 items examine the level of stress in the areas of emotional tension, external stress and intrapsychic stress, and six items refer to the lie scale. The global scoring for the perception of stress ranges from 21 to 105, with a cut-off point of 60 for an elevated level of perceived stress.
  arm group label: Immersive Virtual Reality Therapy
  arm group type: Experimental
  description: Conventional orthopedic rehabilitation supplemented by VR therapy
  arm group label: Conventional rehabilitation
  arm group type: Active Comparator
  description: Conventional orthopedic rehabilitation
  intervention type: Behavioral
  intervention name: Immersive Virtual Reality Therapy
  description: 8 sessions of VR therapy over 4 weeks (each of them 20 minutes long).
  As a virtual reality source, VRTierOne device (Stolgraf®) were used. Thanks to using head mounted display and the phenomenon of total immersion VR therapy provides an intense visual, auditory and kinesthetic stimulation. It can have a calming and mood-improving effect or help the patients recognize their psychological resources and motivate to the rehabilitation process. In the virtual therapeutic garden there are a rich set of symbols and metaphors based on Ericksonian Psychotherapy approach. The most important is the Garden of Revival which symbolizes the patient's health. It used to be full of life and energy, now it is neglected, requires work to be revived. In the therapeutic process day by day, the therapist tells the patient a symbolic story about his/her situation.
  arm group label: Immersive Virtual Reality Therapy
  intervention type: Behavioral
  intervention name: Conventional rehabilitation
  description: Four weeks of conventional rehabilitation including:
  Two hours of kinesiotherapy (120 minutes, including gait training).
  Thirty minutes of ergotherapy.
  Three physical therapy procedures (i.e. laser therapy, magnetic therapy, electrotherapy) tailored to individual ailments and needs.
  arm group label: Conventional rehabilitation
  arm group label: Immersive Virtual Reality Therapy
  criteria: 
  gender: All
  minimum age: 60 Years
  maximum age: N/A
  healthy volunteers: No
  last name: Justyna Mazurek, PhD
  role: Study Chair
  affiliation: Wroclaw Medical University
  last name: Błażej Cieślik, PhD
  role: Study Chair
  affiliation: Jan Dlugosz University in Czestochowa, Poland
  last name: Justyna Mazurek, RhD
  role: Principal Investigator
  affiliation: Wroclaw Medical University
  last name: Joanna Szczepańska-Gieracha, Professor
  role: Study Director
  affiliation: Wrocław University of Health and Sport Sciences
  last name: Robert Gajda, PhD
  role: Study Director
  affiliation: Gajda-Med District Hospital in Pułtusk
  facility: 
  country: Poland
  citation: Cieslik B, Mazurek J, Rutkowski S, Kiper P, Turolla A, Szczepanska-Gieracha J. Virtual reality in psychiatric disorders: A systematic review of reviews. Complement Ther Med. 2020 Aug;52:102480. doi: 10.1016/j.ctim.2020.102480. Epub 2020 Jun 9.
  PMID: 32951730
  citation: Rutkowski S, Kiper P, Cacciante L, Cieslik B, Mazurek J, Turolla A, Szczepanska-Gieracha J. Use of virtual reality-based training in different fields of rehabilitation: A systematic review and meta-analysis. J Rehabil Med. 2020 Nov 19;52(11):jrm00121. doi: 10.2340/16501977-2755.
  PMID: 33073855
  citation: Kiper P, Przysiezna E, Cieslik B, Broniec-Siekaniec K, Kucinska A, Szczygiel J, Turek K, Gajda R, Szczepanska-Gieracha J. Effects of Immersive Virtual Therapy as a Method Supporting Recovery of Depressive Symptoms in Post-Stroke Rehabilitation: Randomized Controlled Trial. Clin Interv Aging. 2022 Nov 23;17:1673-1685. doi: 10.2147/CIA.S375754. eCollection 2022.
  PMID: 36447623
  citation: Szczepanska-Gieracha J, Cieslik B, Rutkowski S, Kiper P, Turolla A. What can virtual reality offer to stroke patients? A narrative review of the literature. NeuroRehabilitation. 2020;47(2):109-120. doi: 10.3233/NRE-203209.
  PMID: 32741792
  citation: Czech O, Siewierska K, Krzywinska A, Skorniak J, Maciejczyk A, Matkowski R, Szczepanska-Gieracha J, Malicka I. Virtual Therapy Complementary Prehabilitation of Women Diagnosed with Breast Cancer-A Pilot Study. Int J Environ Res Public Health. 2022 Dec 30;20(1):722. doi: 10.3390/ijerph20010722.
  PMID: 36613047
  citation: Szczepanska-Gieracha J, Jozwik S, Cieslik B, Mazurek J, Gajda R. Immersive Virtual Reality Therapy as a Support for Cardiac Rehabilitation: A Pilot Randomized-Controlled Trial. Cyberpsychol Behav Soc Netw. 2021 Aug;24(8):543-549. doi: 10.1089/cyber.2020.0297. Epub 2021 Feb 11.
  PMID: 33577375
  citation: Cieslik B, Juszko K, Kiper P, Szczepanska-Gieracha J. Immersive virtual reality as support for the mental health of elderly women: a randomized controlled trial. Virtual Real. 2023 May 7:1-9. doi: 10.1007/s10055-023-00797-w. Online ahead of print.
  PMID: 37360811
  citation: Rutkowski S, Szczegielniak J, Szczepanska-Gieracha J. Evaluation of the Efficacy of Immersive Virtual Reality Therapy as a Method Supporting Pulmonary Rehabilitation: A Randomized Controlled Trial. J Clin Med. 2021 Jan 18;10(2):352. doi: 10.3390/jcm10020352.
  PMID: 33477733
  responsible party type: Sponsor-Investigator
  investigator affiliation: Wroclaw University of Health and Sport Sciences
  investigator full name: Joanna Szczepańska-Gieracha
  investigator title: Professor
  mesh term: Joint Diseases
  sharing ipd: No