[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100624238":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":29,"centralContacts":34,"locations":40,"responsibleParty":53,"collaborators":55,"id":60,"slug":61,"hasResults":62,"nctId":63,"briefTitle":64,"officialTitle":65,"acronym":24,"eligibilityCriteria":66,"healthyVolunteers":62,"sex":67,"minAge":68,"maxAge":69,"enrollmentInfo":70,"targetDuration":24,"studyType":73,"phases":74,"briefSummary":76,"conditions":77,"keywords":79,"overallStatus":83,"whyStopped":24,"lastUpdateSubmitDate":84,"lastUpdatePostDateStruct":85,"startDateStruct":88,"completionDateStruct":90,"leadSponsor":92,"locationsCount":93},{"fullName":5,"class":6},"Yeditepe University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Conventional Physiotherapy Group","ACTIVE_COMPARATOR","Participants assigned to this arm will receive a structured conventional physiotherapy program focusing on wrist and forearm stabilization. The intervention will include strengthening exercises targeting scapholunate-friendly muscles, neuromuscular control exercises, and proprioceptive training aimed at improving wrist stability and functional movement patterns. The program will be delivered under supervision twice per week for 8 weeks.",[13],"Other: Conventional Physiotherapy Group",{"label":15,"type":16,"description":17,"interventionNames":18},"Virtual Reality-Supported Neuromuscular Rehabilitation Group","EXPERIMENTAL","Participants assigned to this arm will receive the same conventional physiotherapy program as the control group. In addition, they will participate in virtual reality-supported neuromuscular rehabilitation using sensor-based interactive therapeutic games designed for upper extremity rehabilitation. The virtual reality component will consist of four different game-based tasks targeting wrist and forearm motor control, proprioceptive feedback, and functional task performance. These games will be selected to promote controlled movement, coordination, and task-oriented motor training. The intervention will be administered twice per week for 8 weeks under physiotherapist supervision.",[13,19],"Other: Virtual Reality-Supported Neuromuscular Rehabilitation",[21,25],{"type":6,"name":9,"description":22,"armGroupLabels":23,"otherNames":24},"Participants assigned to the conventional physiotherapy group will receive a structured neuromuscular rehabilitation program focusing on wrist and forearm stabilization. The intervention will include supervised strengthening exercises targeting scapholunate-friendly muscles, neuromuscular control exercises, and proprioceptive training aimed at improving wrist stability and functional movement patterns. Progressive resistance and task-oriented exercises will be used according to individual tolerance. The rehabilitation program will be administered twice per week for 8 weeks by a licensed physiotherapist.",[9,15],null,{"type":6,"name":26,"description":27,"armGroupLabels":28,"otherNames":24},"Virtual Reality-Supported Neuromuscular Rehabilitation","Participants in the virtual reality-supported rehabilitation group will receive the same conventional physiotherapy program as the control group. In addition, this group will participate in virtual reality-based therapeutic exercises delivered through sensor-based interactive games designed for upper extremity rehabilitation. These exercises will aim to enhance wrist and forearm motor control, proprioceptive feedback, and functional task performance by promoting controlled and task-oriented movement patterns. Virtual reality sessions will be supervised by a physiotherapist and integrated into the rehabilitation program with the same frequency and duration as the conventional intervention, administered twice per week over an 8-week period.",[15],[30],{"name":31,"affiliation":32,"role":33},"Zeynep HOSBAY, Professor","Biruni University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation","PRINCIPAL_INVESTIGATOR",[35],{"name":36,"role":37,"phone":38,"phoneExt":24,"email":39},"EDA URHUN KELES, PhD Candidate","CONTACT","+90 506 693 82 78","edaurhun96@gmail.com",[41],{"facility":42,"status":24,"city":43,"state":24,"zip":24,"country":44,"countryCode":24,"cosmosGeoPoint":45,"geoPoint":50,"contacts":51},"Biruni University","Istanbul","Turkey (Türkiye)",{"type":46,"coordinates":47},"Point",[48,49],28.94966,41.01384,{"lat":49,"lon":48},[52],{"name":36,"role":37,"phone":38,"phoneExt":24,"email":39},{"type":54,"investigatorFullName":24,"investigatorTitle":24,"investigatorAffiliation":24,"oldNameTitle":24,"oldOrganization":24},"SPONSOR",[56,57],{"name":42,"class":6},{"name":58,"class":59},"Scientific and Technological Research Council of Turkey (TÜBİTAK)","UNKNOWN","100624238","conventional-and-virtual-reality-based-neuromuscular-rehabilitation-in-scapholunate-instability-100624238",false,"NCT07407036","Conventional and Virtual Reality-Based Neuromuscular Rehabilitation in Scapholunate Instability","Electromyographic and Functional Analysis of Neuromuscular Rehabilitation Methods in Individuals With Scapholunate Instability: A Comparison of Conventional and Virtual Reality-Supported Interventions","Inclusion Criteria:\n\n* Aged between 18 and 65 years\n* Diagnosed with scapholunate instability (pre-dynamic or dynamic instability) by a physician and referred for conservative treatment\n* A score of ≤6 on the Beighton Hypermobility Scale\n* Presence of clinical instability symptoms, including pain, a sense of instability, and functional limitation\n* Willingness to participate in the study and high motivation to comply with the intervention protocol\n\nExclusion Criteria:\n\n* History of previous surgery involving the hand or wrist\n* Presence of any neurological or cardiovascular disorder\n* Presence of additional orthopedic pathology affecting the shoulder, elbow, or wrist other than scapholunate instability\n* History of surgery involving the ipsilateral upper extremity within the past 6 months\n* Presence of visual or hearing impairments that may interfere with participation in the rehabilitation program\n* Participation in sensory- or function-oriented rehabilitation of either hand within the past 6 months\n* A score below 26 on the Montreal Cognitive Assessment (MoCA)\n* Inability to read or write","ALL","18 Years","65 Years",{"count":71,"type":72},36,"ESTIMATED","INTERVENTIONAL",[75],"NA","Scapholunate instability is a common form of carpal instability that can cause wrist pain, weakness, and functional limitations during daily activities. Conservative rehabilitation approaches are frequently recommended in the early stages; however, there is no standardized rehabilitation protocol, and the effects of different neuromuscular rehabilitation methods have not been sufficiently investigated.\n\nThe primary aim of this study is to comparatively examine the effects of conventional physiotherapy approaches and virtual reality-supported neuromuscular rehabilitation on forearm muscle activation patterns assessed using surface electromyography, wrist proprioceptive function (joint position sense), pain intensity, and functional improvement in individuals with scapholunate instability, and to identify clinically applicable rehabilitation protocol approaches for this population.\n\nIn this single-blind randomized controlled trial, participants with pre-dynamic or dynamic scapholunate instability will be randomly assigned to either a conventional rehabilitation group or a virtual reality-supported rehabilitation group. Both groups will receive an 8-week rehabilitation program administered twice per week. Primary outcome measures will include electromyographically assessed forearm muscle activation and wrist proprioception. Secondary outcome measures will include pain intensity, grip strength, wrist muscle strength, and upper extremity functional outcomes assessed using validated clinical instruments. All outcome assessments will be performed before and after the intervention period by an assessor blinded to group allocation.",[78],"Scapholunate Instability",[78,80,81,82],"Wrist Proprioception","Surface Electromyography","Neuromuscular Rehabilitation","NOT_YET_RECRUITING","2026-02-05",{"date":86,"type":87},"2026-02-12","ACTUAL",{"date":89,"type":72},"2026-03",{"date":91,"type":72},"2027-02",{"name":5,"class":6},1]