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FatigueNCT05813613

Role of Artificial Intelligence in Predicting Muscle Fatigue Using Virtual Reality Training

An observational study of Fatigue, run by Beirut Arab University at 1 site in Lebanon.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this observational predicted study is to predict muscle fatigue using a specific AI algorithm in healthy vs post Covid-19 infected individuals. The main question it aims to answer is: Can Artificial Intelligence be used as a reliable source of predicting localized muscle fatigue in healthy vs post Covid-19… Read more about this study

Who is it for?
Ages 18 to 49 yearsHealthy volunteers can take part
Conditions the study is for
Fatigue
What is being tested?
Squatting with the aid of Kynapsis Virtual Training apparatus.
How many people
90 participants
Where
1 siteLebanon
Study dates
15 Apr 2023to 7 Jun 2023
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 49 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Study population: The study population consisted of two groups. * Non-athletic healthy individuals that did not perform any intense activities for the past 3 days and had not contacted Covid-19 previously. * Non-athletic healthy individuals that did not perform any intense activities for the past 3 days but have a confirmed positive PCR test done within a 1 year interval.

Who may be able to join

  • Non-athletic healthy individuals.
  • Avoided intense activities in the past 3 days.
  • Confirmed positive PCR test done within an interval of 1 year for Covid-19 group subjects.

Who cannot join

  • Being old age geriatrics (more than 50 years old).
  • Having any respiratory, cardiac, renal, neuromuscular, orthopedic, and musculoskeletal disorders.
  • Smokers and some medicinal drug users must be taken into consideration because it affects the performance and increases the fatigue levels.
  • Subjects not meeting any of the inclusion criteria.

Trial locations and contacts

1 site in 1 country.

Lebanon1 site
  • Ahmad ElMelhat

    Beirut

Other trials in Lebanon

About this study

Official title: Role of Artificial Intelligence in Predicting Muscle Fatigue Using Virtual Reality Training In Healthy And Post COVID19 Subjects

The goal of this observational predicted study is to predict muscle fatigue using a specific AI algorithm in healthy vs post Covid-19 infected individuals. The main question it aims to answer is:

Can Artificial Intelligence be used as a reliable source of predicting localized muscle fatigue in healthy vs post Covid-19 infected individuals?

Read more

Participants will be divided into two groups: A healthy group and a post Covid-19 group.

  • Each group will undergo a familiarization process before the start of the exercises.
  • Then, each group will perform squatting exercises guided by the kynpasis virtual reality apparatus.
  • sEMG for the vastus lateralis and rectus femories, chest expansion, and goniometric measurements of the knee will be taken during different reported fatigue levels using the Biopac system.
  • Groups will continue squatting while recording their subjective fatigue levels using the Borg scale.
  • Data will then be run through machine learning processes to produce an AI algorithm capable of predicting isolated muscle fatigue.
Read the detailed description

Participants were divided into two groups, one consisting of healthy individuals and another consisting of Covid-19 subjects. Both groups received a familiarization training for the exercise to be performed with 15 minutes of rest afterwards, before the start of the data collection.

Squatting exercise was performed using a virtual reality (VR) machine (kynapsis) for guidance in both groups. Squats were performed while the hands were kept in front of the bodies and the knees flexed to 90 degrees following a rhythm of two seconds for descent, two second ascent mimicking the movement done on the VR machine.

Additional variables were considered, including chest expansion, and the range of motion using an electric goniometer, all being measured and recorded using the Biopac (BIOPAC Systems, Inc., Santa Barbara, CA) that, according to evidence, possess a high-pass frequency filter and bipolar electrode system.

The muscles tested are the 3 heads of the QF muscle RF, VM, and VL. Their areas were cleaned using alcohol and shaved to reduce resistance of electrodes. Three disposable sEMG surface electrodes were placed, two of them on the muscle belly with 2.5cm distance between them, and one control electrode placed on the agonist side, the participant was asked to extend their knee and flex it against resistance to locate the lateral and medial vasti. sEMG electrodes were placed on the subdivisions of the QF muscle during the exercise. The extracted data is then run through an AI algorithm that will analyze and predict muscle fatigue.

The Borg (C-10) scale was explained to the participants and was present in front of them while performing the exercise as an outcome measure to assess the subjective muscle fatigue that once reached will end the exercise.

Conditions
Fatigue
Being tested
Squatting with the aid of Kynapsis Virtual Training apparatus.
Keywords
Electromyography, Fatigue, Squats, Borg scale, Musculoskeletal disorders
Medical subject headings
Fatigue, Musculoskeletal Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Squatting with the aid of Kynapsis Virtual Training apparatus.Other

    Squatting exercise was performed using a virtual reality (VR) machine (kynapsis) for guidance in both groups. Squats were performed while the hands were kept in front of the bodies and the knees flexed to 90 degrees following a rhythm of two seconds for descent, two second ascent mimicking the movement done on the VR machine.

Study groups in NCT05813613
Study groupRoleWhat they receive
Healthy Group* Will perform squatting exercise while reporting subjective muscle fatigue levels periodically, until maximal subjective fatigue is reached * Will have sEMG for vastus lateralis and rectus femoris, chest expansion, goniometry for the knee recording using the Biopac.
Receives: Other: Squatting with the aid of Kynapsis Virtual Training apparatus.
Post Covid-19 Group* Will perform squatting exercise while reporting subjective muscle fatigue levels periodically, until maximal subjective fatigue is reached * Will have sEMG for vastus lateralis and rectus femoris, chest expansion, goniometry for the knee recording using the Biopac.
Receives: Other: Squatting with the aid of Kynapsis Virtual Training apparatus.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Surface electromyography

    non-invasive technique where electrodes were placed on the vastus lateralis and rectus femoris heads of the quadriceps femoris muscle, assessing it's myoelectric output. Their areas were cleaned using alcohol and shaved to reduce resistance of electrodes. Three disposable sEMG surface electrodes were placed, two of them on the muscle belly with 2.5cm distance between them, and one control electrode placed on the agonist side, the participant was asked to extend their knee and flex it against resistance to locate the lateral and medial vasti. sEMG electrodes were placed on the subdivisions of the QF muscle during the exercise. The extracted data is then run through an AI algorithm that will analyze and predict muscle fatigue.

    Measured: During the squatting exercise.

  2. The Borg Rating of Perceived Exertion (RPE) scale

    A tool for measuring an individual's effort and exertion, breathlessness and fatigue during physical work and so is highly relevant for occupational health and safety practice. It ranges from 6 as a minimum to 20 as a maximum with 6 signifying no exertion and 20 signifying extreme maximal exertion

    Measured: During the squatting exercise.

Secondary outcomes (2)
  1. Chest Expansion.

    Using a respiration transducer wrapped around the subject's chest using a velcro strap that transmits expansion data to the main receiver module of the Biopac, that will be recorded on the computer.

    Measured: During the squatting exercise.

  2. Range of motion.

    Using an electric goniometer wired on the subject's knee that will transmit signals of range of motion to the receiver module of the Biopac that will be recorded on the computer.

    Measured: During the squatting exercise.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Apr 2023
  2. Study start15 Apr 2023
  3. Primary completion1 Jun 2023
  4. Study completion7 Jun 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Cross-sectional
Enrolment
90 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05813613
Sponsor's protocol ID
AI in Prediciting Fatigue
Status last verified
Jun 2023
First submitted
3 Apr 2023
Last updated
9 Jun 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Wan JJ, Qin Z, Wang PY, Sun Y, Liu X. Muscle fatigue: general understanding and treatment. Exp Mol Med. 2017 Oct 6;49(10):e384. doi: 10.1038/emm.2017.194.

    PubMed 28983090
  • A narrative review of immersive virtual reality's ergonomics and risks at the workplace: cybersickness, visual fatigue, muscular fatigue, acute stress, and mental overload Souchet, A.D., Lourdeaux, D., Pagani, A. et al. A narrative review of immersive virtual reality's ergonomics and risks at the workplace: cybersickness, visual fatigue, muscular fatigue, acute stress, and mental overload. Virtual Reality (2022). https://doi.org/10.1007/s10055-022-00672-0

  • Donatelli, R.A. (2007) Sports-specific rehabilitation. St. Louis, MO: Churchill Livingstone.

  • Hall, J. E., & Hall, M. E. (2020). Guyton and Hall textbook of medical physiology e-Book. Elsevier Health Sciences.

  • Paneroni M, Simonelli C, Saleri M, Bertacchini L, Venturelli M, Troosters T, Ambrosino N, Vitacca M. Muscle Strength and Physical Performance in Patients Without Previous Disabilities Recovering From COVID-19 Pneumonia. Am J Phys Med Rehabil. 2021 Feb 1;100(2):105-109. doi: 10.1097/PHM.0000000000001641.

    PubMed 33181531
  • Schoenfeld BJ. Squatting kinematics and kinetics and their application to exercise performance. J Strength Cond Res. 2010 Dec;24(12):3497-506. doi: 10.1519/JSC.0b013e3181bac2d7.

    PubMed 20182386
  • Kubo K, Ikebukuro T, Yata H. Effects of squat training with different depths on lower limb muscle volumes. Eur J Appl Physiol. 2019 Sep;119(9):1933-1942. doi: 10.1007/s00421-019-04181-y. Epub 2019 Jun 22.

    PubMed 31230110
  • Davenport T, Kalakota R. The potential for artificial intelligence in healthcare. Future Healthc J. 2019 Jun;6(2):94-98. doi: 10.7861/futurehosp.6-2-94.

    PubMed 31363513
  • Tack C. Artificial intelligence and machine learning | applications in musculoskeletal physiotherapy. Musculoskelet Sci Pract. 2019 Feb;39:164-169. doi: 10.1016/j.msksp.2018.11.012. Epub 2018 Nov 23.

    PubMed 30502096
  • Luna A, Casertano L, Timmerberg J, O'Neil M, Machowsky J, Leu CS, Lin J, Fang Z, Douglas W, Agrawal S. Artificial intelligence application versus physical therapist for squat evaluation: a randomized controlled trial. Sci Rep. 2021 Sep 13;11(1):18109. doi: 10.1038/s41598-021-97343-y.

    PubMed 34518568
  • Alsobhi M, Khan F, Chevidikunnan MF, Basuodan R, Shawli L, Neamatallah Z. Physical Therapists' Knowledge and Attitudes Regarding Artificial Intelligence Applications in Health Care and Rehabilitation: Cross-sectional Study. J Med Internet Res. 2022 Oct 20;24(10):e39565. doi: 10.2196/39565.

    PubMed 36264614
  • Qian J, McDonough DJ, Gao Z. The Effectiveness of Virtual Reality Exercise on Individual's Physiological, Psychological and Rehabilitative Outcomes: A Systematic Review. Int J Environ Res Public Health. 2020 Jun 10;17(11):4133. doi: 10.3390/ijerph17114133.

    PubMed 32531906
  • Sun J, Liu G, Sun Y, Lin K, Zhou Z, Cai J. Application of Surface Electromyography in Exercise Fatigue: A Review. Front Syst Neurosci. 2022 Aug 11;16:893275. doi: 10.3389/fnsys.2022.893275. eCollection 2022.

    PubMed 36032326
  • Al-Mulla MR, Sepulveda F, Colley M. An autonomous wearable system for predicting and detecting localised muscle fatigue. Sensors (Basel). 2011;11(2):1542-57. doi: 10.3390/s110201542. Epub 2011 Jan 27.

    PubMed 22319367
  • Calder KM, Stashuk DW, McLean L. Physiological characteristics of motor units in the brachioradialis muscle across fatiguing low-level isometric contractions. J Electromyogr Kinesiol. 2008 Feb;18(1):2-15. doi: 10.1016/j.jelekin.2006.08.012. Epub 2006 Nov 20.

    PubMed 17113787

Questions about this trial

What is this clinical trial studying?

An observational study of Fatigue, run by Beirut Arab University at 1 site in Lebanon.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 9 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Lebanon. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Surface electromyography (time frame: During the squatting exercise.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05813613, which also lists 24 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Jun 2023.

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