Acute Hemodynamic Effects of Virtual Reality–Based Therapy in Patients of Cardiovascular Rehabilitation: A Cluster Randomized Crossover Trial

Cruz, Mayara Moura Alves da; Ricci‐Vitor, Ana Laura; Borges, Giovanna Lombardi Bonini; Silva, Paula Fernanda da; Ribeiro, Fernanda Leite; Vanderlei, Luiz Carlos Marques

doi:10.1016/j.apmr.2019.12.006

Cited by 23 publications

(10 citation statements)

References 28 publications

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“…The last sessions included non-competitive recreational games in order to promote functional training and emulate real-life activities. This workout was also intertwined with virtual reality games that have demonstrated positive hemodynamic effects in patients with coronary disease [38] and children with cystic fibrosis [39].…”

Section: Discussionmentioning

confidence: 99%

Effects of Cardiopulmonary Rehabilitation on the Muscle Function of Children with Congenital Heart Disease: A Prospective Cohort Study

Ferrer-Sargues

Peiró-Molina

Iranzo

et al. 2021

IJERPH

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Critical medical and surgical advances have led to a shift in the care and management of children with congenital heart disease (CHD). These patients present with muscle deconditioning, which negatively influences their response to exercise, functional capacities, and quality of life. This study evaluates the influence of a cardiopulmonary rehabilitation program (CPRP) on the function of peripheral musculature of children with CHD. A single-center prospective cohort study was designed. Fifteen CHD subjects, between 12 and 16 years of age, with reduced aerobic capacity on a cardiopulmonary exercise test, were included in a three-month, 24-session CPRP. Measurements of the subjects’ handgrip strength, biceps brachii and quadriceps femoris strength, and triceps surae fatigue process were collected at the beginning of the program, after completion, and six months after the end of the intervention. A substantial and statistically significant improvement was observed in the subjects’ handgrip strength (kg) (p < 0.001), biceps brachii and quadriceps femoris strength (N) (p < 0.001), as well as triceps surae fatigue process (repetitions) (p = 0.018), with a maintenance of the results six months after the intervention. These results suggest that a CPRP could potentially improve the peripheral muscle function of children with CHD. Additional research is needed to confirm and expand on this hypothesis.

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Section: Discussionmentioning

confidence: 99%

Effects of Cardiopulmonary Rehabilitation on the Muscle Function of Children with Congenital Heart Disease: A Prospective Cohort Study

Ferrer-Sargues

Peiró-Molina

Iranzo

et al. 2021

IJERPH

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“…According to previous studies [39][40][41], the hemodynamic and physiological effects of VR are comparable to CR, but exercise intensity should be mild to moderate to achieve results, with the risks described in adults and older adults with CVD being minimal [11]. Some authors [42] indicate that the metabolic rates that can be consumed by performing VR in healthy population through the Wii ® and the Wii Sports software is variable (between 1.3 and 5.6 METS).…”

Section: Discussionmentioning

confidence: 99%

Effects of Virtual Reality on Cardiac Rehabilitation Programs for Ischemic Heart Disease: A Randomized Pilot Clinical Trial

García‐Bravo

Cano‐de‐la‐Cuerda

Domínguez-Paniagua

et al. 2020

IJERPH

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(1) Background: The aim of the present study was to determine the effects of a virtual reality (VR) program, as a complementary tool to a conventional cardiac rehabilitation (CR) program in phase II of patients with ischemic heart disease compared to a conventional treatment group. (2) Methods: A single blinded randomized clinical trial was conducted. The patients were randomized to a control group (CG) or an experimental group (EG). The EG carried out a training based on VR of aerobic exercise using the XBOX ONE console and Kinect sensor. Ergometry, metabolic equivalents (METS), Functional Independence Measure, 6-min walk test (6MWT), the Short Form Health Survey-36 Questionnaire (SF-36), the Beck Depression Inventory-II, and the degree of satisfaction and adherence to treatment were used as outcome measures. (3) Results: Our results showed no statistically significant differences between the two groups. Statistical analysis within group for the EG showed statistically significant changes in the variables HR final ergometry, ergometry minutes, % ergometry, METS, final HR 6MWT, 6MWT distance, 6MWT number of laps, and for the SF-36 and Beck Depression Inventory-II. (4) Conclusion: A VR-based video game program, as an adjunct tool to a CR program, showed improvements in ergometry, METS, resistance to fatigue and health-related quality of life with excellent adherence and satisfaction perceived by patients with ischemic heart disease in phase II.

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“…In addition, there were two to three participants who were unable to perform each exercise accurately, due to shoulder movement limitations, which may also have resulted in lower loading intensities. In other studies that collected HR measurements during the exergame with older participants, similar [35] or even lower [13] [37] For the development of the VR exergame, it can be stated that further adjustments (e.g., more exercises, more repetitions, more sets, less explanation time) must be implemented in the system. These adjustments should help increase the proportion of people who train within the individual load intensity.…”

Section: Discussionmentioning

confidence: 99%

Virtual Reality Exergame in older Patients with Hypertension: A Preliminary Study to determine Load Intensity and Blood Pressure

Vorwerg

Stamm

Haink

2022

Preprint

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BackgroundLifestyle changes and physical activity can make an important contribution to reducing the risk factor of high blood pressure (BP). Whether virtual reality (VR) exergames are also appropriate and make a positive contribution to the reduction of BP has not yet been sufficiently investigated. Therefore, the aim of the study was to gain knowledge of the load intensities to be achieved during a VR exergame and to examine the short-term effects on BP.MethodsFor the preliminary study, 22 participants with hypertension over the age of 65 years were analyzed. The study took place in a mobile laboratory truck. All participants visited on two occasions. During visit 1, a VR strength endurance training (VR-SET) was conducted and on visit 2 a VR endurance training (VR-ET) was performed. Each VR training session lasted around 25 min and was of a moderate intensity. Heart rate (HR) was measured across the entire training session, as well as BP before and after VR training. The RPE and task load were determined after VR training. Included in the statistical analysis were the Shapiro-Wilk test, the paired t-test, the Wilcoxon test and the ANOVA for repeated measures.ResultsDuring the “main part” (p<.001), at the “end” (p=.002) and for the “maximum HR” (p<.001), significant load differences between both training sessions could be determined. In addition, significantly more participants in the VR-SET achieved the moderate load intensity of at least 40% of HRR (p=.014). Regarding RPE, participants rated their subjectively perceived exertion significantly higher in the VR-SET than in the VR-ET (p=.028). Systolic BP decreased significantly in both training sessions when compared before training and 5 min after training (p=.015; p=.003), as well as before training and 10 min after training (p=.018; p<.001).ConclusionsThe individual moderate load intensity of 40% can be reached during the VR-SET. Nevertheless, a positive short-term effect of VR training on BP behavior (post-exercise hypotension) was observed after both VR training sessions. The first results indicate that a VR exergame can lead to health-promoting effects in hypertension.Trial registrationThe study was registered in the German Clinical Trials Register (DRKS-ID: DRKS00022881).

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Acute Hemodynamic Effects of Virtual Reality–Based Therapy in Patients of Cardiovascular Rehabilitation: A Cluster Randomized Crossover Trial

Cited by 23 publications

References 28 publications

Effects of Cardiopulmonary Rehabilitation on the Muscle Function of Children with Congenital Heart Disease: A Prospective Cohort Study

Effects of Cardiopulmonary Rehabilitation on the Muscle Function of Children with Congenital Heart Disease: A Prospective Cohort Study

Effects of Virtual Reality on Cardiac Rehabilitation Programs for Ischemic Heart Disease: A Randomized Pilot Clinical Trial

Virtual Reality Exergame in older Patients with Hypertension: A Preliminary Study to determine Load Intensity and Blood Pressure

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