The use of the virtual reality as intervention tool in the postoperative of cardiac surgery

Abstract

Veja reportagem sobre o tema desenvolvido neste artigo acessando o link: http://globotv.globo.com/tv-sergipe/se-tv-2a-edicao/v/games-sao-terapiapara-pacientes-cardiacos-em-aracaju/2194856/ EXPERIMENTAL STUDY Abstract Introduction: Cardiac surgery has been the intervention of choice in many cases of cardiovascular diseases. Susceptibility to postoperative complications, cardiac rehabilitation is indicated. Therapeutic resources, such as virtual reality has been helping the rehabilitational process. The aim of the study was to evaluate the use of virtual reality in the functional rehabilitation of patients in the postoperative period.Methods: Patients were randomized into two groups, Virtual Reality (VRG, n = 30) and Control (CG, n = 30). The response to treatment was assessed through the functional independence measure (FIM), by the 6-minute walk test (6MWT) and the Nottingham Health Profile (NHP). Evaluations were performed preoperatively and postoperatively.Results: On the first day after surgery, patients in both groups showed decreased functional performance. However, the VRG showed lower reduction (45.7±2.3) when compared to CG (35.06±2.09, P<0.05) in first postoperative day, and no significant difference in performance on discharge day (P>0.05). In evaluating the NHP field, we observed a significant decrease in pain score at third assessment (P<0.05). These patients also had a higher energy level in the first evaluation (P<0.05). There were no differences with statistical significance for emotional reactions, physical ability, and social interaction. The length of stay was significantly shorter in patients of VRG (9.4±0.5 days vs. 12.2 ± 0.9 days, P<0.05), which also had a higher 6MWD 282Rev Bras Cir Cardiovasc | Braz J Cardiovasc Surg Bras Cir Cardiovasc 2013;28(2):281-9 Rev

Robot-Assisted Training Early After Cardiac Surgery

“…Positive effects were described in athletes and neurologically impaired patients . One previous trial focusing on virtual reality for rehabilitation after cardiac surgery showed significantly decreased symptoms like pain and an increase in postoperative energy levels . The positive effects of the augmented visual feedback on motivation for repetition and the performance feedback are essential cornerstones for each training and therefore should be implemented in the rehabilitation process actively.…”

“…16 One previous trial focusing on virtual reality for rehabilitation after cardiac surgery showed significantly decreased symptoms like pain and an increase in postoperative energy levels. 17 The positive effects of the augmented visual feedback on motivation for repetition and the performance feedback 15 are essential cornerstones for each training and therefore should be implemented in the rehabilitation process actively. The 210,000 USD cost for a Lokomat 1 system is an important issue; however, in patients with neuromuscular deficits, this cost may be offset by a shortened length of stay and a faster return to a normal, self-sufficient life style.…”

“…Patients were trained three times a week under supervision of a cardiologist, monitoring heart rate and blood pressure. To assess subjective physical activity intensity the Borg Rating of Perceived Exertion (RPE) scale (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) was used, with a target exertion of 11-12, indicating a sufficient aerobic training. Training sessions with the Lokomat 1 System initially lasted 10-20 minutes during the first session.…”

Effects of Conventional and Virtual Reality Cardiovascular Rehabilitation in Body Composition and Functional Capacity of Patients with Heart Diseases: Randomized Clinical Trial

“…2,3 Therefore, cardiovascular rehabilitation programs, by use of physical activity, are essential to improve cardiovascular function and aerobic capacity, in addition to providing psychological benefits, risk factor control, improvement in CVD symptoms and mortality reduction. [4][5][6] The advance of cardiovascular rehabilitation has witnessed the incorporation of technology to its methods, with virtual reality (VR) being included into physical therapy protocols 7,8 to boost physical activity practice 9 and encourage the rehabilitation process. 10 Virtual reality uses devices that promote man-machine integration, Virtual rehabilitation for individuals with heart disease Int J Cardiovasc Sci.…”

Exercises With and Without Virtual Reality on Pain in Patients With Parkinson Disease: A Randomized, Controlled, Single-Blind Trial

“…Distinct groups of patients have been benefited by VR for reduction of the pain 5,6 . With specific regard to patients with neurological diseases, there is great scarcity of studies that endeavor to understand the interference of VR in the algic symptom, and up to now, the effect of the use of VR associated with exercises on pain control in elders with PD is unknown.…”