TY - JOUR
T1 - Acute Hemodynamic Effects of Virtual Reality–Based Therapy in Patients of Cardiovascular Rehabilitation
T2 - A Cluster Randomized Crossover Trial
AU - Alves da Cruz, Mayara Moura
AU - Ricci-Vitor, Ana Laura
AU - Bonini Borges, Giovanna Lombardi
AU - Fernanda da Silva, Paula
AU - Ribeiro, Felipe
AU - Marques Vanderlei, Luiz Carlos
N1 - Publisher Copyright:
© 2020 American Congress of Rehabilitation Medicine
PY - 2020/4
Y1 - 2020/4
N2 - Objective: To analyze the acute hemodynamic effects of adding virtual reality–based therapy (VRBT) using exergames for patients undergoing cardiac rehabilitation (CR). Design: Crossover trial. Setting: Outpatient rehabilitation center. Participants: Patients (N=27) with a diagnosis of cardiovascular disease or cardiovascular risk factors. Mean age (years) ± SD was 63.4±12.7 and mean body mass index (kg/m2) ± SD was 29.0±4.0. Interventions: Patients performed 1 VRBT session and 1 CR session on 2 nonconsecutive days. Each session comprised an initial rest, warm-up, conditioning, and recovery. During warm-up, in the VRBT session, games were performed with sensors to reproduce the movements of avatars and, in the CR session, patients were required to reproduce the movements of the physiotherapists. In the conditioning phase for VRBT, games were also played with motion sensors, dumbbells, and shin guards. The CR session consisted of exercises performed on a treadmill. The intensity of training was prescribed by heart rate reserve (HRR; 40%-70%). Main Outcome Measures: The primary outcomes were heart rate, blood pressure, respiratory rate (RR), rating of perceived exertion (RPE), and peripheral oxygen saturation, evaluated before, during, and after the VRBT or CR session on 2 nonconsecutive days. The secondary outcome was to evaluate whether the patients achieved the prescribed HRR and the percentage of time they maintained this level during the VRBT session. Results: VRBT produces a physiological similar pattern of acute hemodynamic effects in CR. However, there was greater magnitude of heart rate, RR, and RPE (P<.01) during the execution of VRBT and until 5 minutes of recovery, observed at the moments of rest, and 1, 3, and 5 minutes of recovery. Conclusions: Although the VRBT session produces similar physiological acute hemodynamic effects in CR, greater magnitudes of heart rate, RR, and RPE were observed during its execution and up to 5 minutes after the session.
AB - Objective: To analyze the acute hemodynamic effects of adding virtual reality–based therapy (VRBT) using exergames for patients undergoing cardiac rehabilitation (CR). Design: Crossover trial. Setting: Outpatient rehabilitation center. Participants: Patients (N=27) with a diagnosis of cardiovascular disease or cardiovascular risk factors. Mean age (years) ± SD was 63.4±12.7 and mean body mass index (kg/m2) ± SD was 29.0±4.0. Interventions: Patients performed 1 VRBT session and 1 CR session on 2 nonconsecutive days. Each session comprised an initial rest, warm-up, conditioning, and recovery. During warm-up, in the VRBT session, games were performed with sensors to reproduce the movements of avatars and, in the CR session, patients were required to reproduce the movements of the physiotherapists. In the conditioning phase for VRBT, games were also played with motion sensors, dumbbells, and shin guards. The CR session consisted of exercises performed on a treadmill. The intensity of training was prescribed by heart rate reserve (HRR; 40%-70%). Main Outcome Measures: The primary outcomes were heart rate, blood pressure, respiratory rate (RR), rating of perceived exertion (RPE), and peripheral oxygen saturation, evaluated before, during, and after the VRBT or CR session on 2 nonconsecutive days. The secondary outcome was to evaluate whether the patients achieved the prescribed HRR and the percentage of time they maintained this level during the VRBT session. Results: VRBT produces a physiological similar pattern of acute hemodynamic effects in CR. However, there was greater magnitude of heart rate, RR, and RPE (P<.01) during the execution of VRBT and until 5 minutes of recovery, observed at the moments of rest, and 1, 3, and 5 minutes of recovery. Conclusions: Although the VRBT session produces similar physiological acute hemodynamic effects in CR, greater magnitudes of heart rate, RR, and RPE were observed during its execution and up to 5 minutes after the session.
KW - Blood pressure
KW - Cardiac rehabilitation
KW - Cardiovascular diseases
KW - Exercise
KW - Exposure therapy
KW - Heart rate
KW - Rehabilitation
KW - Virtual reality.
UR - http://www.scopus.com/inward/record.url?scp=85078779234&partnerID=8YFLogxK
U2 - 10.1016/j.apmr.2019.12.006
DO - 10.1016/j.apmr.2019.12.006
M3 - Article
C2 - 31926142
AN - SCOPUS:85078779234
SN - 0003-9993
VL - 101
SP - 642
EP - 649
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 4
ER -
