| Titre : | Acute Hemodynamic Effects of Virtual Reality–Based Therapy in Patients of Cardiovascular Rehabilitation: A Cluster Randomized Crossover Trial (2020) |
| Auteurs : | Mayara Moura Alves da Cruz ; Ana Laura Ricci-Vitor ; Giovanna Lombardi Bonini Borges |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 4, 2020) |
| Article en page(s) : | p. 642-649 |
| Note générale : |
https://doi.org/10.1016/j.apmr.2019.12.006
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| Langues: | Anglais |
| Descripteurs : |
HE Vinci Exercice physique ; Maladies cardiovasculaires ; Pression sanguine ; Réadaptation ; Réadaptation cardiaque ; Réalité de synthèse ; Rythme cardiaque ; Thérapie par réalité virtuelle |
| Résumé : |
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 minutes recovery observed at moments rest 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. |
| Disponible en ligne : | Non |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320300010 |
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