Ágata Vieira1,2, Cristina Melo2, Jorge Machado3, Joaquim Gabriel4. 1. a Abel Salazar Biomedical Sciences Institute - University of Porto , Porto , Portugal. 2. b Physical Therapy Department , Health School - Polytechnic Institute of Porto , Porto , Portugal. 3. c Laboratory of Applied Physiology , Abel Salazar Biomedical Sciences Institute - University of Porto , Porto , Portugal. 4. d Mechanical Engineering Department - Automation , Instrumentation and Control, Faculty of Engineering - University of Porto , Porto , Portugal.
Abstract
PURPOSE: To analyse the effect of a six-month home-based phase III cardiac rehabilitation (CR) specific exercise program, performed in a virtual reality (Kinect) or conventional (booklet) environment, on executive function, quality of life and depression, anxiety and stress of subjects with coronary artery disease. METHODS: A randomized controlled trial was conducted with subjects, who had completed phase II, randomly assigned to intervention group 1 (IG1), whose program encompassed the use of Kinect (n = 11); or intervention group 2 (IG2), a paper booklet (n = 11); or a control group (CG), only subjected to the usual care (n = 11). The three groups received education on cardiovascular risk factors. The assessed parameters, at baseline (M0), 3 (M1) and 6 months (M2), were executive function, control and integration in the implementation of an adequate behaviour in relation to a certain objective, specifically the ability to switch information (Trail Making Test), working memory (Verbal Digit Span test), and selective attention and conflict resolution ability (Stroop test), quality of life (MacNew questionnaire) and depression, anxiety and stress (Depression, Anxiety and Stress Scale 21). Descriptive and inferential statistical measures were used, significance level was set at .05. RESULTS: The IG1 revealed significant improvements, in the selective attention and conflict resolution ability, in comparison with the CG in the variable difference M0 - M2 (p = .021) and in comparison with the IG2 in the variable difference M1 - M2 and M0 - M2 (p = .001 and p = .002, respectively). No significant differences were found in the quality of life, and depression, anxiety and stress. CONCLUSIONS: The virtual reality format had improved selective attention and conflict resolution ability, revealing the potential of CR, specifically with virtual reality exercise, on executive function. Implications for Rehabilitation In cardiac rehabilitation, especially in phase III, it is important to develop and to present alternative strategies, as virtual reality using the Kinect in a home context. Taking into account the relationship between the improvement of the executive function with physical exercise, it is relevant to access the impact of a cardiac rehabilitation program on the executive function. Enhancing the value of the phase III of cardiac rehabilitation.
RCT Entities:
PURPOSE: To analyse the effect of a six-month home-based phase III cardiac rehabilitation (CR) specific exercise program, performed in a virtual reality (Kinect) or conventional (booklet) environment, on executive function, quality of life and depression, anxiety and stress of subjects with coronary artery disease. METHODS: A randomized controlled trial was conducted with subjects, who had completed phase II, randomly assigned to intervention group 1 (IG1), whose program encompassed the use of Kinect (n = 11); or intervention group 2 (IG2), a paper booklet (n = 11); or a control group (CG), only subjected to the usual care (n = 11). The three groups received education on cardiovascular risk factors. The assessed parameters, at baseline (M0), 3 (M1) and 6 months (M2), were executive function, control and integration in the implementation of an adequate behaviour in relation to a certain objective, specifically the ability to switch information (Trail Making Test), working memory (Verbal Digit Span test), and selective attention and conflict resolution ability (Stroop test), quality of life (MacNew questionnaire) and depression, anxiety and stress (Depression, Anxiety and Stress Scale 21). Descriptive and inferential statistical measures were used, significance level was set at .05. RESULTS: The IG1 revealed significant improvements, in the selective attention and conflict resolution ability, in comparison with the CG in the variable difference M0 - M2 (p = .021) and in comparison with the IG2 in the variable difference M1 - M2 and M0 - M2 (p = .001 and p = .002, respectively). No significant differences were found in the quality of life, and depression, anxiety and stress. CONCLUSIONS: The virtual reality format had improved selective attention and conflict resolution ability, revealing the potential of CR, specifically with virtual reality exercise, on executive function. Implications for Rehabilitation In cardiac rehabilitation, especially in phase III, it is important to develop and to present alternative strategies, as virtual reality using the Kinect in a home context. Taking into account the relationship between the improvement of the executive function with physical exercise, it is relevant to access the impact of a cardiac rehabilitation program on the executive function. Enhancing the value of the phase III of cardiac rehabilitation.
Entities:
Keywords:
Virtual reality exercise; anxiety and stress; cardiac rehabilitation; depression; executive function; quality of life
Authors: Grace Dibben; James Faulkner; Neil Oldridge; Karen Rees; David R Thompson; Ann-Dorthe Zwisler; Rod S Taylor Journal: Cochrane Database Syst Rev Date: 2021-11-06
Authors: Gunhild Brørs; Trond Røed Pettersen; Tina B Hansen; Bengt Fridlund; Linn Benjaminsen Hølvold; Hans Lund; Tone M Norekvål Journal: BMC Health Serv Res Date: 2019-06-10 Impact factor: 2.655
Authors: Sara García-Bravo; Roberto Cano-de-la-Cuerda; Joaquín Domínguez-Paniagua; Raquel Campuzano-Ruiz; Estrella Barreñada-Copete; María Jesús López-Navas; Aurora Araujo-Narváez; Cristina García-Bravo; Mariano Florez-Garcia; Javier Botas-Rodríguez; Alicia Cuesta-Gómez Journal: Int J Environ Res Public Health Date: 2020-11-16 Impact factor: 3.390
Authors: Carles Blasco-Peris; Laura Fuertes-Kenneally; Tomas Vetrovsky; José Manuel Sarabia; Vicente Climent-Paya; Agustín Manresa-Rocamora Journal: Int J Environ Res Public Health Date: 2022-03-15 Impact factor: 3.390