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.
RCT Entities:
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.
Authors: Sascha Ketelhut; Reinhard G Ketelhut; Eva Kircher; Lisa Röglin; Kuno Hottenrott; Anna Lisa Martin-Niedecken; Kerstin Ketelhut Journal: Front Cardiovasc Med Date: 2022-01-27
Authors: Eva Kircher; Sascha Ketelhut; Kerstin Ketelhut; Lisa Röglin; Kuno Hottenrott; Anna Lisa Martin-Niedecken; Reinhard G Ketelhut Journal: Int J Environ Res Public Health Date: 2022-01-26 Impact factor: 3.390
Authors: Maarit Janhunen; Antti Löppönen; Simon Walker; Taavi Punsár; Niina Katajapuu; Sulin Cheng; Juha Paloneva; Konsta Pamilo; Mika Luimula; Raija Korpelainen; Timo Jämsä; Ari Heinonen; Eeva Aartolahti Journal: Front Sports Act Living Date: 2022-07-27
Authors: Francisco José Ferrer-Sargues; Esteban Peiró-Molina; Maria Àngels Cebrià I Iranzo; José Ignacio Carrasco Moreno; Ana Cano-Sánchez; María Isabel Vázquez-Arce; Beatriz Insa Albert; Pablo Salvador-Coloma Journal: Int J Environ Res Public Health Date: 2021-05-30 Impact factor: 3.390
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