Virtual Reality Exercise on COPD Patient

Riphah International University

Status: Completed

Conditions: COPD

Treatments: Other: Virtual Reality; Other: Control

Study type: Interventional

Funder types: Other

Identifiers

NCT05234827

REC0872 Amna Syed

Details and patient eligibility

About

The program allows the patient to interact with the simulated VR technology using motion sensors, focusing on patients' fitness through various tests providing them a clinically stable environment; to counter moderate level of diseases according to GOLD criteria and to monitor the effects of exercise program on dyspnea. The purpose of this study is to facilitate the patients so that they get acquainted with the digital technology with significant contribution towards pulmonary rehabilitation program for COPD patients. It also analysis the satisfaction of the patients and encourages the use of emerging technology integrated with clinical trials.

Full description

Chronic obstructive lung disease (COPD) is a reversible lung disease which is a principal cause of morbidity and mortality worldwide. It is the third leading cause of death worldwide according to the reports of American Thoracic Society (ATS) and European- Respiratory Society. According to World Health Organization (WHO), every year death and in 2030 it will become the third most common cause of death. COPD risk factors includes smoking tobacco, exposure to dusts, hereditary predisposition, and fumes, indoor and outdoor air pollutants, ageing, and asthma. Out of all these risk factors, the main reason that develops COPD fastest is smoking which is further linked with depression

Enrollment: 32 patients

Sex: All

Ages: 50 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age:50-70 years
• Both genders
• Clinical Signs and Symptoms of Moderate COPD (GOLD Criteria)
• Clinically Stable
• Ratio of FEV1/ FVC is <0.7
• Reported Smoking History

Exclusion criteria

• Pneumonia, tuberculosis, and other respiratory
• inflammatory disease
• Heart Failure
• Advanced Uncontrolled Hypertension
• Post Cardiac or Thoracic Surgery (< 6 Months)
• Neuromuscular Disorders
• Metal Implant in Lower Limb
• Cardiac Pacemaker
• Cognitive Dysfunction or Mini-Mental Scale Scores <24
• Long- term Non-Invasive Ventilation
• Comorbidity that could Limit Exercise Testing and Training i.e., Arthritis, Osteoporosis, Fracture, Diabetic Neuropathy etc.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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32 participants in 2 patient groups

Virtual Reality

Experimental group

Description:

VR sessions include a device (XBOX 360) and motion sensor (Kinect) and LED (tv screen) with speakers attached. Height of the device is 1m while tv screen is placed 2.5m away, motion sensor is placed 1.2m away from the patient, play area should be 1.8m wide and long. Instruction to play game is provided to each patient. Before starting each training session, the device was adjusted to correctly follow the movements of each patient. VR session includes games by Kinect Adventures (Microsoft games studios, Washington, US) which include minigames in which patients participated these mini games are 20000 Leaks, Curvy Creek, Rally Ball and Reflux Ridge.

Treatment:

Other: Virtual Reality

Other: Control

Control

Active Comparator group

Description:

Total time duration for session is 40 minutes in which 5 min of warm up exercises which include heel raises, arm circles, side leg raises, trunk rotation, elbow flexion and extension, knee flexion and extension, and shoulder internal and external rotation, 30 min of bicycling and after that 5-7 min of cool down exercises which include full body stretches i.e., toe touching, pectoralis major stretch, side by side bending, quadricep stretch, hamstring stretch, trapezius stretch and deep breathing

Treatment:

Other: Virtual Reality

Other: Control