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Virtual Reality on Pulmonary Function After Upper Abdominal Surgeries

Cairo University (CU) logo

Cairo University (CU)

Status

Active, not recruiting

Conditions

Respiratory Complication
Abdomen Hernia

Treatments

Other: conventional physical therapy exercise program
Other: Virtual reality

Study type

Interventional

Funder types

Other

Identifiers

NCT06301126
P.T.REC/012/004985

Details and patient eligibility

About

After upper abdomen surgery, respiratory muscle dysfunction is well recognised. After laparotomy and even laparoscopy, maximum static inspiratory and expiratory pressures are lowered, and recovery can take several days. A variety of reasons have been implicated in such respiratory muscle dysfunction, including irritation and inflammation, as well as injuries near the diaphragm, resulting in local mechanical failure, reflex inhibition, and pain.

Full description

Virtual reality (VR) encourages an environment that attempts to create a moment of entertainment, motivation, and enjoyment with a variety of stimuli, with movements that stimulate physical and cognitive development, as well as the patient's active participation in the rehabilitation process. It is possible to assist in the alleviation of pain using the platform, at a low cost, through the playfulness given during rehabilitation, with an effective consumption of oxygen, range of motion, and use of the respiratory muscles more efficiently.

Participants with upper abdominal surgery will be randomly distributed into Group A (VR Group) which will receive VR for plus conventional physical therapy program and Group B (Control Group) which will receive conventional physical therapy program.

Enrollment

60 estimated patients

Sex

All

Ages

18 to 60 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  1. Patients undergone open upper abdominal surgery (hernia repair, cholecystectomy, large bowel removal, conventional laparotomy)
  2. no prior surgical intervention for esophageal, gastric, or biliary tract resection
  3. age 18-60 years
  4. acceptable physical condition (permitting pulmonary function and functional capacity test).

Exclusion criteria

  1. Cerebrovascular disease
  2. use of immunosuppressants within 30 days of surgery
  3. cardiovascular instability
  4. chest physical therapy within the 8 weeks preceding study enrollment
  5. visual impairment or hearing impairment;
  6. bed-ridden patients;
  7. any lung disorders
  8. insulin-dependent diabetes mellitus
  9. less than 6-months post thoracic or cardiac surgery
  10. musculoskeletal impairment
  11. cognitive disorders
  12. Patients undergoing laparoscopic surgery as this induces smaller changes in the postoperative breathing mechanics than laparotomy does
  13. heavy smokers or alcoholism

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

60 participants in 2 patient groups

Virtual reality
Experimental group
Description:
Participants will receive VR for 20 minutes followed by conventional physical therapy program for 45 minutes, 5 days/ week for 8 weeks.
Treatment:
Other: Virtual reality
Other: conventional physical therapy exercise program
Control
Active Comparator group
Description:
Participants will receive conventional physical therapy program (Deep diaphragmatic, costal breathing exercises, bronchial hygiene techniques and assisted cough) for 45 minutes, 5 days/ week for 8 weeks.
Treatment:
Other: conventional physical therapy exercise program

Trial contacts and locations

1

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Central trial contact

Nesma M Allam, PhD

Data sourced from clinicaltrials.gov

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