Virtual Reality in COPD Exacerbation

Not Applicable

Recruiting

• Conditions: Pulmonary Rehabilitation; COPD Exacerbation
• Interventions: Device: virtual reality; Other: conventional pulmonary rehabilitation

• Registration Number: NCT05687396
• Lead Sponsor: Pamukkale University

Brief Summary

In addition to conventional pulmonary rehabilitation, virtual reality will be applied during the hospitalization period of individuals hospitalized for COPD exacerbation. It is aimed to get more efficiency from the interventions in this short time.

Detailed Description

Subjects with COPD exacerbation will be divided two groups. Group-1 will exercise with a bicycle ergometer until fatigue in addition to pulmonary rehabilitation. Group-2 will do the same exercises. Subjects in Group-2 will use virtual reality simulation, which is designed as cycling in the forest while cycling. Treatment will continue until discharge. CAT score, mMRC dyspnea score, hospital anxiety and depression score and London chest daily living activity score will be examined before and after treatment.

Study Timeline

• Study Start: 2022-06-01
• Study First Submitted: 2022-12-25
• Study First Submitted QC: 2023-01-15
• Study First Posted: 2023-01-18
• Status Verified: 2024-04
• Last Update Submitted: 2024-04-01
• Last Update Posted: 2024-04-02
• Primary Completion: 2024-04-10
• Study Completion: 2024-04-22

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• Individuals who are in COPD exacerbation period, FEV1 <70%, GOLD 2-3 spirometric stage, Hodkinson mental test score > 6 and who want to participate in the study voluntarily will be included in the study.

Exclusion Criteria

• If there is respiratory disease considered more significant than COPD (bronchiectasis, lung cancer requiring active therapy, or asthma), Heart failure New York Heart Association (NYHA) stage 3-4, Significant hemoptysis, surgical or non-surgical lung volume in the past 6 months Individuals with reduction procedures, Lung transplantation or pneumonectomy surgery in the last 6 months, pulmonary embolism or pulmonary edema, acute myocardial infarction, acute heart failure, vertigo, epilepsy and visual impairment will be excluded from the study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Virtual reality	virtual reality	Virtual reality while cycling with ergometer in addition to conventional pulmonary rehabilitation. virtual reality designed as cylcling in the forest.
Conventional pulmonary rehabilitation	conventional pulmonary rehabilitation	Deep diafragmatic breathing exercise, chest expansion exercies, pursed lip exhalation, coughing and huffing, upper limp exercies with deep breathing exercise, standing up-right position, cycling with ergometer.

Primary Outcome Measures

Name	Time	Method
1 minute sit and stand test	5 minutes	performance
Chronic Obstructive Pulmonary Disease Assessment Test	3-7 days	The test assessts COPD symptoms, higher scores mean bad stiation
Modified Medical Research Council	3-7 days	The test has 5 options thas describe dyspnea. Higher scores mean higher dyspnea.
London chest activity of daily living	3-7 days	The test assessts dyspnea that occurs during daily living activities. The total score can range from 0 to 75 points, with higher values translating to greater limitation in activities of daily living.
Hospital anxiety and depression scale	3-7 days	The test has 2 subparameter as anxiety and depression. Each question in the test contains 4 options expressing frequency on a scale 0 to 3. Higher scores mean bad stiation for each parameter.

Trial Locations

Locations (1)

Pamukkale University; 🇹🇷 Denizli, Pamukkale, Turkey