Effect of Virtual Reality on Pulmonary Function, Respiratory Muscle Strength and Functional Capacity After Upper Abdominal Surgeries
Trial Snapshot
- Phase
- Not Applicable
- Status
- Active, not recruiting
- Sponsor
- Cairo University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Forced vital capacity (FVC)
Study Overview
Brief Summary
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.
Detailed 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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Investigator)
Eligibility Criteria
- Ages
- 18 Years to 60 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients undergone open upper abdominal surgery (hernia repair, cholecystectomy, large bowel removal, conventional laparotomy)
- •no prior surgical intervention for esophageal, gastric, or biliary tract resection
- •age 18-60 years
- •acceptable physical condition (permitting pulmonary function and functional capacity test).
Exclusion Criteria
- •Cerebrovascular disease
- •use of immunosuppressants within 30 days of surgery
- •cardiovascular instability
- •chest physical therapy within the 8 weeks preceding study enrollment
- •visual impairment or hearing impairment;
- •bed-ridden patients;
- •any lung disorders
- •insulin-dependent diabetes mellitus
- •less than 6-months post thoracic or cardiac surgery
- •musculoskeletal impairment
- •cognitive disorders
- •Patients undergoing laparoscopic surgery as this induces smaller changes in the postoperative breathing mechanics than laparotomy does
- •heavy smokers or alcoholism
Arms & Interventions
Virtual reality
Participants will receive VR for 20 minutes followed by conventional physical therapy program for 45 minutes, 5 days/ week for 8 weeks.
Intervention: Virtual reality (Other)
Virtual reality
Participants will receive VR for 20 minutes followed by conventional physical therapy program for 45 minutes, 5 days/ week for 8 weeks.
Intervention: conventional physical therapy exercise program (Other)
Control
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.
Intervention: conventional physical therapy exercise program (Other)
Outcomes
Primary Outcomes
Forced vital capacity (FVC)
Time Frame: 8 weeks
FVC will be measured by using spirometer.
Secondary Outcomes
- Respiratory muscle strength(8 weeks)
- diaphragmatic mobility(8 weeks)
- Functional capacity(8 weeks)
- Peak expiratory flow (PEF)(8 weeks)
- Forced expiratory volume in 1 second (FEV1)(8 weeks)
Investigators
Nesma Morgan Allam
Assistant Professor of physical therapy for surgery, Faculty of physical therapy
Cairo University