Influence of Training With Virtual Reality on Myocardial Revascularization: Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 75
- 试验地点
- 1
- 主要终点
- Cardiac autonomic modulation
研究概览
简要总结
Coronary artery disease is a dysfunction characterized by the narrowing of the coronary arteries in due to the accumulation of atheromatous plaques. The surgery of myocardial revascularization is a surgical procedure of choice performed in individuals with to improve symptoms and survival. Cardiovascular surgeries of this size in an extended time of rest after the procedure. Such immobility may have repercussions to the functionality of the individual. Thus, the early mobilization with the use of reality in the Intensive Care Units (ICU) emerges as a potential means of of complications in the postoperative period of cardiac surgery.
详细描述
The study will be performed at the ICU coronary artery of the Hospital de Clínicas Gaspar Viana de Belém-Pará. 40 volunteers will participate in the study.
preoperative period of myocardial revascularization. The oxidative stress (by the method called Optical Morphology by Oxidative Stress, using capillary blood drops), the modulation autonomic heart rate (with a Polar® model RS800CX) and motor function (through the Medical Research Council scale), before and after the application of protocol for cardiac rehabilitation with ergometer, virtual reality and ambulation. Volunteers will be randomized into a control group who receive the cardiac rehabilitation protocol from the hospital and the Early Mobilization Group, which will receive the cardiac rehabilitation protocol plus virtual reality training using Wii video game from Nintendo.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Care Provider, Investigator)
入排标准
- 年龄范围
- 50 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male patients over 50 years of age to 80 years
- •Body Mass Index (BMI) between 20 and 30 BMI kg / m2
- •Candidates for elective and conventional myocardial revascularization surgery
- •Hemodynamic stability with or without the use of positive inotropes
排除标准
- •Patients with previous pulmonary diseases, with ejection fraction below 35% or greater than 54%
- •Undergo concomitant surgeries and who underwent surgical reoperation and intraoperative death
- •Also excluded are those with motor and neurological deficits, as well as contraindications for performing 6MWT
- •orthopedic limitations
- •unstable angina, HR> 120 bpm at rest, systolic pressure> 180 mmHg or diastolic> 100 mmHg.
研究组 & 干预措施
Virtual reality training
Training with ergometer associated with training on wii videogame during 4 days
干预措施: Virtual reality training (Other)
Control
chest physical therapy
干预措施: Control (Other)
结局指标
主要结局
Cardiac autonomic modulation
时间窗: 7 days
Avaliation during aplication of protocol (1 week) of heart rate variability on influence of autonomus nervous system on cardiac function
次要结局
未报告次要终点
研究者
Rodrigo Santiago Barbosa Rocha, Phd
principal investigator
Universidade Metodista de Piracicaba