Gaming Technology and Cardiac Rehabilitation
- Conditions
- Open Heart Surgery
- Interventions
- Other: early mobilization groupOther: placeboDevice: physio adventure
- Registration Number
- NCT05149235
- Lead Sponsor
- Bahria University
- Brief Summary
Moderate to vigorous physical activity has been shown to be associated with autonomic regulation of the heart measured with heart rate variability. Cardiac autonomic modulation can be evaluated by heart rate variability. Activity promoting games can be an effective tool to aid rehabilitation in clinical settings. Combining gaming with the ergo-cycle can facilitate improving patients' activity time spent on the cycle.
- Detailed Description
Physical activity is recognized as a central component of cardiac rehabilitation, improving control of cardiovascular risk factors, reducing the incidence of adverse events, leading to improvements in cardiovascular conditioning and prevention of thromboembolic events. Consequently, it provides greater physical independence and safety for hospital discharge. Coronary artery bypass grafting (CABG) surgery may lead to prolonged bed rest, and immobility, which can result in negative consequences, such as a decrease in functional capacity, decrease in muscle mass and muscle tone, postural hypotension, and changes in autonomic modulation of the heart rate. Cardiac autonomic modulation can be evaluated by heart rate variability (HRV), which involves simple noninvasive measurement of the oscillations in intervals between consecutive heartbeats.
Technology such as video games plays a complicated role in physical inactivity-much like a double-edged sword. To overcome this problem, the newly emerged active video games have been increasingly used to promote physical activity and health among various populations. Augmented reality games are unique because they integrate the physical and virtual worlds into a single interface using mobile devices applications. Investigators present a proof of concept of an endless running game called physio adventure which implements an activity recognition system that detects cycle rotation and its speed. The goal is to replace the traditional rehabilitation devices with innovative gaming technology with a more natural movement-based one, showing the potential of this kind of interaction to create innovative and immersive experiences while promoting physical activity.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 86
- Patients submitted to elective cardiac surgery (valvular or coronary bypass surgery by sternotomy)
- Both male and female
- a score of 15 on the Glasgow Coma Scale
- musculoskeletal, and cardiopulmonary conditions suitable for the accomplishment of the proposed activities
- absence of neurological sequelae and/or neurodegenerative diseases
- Those who had difficulty understanding the activities involved in the study.
- those with any motor or neurological impairment that would prevent them from using a cycle ergometer.
- those who discontinued the protocol on the ward for return to the ICU
- previous cardiac surgeries
- hemodynamic instability that prevented protocol performance
- breathing discomfort
- invasive ventilatory support
- oxygen saturation below 90% (even with complementary oxygen therapy)
- coagulation disorders
- infections in any of the systems
- nonperformance of the whole protocol
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description early mobilization group early mobilization group this group will perform early mobilization exercises using a cycle ergometer. placebo group placebo this group is placebo control and will receive routine respiratory physiotherapy game tech group physio adventure this group will use physio adventure device instead of a cycle ergometer
- Primary Outcome Measures
Name Time Method change in autonomic modulation of heart heart rate variability will be recorded on day of admission, 1st post-operative day and 4th post operative day autonomic modulation of heart will be assessed by measuring heart rate variability
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Seyyada Tahniat Ali
🇵🇰Karachi, Sindh, Pakistan