The Usability, Feasibility, and Tolerability of Virtual Reality for Rehabilitation From COVID-19: An Explorative Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Coronavirus
- Sponsor
- Radboud University Medical Center
- Enrollment
- 48
- Locations
- 1
- Primary Endpoint
- Semi-structured interview with 15 patients on their experiences of VR for rehabilitation from COVID-19.
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
Patients who receive intensive care are known to be at high risk for physical, psychological, and cognitive impairments, a constellation known as PICS. COVID-19 patients are expected to have high chances of suffering from PICS (PICS-COV) as they frequently require several weeks of intensive care and traditional PICS preventive measures are virtually impossible due to infection control precautions, prone positioning, and deprivation of social contact. To prevent PICS after ICU discharge in COVID-19 patients, physical therapy is recommended. From recent but limited experience it appears that even patients with COVID-19 who have not been admitted to the ICU can suffer from impairments in the same domains and sometimes to a similar degree of severity. Also for these patient group rehabilitation seems warranted.
Yet, the resources needed to provide rehabilitation treatment to COVID-19 patients are inadequate because healthcare systems faced a shortage of high-quality treatment for these impairments already before the COVID-19 crisis emerged. Virtual Reality (VR) provides potential to healthcare practitioners to administer fast, temporary, and tailor-made rehabilitation services at a distance, and offers a solution to address the impending surge of demand for rehabilitation after COVID-19 infection. VR consists of a head mounted display (HMD) that can bring the user by computer-generated visuals into an immersive, realistic multi-sensory environment. Current VR technology is accessible, easy in use for a large audience, and safe in use. There already exist multiple VR applications for providing physical, psychological, and cognitive rehabilitation. These applications have been brought together in a VR suite for rehabilitation after COVID-19. Patients visiting a physiotherapist for rehabilitation from COVID-19 will be asked to participate in this study. They receive a VR HMD for training purposes. This study aims to understand the usability, feasibility, and tolerability of VR for rehabilitation after COVID-19, and to pilot the effectiveness of VR improving the physical ability, mental and cognitive status of patients.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patient has had COVID-
- •Patient has an indication for physical therapy in the context of rehabilitation after COVID-
- •At the day of recruitment, the estimated length of the physical therapy is at least 3 weeks after inclusion.
- •Patient is willing and able to comply with the study protocol.
- •Patient is at least 16 years old on the day the informed consent form will be signed.
- •Patient can read and understand the Dutch language.
Exclusion Criteria
- •The patient is participating in another study interfering with this study.
- •Patient has difficulties to handle virtual reality:
- •Patient suffers from delirium or acute confusional state.
- •Patient has (a history of) dementia, seizure, or epilepsy.
- •Patient has severe hearing/visual impairment not corrected.
- •The skin of the patient's head or face is not intact (for example head wounds, psoriasis, eczema).
- •Patient has a high risk of contamination with a therapy resistant micro-organism e.g. MRSA.
- •Patients suffers from severe anxiety or depression (HADS≥16).
- •Red flags (see Appendix 1).
Outcomes
Primary Outcomes
Semi-structured interview with 15 patients on their experiences of VR for rehabilitation from COVID-19.
Time Frame: Day 42
At the end of the study, 15 patients will be interviewed about their experiences using VR for rehabilitation from COVID-19. The interview will be semi-structured, including questions on usability, tolerability and efficacy of VR according to the patients. The interviews will be recorded, written out and coded by means of grounded theory analysis in Atlas.ti. Themes and subthemes will be constructed.
Use of VR
Time Frame: Day 42
By means of digital tracking in the VR goggles, we aim to understand what games are used most often by the participants.
Semi-structured interviews with physiotherapists on their experiences of VR for rehabilitation from COVID-19.
Time Frame: Day 42
At the end of the study, 10 physiotherapists will be interviewed about their experiences using VR for rehabilitation from COVID-19. The interview will be semi-structured, including questions on usability, tolerability and efficacy of VR according to the physiotherapists. The interviews will be recorded, written out and coded by means of grounded theory analysis in Atlas.ti. Themes and subthemes will be constructed.
Secondary Outcomes
- Change in baseline performance test (guidelines KNGF) - 6 minute walk test(Day 0, Day 42)
- Change in baseline performance test (guidelines KNGF) - Patient specific complaints.(Day 0, day 42)
- Change in baseline performance test (guidelines KNGF) - one-repetition maximum test(Day 0, Day 42)
- Change in baseline performance test (guidelines KNGF) - 30 sec sit to stand(Day 0, Day 42)
- Change in baseline performance test (guidelines KNGF) - Borgscale for fatigue(Day 0, Day 42)
- Change in activities of daily life.(Day 0, Day 42)
- Change in HADS.(Day 0, Day 42)
- Change in CFQ.(Day 0, Day 42)
- Change in SF12.(Day 0, Day 42)
- Change in positive health.(Day 0, Day 42)