Smits Merlijn, Staal J Bart, van Goor Harry
Department of Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
IQ healthcare, Radboud University Medical Center, Nijmegen, The Netherlands.
BMJ Open Sport Exerc Med. 2020 Oct 23;6(1):e000943. doi: 10.1136/bmjsem-2020-000943. eCollection 2020.
Post-COVID-19 patients, particularly those who needed high care, are expected to have high needs for physical, psychological and cognitive rehabilitation. Yet, the resources needed to provide rehabilitation treatment are expected to be inadequate because healthcare systems faced a shortage of high-quality treatment of these symptoms already before the COVID-19 crisis emerged in patients with comparable needs. In this viewpoint, we discuss the potential of Virtual Reality (VR) administering fast, tailor-made rehabilitation at a distance, and offering a solution for the impending surge of demand for rehabilitation after COVID-19. VR consists of a head-mounted display (HMD) that can bring the user by computer-generated visuals into an immersive, realistic multi-sensory environment. Several studies on VR show its potential for rehabilitation and suggest VR to be beneficial in post-COVID-19. The immersion of VR may increase therapy adherence and may distract the patient from experienced fatigue and anxiety. Barriers still have to be overcome to easily implement VR in healthcare. We argue that embedding VR in virtual care platforms would assist in overcoming these barriers and would stimulate the spread of VR therapy, both for post-COVID-19 patients in the present and possibly for other patients with similar rehabilitation needs in the future.
新冠疫情康复后的患者,尤其是那些需要重症护理的患者,预计对身体、心理和认知康复有很高的需求。然而,由于在新冠疫情危机出现之前,医疗系统就已经面临着为有类似需求的患者提供这些症状高质量治疗的短缺,因此提供康复治疗所需的资源预计将不足。在本文观点中,我们讨论了虚拟现实(VR)在远程提供快速、量身定制的康复治疗方面的潜力,并为新冠疫情后即将出现的康复需求激增提供解决方案。VR由头戴式显示器(HMD)组成,它可以通过计算机生成的视觉效果将用户带入一个身临其境、逼真的多感官环境。多项关于VR的研究显示了其在康复方面的潜力,并表明VR对新冠疫情康复后的患者有益。VR的沉浸感可能会提高治疗依从性,并可能分散患者对所经历的疲劳和焦虑的注意力。要在医疗保健中轻松实施VR,仍然需要克服一些障碍。我们认为,将VR嵌入虚拟护理平台将有助于克服这些障碍,并将促进VR治疗的推广,既适用于当前的新冠疫情康复患者,也可能适用于未来其他有类似康复需求的患者。