Physiotherapy Department, Faculty of Allied Health Sciences, Thammasat University, Khlong Nueng, Thailand.
Thammasat University Research Unit for Physical Therapy in Respiratory and Cardiovascular Systems, Thammasat University, Khlong Nueng, Thailand.
Physiother Res Int. 2024 Jan;29(1):e2066. doi: 10.1002/pri.2066. Epub 2023 Nov 27.
Cardiac rehabilitation is recommended for patients undergoing open-heart surgery (OHS). During the hospital admission, these patients suffer from reduced cardiopulmonary performance and decreased psychological health, leading to poor physical function, depression, and morbidity. To prevent post-operative pulmonary complications, a pre and post-operative physical therapy intervention is recommended for patients undergoing heart surgery. Virtual reality (VR) promotes the health status of healthy individuals and those with health conditions. However, few studies have reported the beneficial effects of VR exercise programs on the pulmonary performance and mental health status of patients undergoing OHS.
To determine whether by using training enhanced by VR, patients who have undergone OHS can more effectively attain cardiopulmonary performance and improve depression than through conventional physical therapy.
60 participants were randomly assigned to a conventional physical therapy and VR exercise program. Each session was conducted once daily until discharge from the hospital. Cardiorespiratory performance and depression were evaluated before surgery and at the time of discharge from the hospital. A two-way mixed ANOVA was performed to compare within (i.e., pre and post-operation) and between (i.e., VR and conventional physical therapy) groups.
No significant cardiopulmonary performance gains were detected in patients receiving the VR exercise program when compared with those who participated in conventional physical therapy prior to post-operative OHS (p > 0.05). However, the conventional physical therapy group showed significantly higher depression scores than the VR group (∆4.00 ± 0.98 vs. ∆1.68 ± 0.92). However, cardiopulmonary performance did not differ in both VR exercise and conventional physical therapy.
心脏康复适用于接受心脏直视手术（OHS）的患者。在住院期间，这些患者的心肺功能降低，心理健康状况下降，导致身体功能不佳、抑郁和发病。为了预防术后肺部并发症，建议对接受心脏手术的患者进行术前和术后物理治疗干预。虚拟现实（VR）可以促进健康个体和患有健康状况的个体的健康状况。然而，很少有研究报告 VR 运动计划对 OHS 患者的肺功能和心理健康状况的有益影响。
确定通过使用 VR 增强的训练，接受 OHS 的患者是否能够比传统物理治疗更有效地达到心肺功能，并改善抑郁。
将 60 名参与者随机分配到传统物理治疗和 VR 运动计划组。每天进行一次治疗，直到从医院出院。在手术前和出院时评估心肺功能和抑郁情况。采用双向混合方差分析比较组内（即术前和术后）和组间（即 VR 和传统物理治疗）。
与接受传统物理治疗的患者相比，接受 VR 运动计划的患者在接受 OHS 术后心肺功能没有明显改善（p>0.05）。然而，与 VR 组相比，传统物理治疗组的抑郁评分明显更高（∆4.00±0.98 与 ∆1.68±0.92）。然而，VR 运动和传统物理治疗在心肺功能方面没有差异。
