Wang Jiani, Shi Chenxi, Jia Yanrui, Xiao Qian
Fuwai Hospital, CAMS & PUMC, Beijing, China.
Department of Respiratory and Critical Care Medicine, Beijing Institute of Respiratory Medicine and Beijing Chao-yang Hospital, Capital Medical University, Beijing, China.
J Rehabil Med. 2025 Jun 3;57:jrm28399. doi: 10.2340/jrm.v57.28399.
The primary aim of this study is to compare the effectiveness of early active limb movement facilitated by virtual reality technologies with conventional exercise therapy in enhancing patient recovery in the Respiratory Intensive Care Unit. The follow-up period covers 1 week.
In this prospective randomized controlled trial, patients were allocated to either a control group, which received standard exercise therapy, or a virtual reality group, which utilized virtual reality software and equipment for active exercises. Patients were followed for 1 week. The study compared compliance, safety, and rehabilitative outcomes between these groups. Data were analysed using a linear mixed-effects model.
Patients in the virtual reality-based exercise group exhibited significantly higher levels of average daily exercise time, out-of-bed exercise time, and overall exercise compliance compared with the control group (p < 0.05). There were no reports of adverse events related to exercise in either group. Notably, within the first week of intervention, the virtual reality-based exercise group showed significant improvements in various parameters, including muscle strength, grip strength, body mass index, and the Barthel Index, outperforming the control group in these areas (all p < 0.05).
Based on 1 week of follow-up data, the study confirms that virtual reality-based exercise modalities are more efficacious than traditional exercise approaches in enhancing exercise duration, compliance, and various health outcomes in Respiratory Intensive Care Unit patients. This approach also contributes to reducing Respiratory Intensive Care Unit stay duration. The system's effectiveness could be further increased by integrating more varied and engaging rehabilitation games and features tailored to the needs of ICU patients.
Chictr.org: ChiCTR1900021452.
本研究的主要目的是比较虚拟现实技术促进早期主动肢体运动与传统运动疗法在提高呼吸重症监护病房患者康复效果方面的有效性。随访期为1周。
在这项前瞻性随机对照试验中，患者被分配到接受标准运动疗法的对照组或使用虚拟现实软件和设备进行主动运动的虚拟现实组。对患者进行了1周的随访。该研究比较了两组之间的依从性、安全性和康复结果。使用线性混合效应模型分析数据。
与对照组相比，基于虚拟现实的运动组患者的平均每日运动时间、下床运动时间和总体运动依从性水平显著更高（p < 0.05）。两组均未报告与运动相关的不良事件。值得注意的是，在干预的第一周内，基于虚拟现实的运动组在包括肌肉力量、握力、体重指数和巴氏指数在内的各项参数上均有显著改善，在这些方面优于对照组（所有p < 0.05）。
基于1周的随访数据，该研究证实，在提高呼吸重症监护病房患者的运动持续时间、依从性和各项健康结果方面），基于虚拟现实的运动方式比传统运动方法更有效。这种方法还有助于缩短呼吸重症监护病房的住院时间。通过整合更多针对ICU患者需求定制的多样化且引人入胜的康复游戏和功能，该系统的有效性可能会进一步提高。
Chictr.org：ChiCTR190
