Comparison of hemodynamic response between conventional therapy and virtual reality in heart failure patients admitted to the emergency room Realidade virtual em unidade de emergência

Authors

DOI:

https://doi.org/10.1590/1809-2950/21008729012022PT

Keywords:

Emergency Service, Hospital, Hospitalization, Virtual Reality Exposure Therapy, Heart Failure

Abstract

This study aimed to evaluate and to compare the acute response, due to semi-immersive virtual reality (VR) and conventional therapies (CT), of hemodynamic parameters in hospitalized individuals admitted to an emergency unity for heart failure (HF). This is a viability study with 11 individuals subjected to sessions with  and without VR. At CT, stretching, active or active-assisted exercises, and  fractional inspiration were performed. In VR therapy (VRT), VR box glasses  were used to promote VR relaxation associated with CT. The hemodynamic parameters evaluated were heart rate, systolic and diastolic blood pressure, oxygen saturation, a double product. To analyze them, Student’s t- and Mann Whitney tests were used (p<0.05). Comparing baseline and final evaluations showed no significant differences in the hemodynamic parameters of both groups (p>0.05). Comparing absolute variations between CT and VRT also produced no significant differences between hemodynamic responses (p>0.05). Results showed that administering VRT and CT promoted physiological changes in the responses of hemodynamic parameters in individuals with HF hospitalized in an emergency unit without significant differences between the two interventions. This study suggests that VRT is a hemodynamically safe method for treating patients in emergency units.

Downloads

Download data is not yet available.

References

Gomes HG, Dias SM, Gomes MS, Medeiros JSN, Ferraz LP, Pontes FL, et al. Perfil das internações hospitalares no Brasil no períodovde 2013 a 2017. Revista Interdisciplinar. 2017;10(4):96-104.

World Health Organization. Cardiovascular diseases [Internet].vGeneva: WHO; 2016 [cited 2018 Nov 15]. Available from: http://www.who.int/mediacentre/factsheets/fs317/en/.

Rohde LEP, Montera MW, Bocchi EA, Clausell NO, Albuquerque DC, Rassi S, et al. Diretriz brasileira de insuficiência cardíaca crônica e aguda. Arq Bras Cardiol. 2018;111(3):436-539. doi: 10.5935/abc.20180190.

Coster JE, Turner JK, Bradbury D, Cantrell A. Why do people choose emergency and urgent care services? A rapid review utilizing a systematic literature search and narrative synthesis. Acad Emerg Med. 2017;24(9):1137-49. doi: 10.1111/acem.13220.

Ministério da Saúde (BR). DATASUS. Procedimentos hospitalares do SUS [Internet]. Brasília, DF: Ministério da Saúde; 2018 [cited 2019 Feb 12]. Available from: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sih/cnv/qiuf.def

Cordeiro AL, Lima TG. Fisioterapia em unidades de emergência: uma revisão sistemática. Rev Pesqui Fisioter. 2017;7(2):276-81. doi: 10.17267/2238-2704rpf.v7i2.1360.

Werle RW, Kutchak F, Piccoli A, Rieder MM. Indicações para inserção do profissional fisioterapeuta em uma unidade de emergência. Assobrafir Ciencia. 2013;4(1):33-41.

Vázquez JLM, Santander A, Mosso JL Jr, Gao K, Wiederhold B, Wiederhold MD. Using cybertherapy to reduce postoperative anxiety in cardiac recovery intensive care units. J Anesth Clin Res. 2013;4(10):363. doi: 10.4172/2155-6148.1000363.

Rodrigues RA, Ramos ACC, Santana MVB, Brasil CA, Dias CMCC, Bilitário L. Realidade virtual como recurso na reabilitação cardiovascular: revisao sistemática. Assobrafir Ciencia. 2016;7(3):41-9.

Ruivo JA. Exergames and cardiac rehabilitation: a review. J Cardiopulm Rehabil Prev. 2014;34(1):2-20. doi: 10.1097/HCR.0000000000000037.

Santos FF, Magalhães LHVN, Sousa FAN, Marques CO, Torres MV, Leal SS. Análise da realidade virtual versus treino funcional na aptidão física de idosas. ConScientiae Saude. 2015;14(1):117-24. doi: 10.5585/ConsSaude.v14n1.5294.

Silva JPLN, Novaes LFM, Santos LCR, Galindo BP, Cavalcante MA, Araújo BCG, et al. Effects of conventional and virtual reality cardiovascular rehabilitation in body composition and functional capacity of patients with heart diseases: randomized clinical trial. Int J Cardiovasc Sci. 2018;31(6):619-29. doi: 10.5935/2359-4802.20180071.

Zeng N, Pope Z, Lee JE, Gao Z. Virtual reality exercise for anxiety and depression: a preliminary review of current research in an emerging field. J Clin Med. 2018;7(3):42. doi: 10.3390/jcm7030042.

Cacau LAP, Oliveira GU, Maynard LG, Araújo Filho AA, Silva WM Jr, Cerqueria Neto ML, et al. The use of the virtual reality as intervention tool in the postoperative of cardiac surgery. Braz J Cardiovasc Surg. 2013;28(2):281-9. doi: 10.5935/1678-9741.20130039. Raposo et al. Realidade virtual em unidade de emergência 67

Garrett B, Taverner T, McDade P. Virtual reality as an adjunct home therapy in chronic pain management: an exploratory study. JMIR Med Inform. 2017;5(2):e11. doi: 10.2196/medinform.7271.

Lieberman DA, Chamberlin B, Medina E Jr, Franklin BA, Sanner BM, Vafiadis DK. The power of play: innovations in getting active summit 2011: a science panel proceedings report from the American Heart Association. Circulation. 2011;123(21):2507-16.doi: 10.1161/CIR.0b013e318219661d.

Azuma RT. A survey of augmented reality. Presence. 1997;6(4):355-85. doi: 10.1162/pres.1997.6.4.355.

Tori R, Kirner C, Siscoutto R, editores. Fundamentos e tecnologia de realidade virtual e aumentada. Proceedings of the 8th Symposium on Virtual Reality; 2006 May 2; Belém, Brazil. Porto Alegre: Sociedade Brasileira de Computação; 2006. p. 7-22.

França EET, Ferrari F, Fernandes P, Cavalcanti R, Duarte A, Martinez BP, et al. Fisioterapia em pacientes críticos adultos: recomendações do Departamento de Fisioterapia da Associação de Medicina Intensiva Brasileira. Rev Bras Ter Intensiva. 2012;24(1):6-22. doi: 10.1590/S0103-507X2012000100003.

Kisner C, Colby LA, Borstad John. Exercícios terapêuticos: fundamentos e técnicas. São Paulo: Manole; 2005.

Buttignol M, Pires Neto RC, Annoni R. Protocolos de mobilização precoce no paciente crítico. PROFISIO. 2014;4(3):97-135.

Costa D. Recursos manuais da fisioterapia. In: Costa D. Fisioterapia respiratória básica. São Paulo: Atheneu; 1999. p. 45-59.

Malachias MVB, Souza WKSB, Plavnik FL, Rodrigues CIS, Brandão AA, Neves MFT, et al. 7ª Diretriz Brasileira de Hipertensão Arterial: capítulo 2: diagnóstico e classificação. Arq Bras Cardiol. 2016;107(Suppl 3):7-13. doi:10.5935/abc.20160152.

Antonio TT, Assis MR. Duplo-produto e variação da frequência cardíaca após esforço isocinético em adultos e idosos. Rev Bras Med Esporte. 2017;23(5):394-98. doi: 10.1590/1517-869220172305165363.

World Health Organization. Active ageing: a policy framework. Madrid: WHO; 2002 [cited 2019 Feb 12]. Available from: http://www.who.int/childgrowth/publications/physical_status/en/.26. Jubran A. Pulse oximetry. Crit Care. 2015;19(1):272. doi: 10.1186/s13054-015-0984-8.

Lau E, Watson KE, Ping P. Connecting the dots: from big data to healthy heart. Circulation. 2016;134(5):362-4. doi: 10.1161/CIRCULATIONAHA.116.021892.

Badawy J, Nguyen OK, Clark C, Halm EA, Makam AN. Is everyone really breathing 20 times a minute? Assessing epidemiology and variation in recorded respiratory rate in hospitalized adults. BMJ Qual Saf. 2017;26(10):832-6. doi: 10.1136/bmjqs-2017-006671.

Chuang TY, Sung WH, Chang HA, Wang RY. Effect of a virtual reality-enhanced exercise protocol after coronary artery bypass grafting. Phys Ther. 2006;86(10):1369-77. doi: 10.2522/ptj.20050335.

Moraes RS, Nóbrega ACL, Castro RRT, Negrão CE, Stein R, Serra SM, et al. Diretriz de reabilitação cardíaca. Arq Bras Cardiol. 2005;84(5):431-40.

Regenga MM. Fisioterapia em cardiologia: da U.T.I. à reabilitação. Brasil: Roca; 2000.

Herdy AH, López-Jiménez F, Terzic CP, Milani M, Stein R, Carvalho T, et al. Diretriz Sul-Americana de Prevenção e Reabilitação Cardiovascular. Arq Bras Cardiol. 2014;103(2 Suppl 1):1-31.W

Published

2022-04-04

Issue

Section

Original Research

How to Cite

Comparison of hemodynamic response between conventional therapy and virtual reality in heart failure patients admitted to the emergency room Realidade virtual em unidade de emergência. (2022). Fisioterapia E Pesquisa, 29(1), 61-67. https://doi.org/10.1590/1809-2950/21008729012022PT