Use of virtual reality glasses during sitting position in patients with COVID-19 admittes to an Intensive Care Unit: Randomized clinical trial
DOI:
https://doi.org/10.33448/rsd-v13i7.46276Keywords:
COVID-19; Virtual reality; Virtual reality exposure therapy; Intensive Care Units.Abstract
Introduction: Prolonged hospitalization due to COVID-19 generates functional alterations, of which early mobilization with the aid of Virtual Reality (VR) recovers and alleviates these conditions. Objective: To evaluate the effects of using immersive VR on the level of pain, length of stay in bedside sitting position and mobility of patients diagnosed with COVID-19, hospitalized in Intensive Care Units (ICU). Methods: This study was carried out with patients diagnosed with COVID-19 and admitted to the adult ICUs of the Campos Gerais Regional University Hospital of the State University of Ponta Grossa. The patients were divided into two groups: virtual reality - sitting position with the virtual reality glasses, and the bedside sitting position group - without the glasses. Pain and mobility were measured before and after sitting, as well as the time spent in this position. Results: 40 patients were included, 20 in the bedside sitting position group with a mean age of 53.55 years and 20 in the virtual reality group with a mean age of 50.7 years. Conclusion: The use of virtual reality in physiotherapy for ICU patients, in a single session, is safe and provides more time in the sitting position, but does not affect mobility and pain control.
References
Ahmadpour, N., Randall, H., Choksi, H., Gao, A., Vaughan, C. & Poronnik, P. (2019). Virtual Reality interventions for acute and chronic pain management. Int J Biochem Cell Biol. 114:105568. 10.1016/j.biocel.2019.105568.
Alaparthi, G. K., Gatty, A., Samuel, S. R. & Amaravadi, S. K. (2020). Effectiveness, Safety, and barriers to Early Mobilization in the Intensive Care Unit. Crit Care Res Pract. 26:7840743. 10.1155/2020/7840743.
Brennan, P. M., Murray, G. D. & Teasdale, G. M. (2018). Simplifyng the use of prognostic information in traumat brain injury. Part 1: The GSC-Pupils score: na extende index of clinical severity. Journal of neurosurgery JNS. 128 (6): 1612-20. https://doi.org/10.3171/2017.12.JNS172780.
Caliri, M. H. L., Santos, V. C. G., Mandelbaum, M. H. S. & Costa, I. G. (2016). Classificação das lesões por pressão-Consenso NPUAP 2016-Adaptada culturalmente para o Brasil. Publicação oficial da Associação Brasileira de Estomaterapia – SOBEST e da Associação Brasileira de Enfermagem em Dermatologia – SOBENDE.
Chen, N., Zhou, M., Dong, X., Qu, J., Gong, F., Han, Y., Qiu, Y., Wang, J., Liu, Y., Wei, Y., Xia, J., Yu, T., Zhang, X. & Zhang, l. (2020). Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 15;395(10223):507-513. https://doi.org/10.1016/S0140-6736(20)30211-7.
Cieślik, B., Serweta, A., Federico, S. & Szczepańska-Gieracha, J. (2021). Altered postural stability in elderly women following a single session of head-mounted display virtual reality. Acta Bioeng Biomech. 23(1):107-111.
Edsberg, L. E., Black, J. M., Goldberg, M., McNichol, L., Moore, L. & Sieggreen, M. (2016). Revised National Pressure Ulcer Advisory Panel Pressure injury Staging System: Revised Pressure Injury Staging System. Journal of Wound, Ostomy and Continence Nursing. 43 (6): p 585-597. https://10.1097/WON.0000000000000281.
Huang, C., Wang, Y., Li, X., Ren, L., Zhao, L., Hu, Y., Zhang, L., Fan, G., Xu j., Gu X., Cheng, Z., Yu, T., Xia, J., Wei, Y., Wu, W., Xie, X., Yin, W., Li, H., Liu, M., Xiao, Y., Gao, H., Guo, L., Xie, J., Wang, G., Jiang, R., Gao, Z., Jin, J., Wang, J. & Cao, B. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 15; 395. 10.1016/S0140-6736(20)30183-5.
Indovina, P., Barone, D., Gallo, L., Chirico, A., De Pietro, G. & Giordano, A. (2018). Virtual reality as a distraction intervention to relieve pain and distress during medical procedures: a comprehensive literature review. Clin. J. Pain. 34 (9): pp. 858-877. 10.1097/AJP.0000000000000599.
Jaffri, A. & Jaffri, U. A. (2020). Post-Intensive care syndrome and COVID-19: crisis after a crisis? Heart Lung. 49(6):883–884. https://doi.org/10.1016/j.hrtlng.2020.06.006.
Jung, T., Moorhouse, N., Shi, X. & Amin, M. F. (2020). A Virtual Reality-Supported Intervention for Pulmonary Rehabilitation of Patients With Chronic Obstructive Pulmonary Disease: Mixed Methods Study. Journal of medical Internet research. 22 (7), e14178. https://doi.org/10.2196/14178.
Köse, S. & Avşar, G. (2021). Impact of Early and Regular Mobilization on Vital Signs and Oxygen Saturation in Patients Undergoing Open-Heart Surgery. Braz J Cardiovasc Surg. 6;36(4):506-514. https://doi.org/10.21470/1678-9741-2019-0481.
Kotfis, K., Zegan-Barańska, M., Szydłowski, Ł., Żukowski, M. & Ely, E.W. (2017). Methods of pain assessment in adult intensive care unit patients-Polish version of the CPOT (Critical Care Pain Observation Tool) and BPS (Behavioral Pain Scale). Rev Anaesthesiol Intensive Ther. 49(1):66– 72. https://10.5603/AIT.2017.0010.
Lee, K. (2019). Speed-Interactive Pedaling Training Using Smartphone Virtual Reality Application for Stroke Patients: Single-Blinded, Randomized Clinical Trial. Brain Sci. 27;9(11):295. 10.3390/brainsci9110295.
Mohammad, E. B. & Ahmad, M. (2019). Virtual reality as a distraction technique for pain and anxiety among patients with breast cancer: A randomized control trial. Palliat Support Care. 17(1):29-34. 10.1017/S1478951518000639.
Junior, A. P. N., Neto, R. C. P., Figueiredo, W. B de. & Park, M. (2008). Validity, reliability and aplicability of portuguese versions of sedation-agitation scales among critically ill patients. São Paulo Med J. 126. 126(4). https://doi.org/10.1590/S1516-31802008000400003.
Omon, K., Hara, M. & Ishikawa, H. (2019). Virtual Reality-guided, Dual-task, Body Trunk Balance Training in the Sitting Position Improved Walking Ability without Improving Leg Strength. Prog Rehabil Med. 31;4: 20190011. 10.2490/prm.20190011.
Patterson, D. R., Drever, S., Soltani, M., Sharar, S. R., Wiechman, S., Meyer, W.J. & Hoffman, H. G. (2023). A comparison of interactive immersive virtual reality and still nature pictures as distraction-based analgesia in burn wound care. Burns. 49(1):182-192. 10.1016/j.burns.2022.02.002.
Persky, S. & Lewis, M. A. (2019). Advancing science and practice using immersive virtual reality: what behavioral medicine has to offer. Translational Behavioral Medicine. 9 (6): 1040–1046. org/10.1093/tbm/ibz068.
Prescott, H. C. & Angus, D. C. (2018). Enhancing Recovery From Sepsis: A Review. JAMA. 2;319(1):62-75. https://doi.org/10.1001/jama.2017.17687.
Ravi, D. K., Kumar, N. & Singhi, P. (2017). Effectiveness of virtual reality rehabilitation for children and adolescents with cerebral palsy: an updated evidence-based systematic review. Physiotherapy. 103(3), 245–258. https://doi.org/10.1016/j.physio.2016.08.004.
Rousseaux, F., Dardenne, N., Massion, P. B., Ledoux, D., Bicego, A., Donneau, A. F., Faymonville, M. E., Nyssen, A. S & Vanhaudenhuyse A. (2022). Virtual reality and hypnosis for anxiety and pain management in intensive care units: A prospective randomised trial among cardiac surgery patients. Eur J Anaesthesiol.1;39(1):58-66. 10.1097/EJA.0000000000001633.
Rutkowski, S., Rutkowska, A., Kiper, P., Jastrzebski, D., Racheniuk, H., Turolla, A., Szczegielniak, J. & Casaburi, E. (2020). Virtual reality rehabilitation in patients with chronic obstructive pulmonary disease: a randomized controlled trial. Int. J. Chron. Obstruct. Pulmon. Dis. 15, 117–124. https://doi.org/10.2147/COPD.S223592.
Sessler, C. N., Gosnell, M. S., Grap, M. J., Brophy, G. M., O’neal, P. V., Keane, K. A., Tesoro, E. P. & Elswick, R. K. (2002). The Richmond Agitation-Sedation Scale: Validity and reliability in adult intensive care unit patients. Am J Respir Crit Care Med. 166(10):1338-44. https://doi.org/10.1164/rccm.2107138.
Sheehy, L. M. (2020). Considerations for Postacute Rehabilitation for Survivors of COVID-19. JMIR Public Health Surveill. 8; 6(2): e19462. https://doi.org/10.2196/19462.
Sheehy, L., Taillon-Hobson, A., Finestone, H., Bilodeau, M., Yang, C., Hafizi, D. & Sveistrup, H. (2020). Centre of pressure displacements produced in sitting during virtual reality training in younger and older adults and patients who have had a stroke. Disabil Rehabil Assist Technol. 15(8):924-932. 10.1080/17483107.2019.1629118.
Silva, T. D., Oliveira, P. M., Dionizio, J. B., Santana, A. P.; Bahadori, S., Dias, E. D., Ribeiro, C. M., Gomes, R. A., Ferreira, M., Ferreira, C., Moraes, I. A. P., Silva, D. M. M. S., Barnabé, V., Araújo, L. V., Santana, H. M. M. S. & Monteiro, C. B. M. (2021). Comparison Between Conventional Intervention and Non-immersive Virtual Reality in the Rehabilitation of Individuals in an Inpatient Unit for the Treatment of COVID-19: A Study Protocol for a Randomized Controlled Crossover Trial. Front Psychol. 12: 622618. https://doi.org/10.3389/fpsyg.2021.622618.
Silva, V. Z. M., Araújo, J. A., Cipriano, G., Pinedo, M., Needham, D. M., Zanni, J. M. & Guimarães, F. S. (2017). Versão Brasileira da Escala de Estado Funcional em UTI: Tradução e adaptação transcultural. Rev bras ter intensiva. 29(1). https://doi.org/10.5935/0103-507X.20170006.
Singhal, T. (2020). A Review of Coronavirus Disease-2019 (COVID-19). Indian J Pediatr. 87(4):281-286. https://doi.org/10.1007/s12098-020-03263-6.
Spiegel, B., Fuller, G., Lopez, M., Dupuy, T., Noah, B., Howard, A., Albert, M., Tashjian, V., Lam, R., Ahn, J., Dailey, F., Rosen, B. T., Vrahas, M., Little, M., Garlich, J., Dzubur, E., IsHak, W. & Danovitch, I. (2019). Virtual reality for management of pain in hospitalized patients: A randomized comparative effectiveness trial. PLoS One. 14;14(8): e0219115. https://doi.org/10.1371/journal.pone.0219115.
Tadyanemhandu, C., Van Aswegen, H. & Ntsiea, V. (2021). Organizational structures and early mobilization practices in South African public sector intensive care units-A cross-sectional study. J Eval Clin Pract. 27(1):42-52. 10.1111/jep.13378.
Taslimipour, S., Rojhani-Shirazi, Z., Hemmati, L. & Rezaei, I. (2020). Effects of a Virtual Reality Dance Training Program on Kyphosis Angle and Respiratory Parameters in Young Women With Postural Hyperkyphosis: A Randomized Controlled Clinical Trial. J Sport Rehabil.13;30(2):293-299. https: //doi.org/10.1123/jsr.2019-0303.
Teasdale, G. & Jennett, B. (1974). Assessment of coma and impaired consciousness. A practical scale. Lancet. 13;2(7872):81-4. https://10.1016/s0140-6736(74)91639-0.
Teixeira, M. J., Pimenta, C. A. M., Grossi, S. A. A. & Cruz, D. A. L. M. (1999). Avaliação da dor: fundamentos teóricos e análise crítica. Rev Med. 78: 85 – 114.
Toassi, R. F. C & Petry, P. C. (2021). Metodologia científica aplicada à área da Saúde. 2ed. Editora da UFRGS.
Vitacca, M., Carone, M., Clini, E. M., Paneroni, M., Lazzeri, M., Lanza, A., Privitera, E., Pasqua, F., Gigliotti, F., Castellana, G., Banfi, P., Guffanti, E., Santus, P. & Ambrosino, N. (2020). ITS - AIPO, the ARIR and the SIP/IRS. Joint Statement on the Role of Respiratory Rehabilitation in the COVID-19 Crisis: The Italian Position Paper. Respiration. 99(6):493-499. https: //doi.org/10.19/000508399.
Weiner, D. E., Liu, C. K., Miao, S., Fielding, R., Katzel, L. I. & Giffuni, J. (2023). Effect of Long-term Exercise Training on Physical Performance and Cardiorespiratory Function in Adults With CKD: A Randomized Controlled Trial. Am J Kidney Dis. 81(1):59-66. 10.1053/j.ajkd.2022.06.008.
Wittmer, V. L., Paro, F. M., Duarte, H., Capellini, V.K. & Barbalho-moulim, M. C. (2021). Mobilização precoce e exercício físico em pacientes com COVID-19: Uma revisão narrativa da literatura. Complement Ther Clin Pract. 43: 101364. https://doi.org/10.1016/j.ctcp.2021.101364.
Zanni, J. M., korupolu, R., Fan, E., Pradhan, P., Janjua, K., Palmer, J. B., Brower, R. G. & Needham, D. M. (2010). Rehabilitations therapy and outcomes in acute respiratory failure: an observational pilot project. J Crit Care. 25(2): 254-62. https: //10.1016/j.jcrc.2009.10.010.
Zhou, M., Zhang, X. & Qu, J. (2020). Coronavirus disease 2019 (COVID-19): a clinical update. Front Med. 14(2):126-135. https: //doi.org/10.1007/s11684-020-0767-8.
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Copyright (c) 2024 Talita Wassmuth; Eduardo Manoel de Lara; Elaine Becher Santos; Débora Melo Mazzo; Diolete Marcante Lati Cerutti; Maurício Zadra Pacheco; Juliana Carvalho Schleder
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