Abstract
(1) Background: The aim of the present study was to determine the effects of a virtual reality (VR) program, as a complementary tool to a conventional cardiac rehabilitation (CR) program in phase II of patients with ischemic heart disease compared to a conventional treatment group. (2) Methods: A single blinded randomized clinical trial was conducted. The patients were randomized to a control group (CG) or an experimental group (EG). The EG carried out a training based on VR of aerobic exercise using the XBOX ONE console and Kinect sensor. Ergometry, metabolic equivalents (METS), Functional Independence Measure, 6-min walk test (6MWT), the Short Form Health Survey-36 Questionnaire (SF-36), the Beck Depression Inventory-II, and the degree of satisfaction and adherence to treatment were used as outcome measures. (3) Results: Our results showed no statistically significant differences between the two groups. Statistical analysis within group for the EG showed statistically significant changes in the variables HR final ergometry, ergometry minutes, % ergometry, METS, final HR 6MWT, 6MWT distance, 6MWT number of laps, and for the SF-36 and Beck Depression Inventory-II. (4) Conclusion: A VR-based video game program, as an adjunct tool to a CR program, showed improvements in ergometry, METS, resistance to fatigue and health-related quality of life with excellent adherence and satisfaction perceived by patients with ischemic heart disease in phase II.
Highlights
Cardiovascular diseases (CVDs) are the leading cause of morbidity and mortality in developed countries
To the best of our knowledge, this is the first randomized clinical trial conducted on the use of virtual reality (VR) and video games in ischemic heart disease, phase II, in a hospital setting
cardiac rehabilitation (CR) programs are considered safe and effective by the American College of Cardiology and the American Heart Association, with a higher level recommendation (A) than physical exercise as the basis of CR, as it reduces the morbidity and mortality associated with coronary heart disease, with a decrease in complications and mortality close to 40% in low-risk patients after myocardial infarction [37]
Summary
(1) Background: The aim of the present study was to determine the effects of a virtual reality. The objective of the present study was to explore the effects of VR and video games plus conventional treatment in ischemic heart disease, phase II, in a hospital setting
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