A multimodal group-based immersive virtual reality intervention for improving cognition and mental health in patients with post-covid-19 condition. A quasi-experimental design study DOI Creative Commons

Neus Cano,

Josep Gómez-Hernández,

Mar Ariza

et al.

Frontiers in Psychology, Journal Year: 2024, Volume and Issue: 15

Published: July 25, 2024

Introduction Adults with Post-COVID-19 Condition (PCC) may show cognitive impairments in attention, processing speed, memory, and executive function. Multimodal programs that combine training, physical activity emotional tasks, such as mindfulness-based interventions (MBIs), offer a suitable alternative for improving PCC treatments. Immersive Virtual Reality (IVR) is promising technology can enhance traditional activity, MBIs. The use of IVR increase engagement these potentially the individual benefits exercise current study evaluated impact multimodal intervention, comparing this usual care intervention (control group), order to assess changes cognition mental health adults PCC. We also aimed user experience factors enjoyment, perceived improvement, fatigue following each session within experimental group. Method Thirty-one participants symptoms were assigned either group (IVR, n = 15) or control (usual 16) quasi-experimental design study. consisted MBI, training was delivered 60-min 5 participants, twice week, 8 weeks (16 sessions total). Measures global cognition, verbal episodic memory subjective complaints (primary measures), depressive anxiety (secondary measures) assessed at baseline after (post-intervention). Results Mixed between-group (group) within-group (pre-post assessments) ANOVAs revealed significant group*time interactions simple symptoms, large effect sizes ( p < 0.05; partial η 2 > 0.14). There marginally interaction function 0.05). Follow-up analyses pre-and post-intervention outcomes separately showed significantly improved while no pre-post changes. Friedman tests main time (χ (2) 6.609, 0.04), gradual enjoyment from first, mid, then final session. In addition, improvement scores remained high throughout patient-reported levels did not fluctuate intervention. Conclusion To our knowledge, previous research has combined MBI using an paradigm Despite their inherent limitations, findings mark pioneering step toward through innovative new approaches. This first should be accompanied by more extensive, randomized clinical trials further exploring refining interventions.

Language: Английский

A scoping review to assess the effects of virtual reality in medical education and clinical care DOI Creative Commons
Eshita Dhar, Umashankar Upadhyay, Yaoru Huang

et al.

Digital Health, Journal Year: 2023, Volume and Issue: 9

Published: Jan. 1, 2023

Due to the challenges and restrictions posed by COVID-19 pandemic, technology digital solutions played an important role in rendering of necessary healthcare services, notably medical education clinical care. The aim this scoping review was analyze sum up most recent developments Virtual Reality (VR) use for therapeutic care education, with a focus on training students patients. We identified 3743 studies, which 28 were ultimately selected review. search strategy followed Preferred Reporting Items Systematic Reviews Meta-Analysis (PRISMA-ScR) guidelines. 11 studies (39.3%) field assessed different domains, such as knowledge, skills, attitudes, confidence, self-efficacy, empathy. 17 (60.7%) focused care, particularly areas mental health, rehabilitation. Among these, 13 also investigated user experiences feasibility addition outcomes. Overall, findings our reported considerable improvements terms VR systems found be safe, engaging, beneficial studies’ participants. There huge variations respect study designs, contents, devices, evaluation methods, treatment periods. In future, may creating definitive guidelines that can help improving patient further. Hence, there is urgent need researchers collaborate industry professionals foster better understanding contents simulation development.

Language: Английский

Citations

62

Efficacy of Pulmonary Rehabilitation in Post-COVID-19: A Systematic Review and Meta-Analysis DOI Creative Commons
Erika Meléndez‐Oliva, Oliver Martínez‐Pozas, Juan Nicolás Cuenca‐Zaldívar

et al.

Biomedicines, Journal Year: 2023, Volume and Issue: 11(8), P. 2213 - 2213

Published: Aug. 7, 2023

This systematic review and meta-analysis examines how pulmonary rehabilitation impacts in patients suffering from subacute long COVID-19 infections, gauging enhancements of dyspnea, physical function, quality life, psychological state (anxiety depression), fatigue.

Language: Английский

Citations

44

The pulmonary rehabilitation effect on long covid‐19 syndrome: A systematic review and meta‐analysis DOI
Oliver Martínez‐Pozas, Erika Meléndez‐Oliva, Lidia Martínez Rolando

et al.

Physiotherapy Research International, Journal Year: 2024, Volume and Issue: 29(2)

Published: Feb. 22, 2024

Abstract Objectives This systematic review and meta‐analysis aims to evaluate the efficacy of pulmonary rehabilitation (PR) in improving dyspnea, fatigue, physical activity, quality life, anxiety depression patients with Long COVID‐19 (LC). The impact PR on LC a comparison face‐to‐face telerehabilitation approaches was explored. Methods followed PRISMA guidelines registered PROSPERO. A literature search included PubMed, Web Science, Cochrane Library until January 2023. No language filters were applied. Randomized controlled trials, non‐randomized observational studies included. risk bias assessed using appropriate tools. Descriptive analysis performed. Forest plots presented results. Statistical analyses conducted Metafor Package R v.3.4.2. Results/Findings 16 patients. total 1027 adults varied design, seven studies, three quasi‐experimental six randomized trials. Dyspnea, function, psychological state, fatigue as outcomes. found that had significant positive effect life (both global domain), anxiety, depression. However, not significant. Heterogeneity observed some analyses, publication certain Age study design identified potential moderators. Both interventions improved studied outcomes, only differences domain favoring group. Implications Physiotherapy Practice state patients, but fatigue. Face‐to‐face have similar effects, except for life.

Language: Английский

Citations

18

Telerehabilitation, A Viable Option in Patients with Persistent Post-COVID Syndrome: A Systematic Review DOI Open Access

María Ángeles Valverde-Martínez,

Remedios López-Liria, Jesús Martínez-Cal

et al.

Healthcare, Journal Year: 2023, Volume and Issue: 11(2), P. 187 - 187

Published: Jan. 7, 2023

The number of patients with post-COVID-19 syndrome continues to increase considerably, having serious healthcare, social and economic repercussions. objective this study is describe the effectiveness telerehabilitation alleviate symptoms syndrome. A systematic review was conducted using information available on four databases (PubMed, Medline, Scielo PEDRo) these until November 2022. MeSH search terms were: Post-COVID syndrome, Post-COVID-19, Long COVID, Telerehabilitation, Physiotherapy, Rehabilitation, Virtual, Home care. Six articles were included which provided 140 patients, detailing their symptomatology, assessment, treatment monitoring. variables measured dyspnea, fatigue, physical performance quality life. All studies aerobic anaerobic exercises. Most notable among techniques used rib cage expansion exercises, respiratory control thoracic stretching, patient education, Mindfulness virtual reality games address physical, mental relaxation aspects. use could be an effective tool for persistent after suffering from COVID-19. It has been shown in that improve both

Language: Английский

Citations

34

Effect of a Behavioral Therapy-Based Virtual Reality Application on Quality of Life in Chronic Low Back Pain DOI Creative Commons
Tjitske D. Groenveld, Merlijn Smits, J. Knoop

et al.

Clinical Journal of Pain, Journal Year: 2023, Volume and Issue: 39(6), P. 278 - 285

Published: April 1, 2023

Low back pain is the leading cause of years lived with disability a large impact on quality life and resistance to broad array current treatments. This study aimed investigate effect novel self-administered behavioral therapy-based virtual reality (VR) application patients nonspecific chronic low (CLBP).A pilot randomized controlled trial was conducted in adults CLBP moderate severe pain, waiting for treatment teaching hospital-based clinic. The intervention group used VR at least 10 minutes daily 4 weeks. control received standard care. primary outcome weeks measured by short form-12 physical mental scores. Secondary outcomes were worst coping strategies, activities living, positive health, anxiety, depression. Discontinuation therapy adverse events analyzed as well.Forty-one included. One patient withdrew due personal reasons. No significant found score (mean difference: 2.6 points; 95% CI: -5.60 0.48) (-1.75; -6.04 2.53) There "worst score" ( F [1, 91.425] = 33.3, P < 0.001) "least 30.069] 11.5, 0.002). Three reported mild temporary dizziness.Four does not improve life, however, it may positively affect experience.

Language: Английский

Citations

27

Physical Activity in Long COVID: A Comparative Study of Exercise Rehabilitation Benefits in Patients with Long COVID, Coronary Artery Disease and Fibromyalgia DOI Open Access
Claire Colas,

Yann Le Berre,

Marie Fanget

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(15), P. 6513 - 6513

Published: Aug. 3, 2023

Exercise in long COVID is poorly studied. Nevertheless, exerciserehabilitation could improve cardiorespiratory, muscular and autonomic functions. We aimed to investigate improvement physical performances of patients (n = 38) after a 4-week exercise rehabilitation program (3 sessions/week) compared two control groups composed coronary artery disease fibromyalgia 38), populations for whom benefits are well known. Efficacy training was assessed by cardiopulmonary test, handgrip force supine heart rate variability recording at rest before the program. Cardiorespiratory parameters were enhanced three (p < 0.001). No significant difference observed variables. Through this comparative study with groups, we confirm reinforce interest caring without post-exertional symptom exacerbation both strength endurance training, personalizing patient symptoms.

Language: Английский

Citations

19

Therapeutic Exercise Interventions through Telerehabilitation in Patients with Post COVID-19 Symptoms: A Systematic Review DOI Open Access
Carlos Bernal‐Utrera, Ginés Montero-Almagro, Ernesto Anarte‐Lazo

et al.

Journal of Clinical Medicine, Journal Year: 2022, Volume and Issue: 11(24), P. 7521 - 7521

Published: Dec. 19, 2022

The worldwide incidence of COVID-19 has generated a pandemic sequelae. These sequelae require multidisciplinary rehabilitative work to address the multisystemic symptoms that patients will present with now and in future. aim systematic review is analyze current situation telerehabilitation its effectiveness. Searches were conducted on following databases: PubMed, Scopus, PEDro, Web Science (WOS). There was no complete homogeneity among five selected articles, so we differentiated two clinical subgroups for clustering outcome measures: (group one) post-discharge two) permanent or “long COVID-19” defined as persistent > 2 months. For group one, sequelae, improvements obtained cardiovascular parameters, physical test studies presented very favorable results all cardiorespiratory measures tests evaluated. Telerehabilitation through therapeutic exercise based mixed protocols aerobic, respiratory, low-load strength exercises appear be an effective safe strategy recovery short- long-term post-COVID-19

Language: Английский

Citations

28

Psychological and Cognitive Effects of Long COVID: A Narrative Review Focusing on the Assessment and Rehabilitative Approach DOI Open Access
Rosaria De Luca, Mirjam Bonanno, Rocco Salvatore Calabrò

et al.

Journal of Clinical Medicine, Journal Year: 2022, Volume and Issue: 11(21), P. 6554 - 6554

Published: Nov. 4, 2022

Long COVID is a clinical syndrome characterized by profound fatigue, neurocognitive difficulties, muscle pain, weakness, and depression, lasting beyond the 3–12 weeks following infection with SARS-CoV-2. Among symptoms, psychiatric sequelae, including attention memory alterations, as well anxiety depression have become major targets of current healthcare providers given significant public health impact. In this context, assessment tools play crucial role in early screening cognitive alterations due to COVID. others, general tools, such Montreal Cognitive assessment, more specific ones, State Trait Inventory Fatigue Digit Span, may be help investigating main alterations. Moreover, appropriate neurorehabilitative programs using methods techniques (conventional and/or advanced) through multidisciplinary team are required treat COVID-19-related behavioral abnormalities. narrative review, we sought describe symptoms provide some advice for treatment

Language: Английский

Citations

24

Breathlessness and exercise with virtual reality system in long-post-coronavirus disease 2019 patients DOI Creative Commons
Vasileios Stavrou, George D. Vavougios,

Periklis Kalogiannis

et al.

Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 11

Published: Feb. 23, 2023

Long-post-coronavirus disease-2019 (COVID-19) patients tend to claim residual symptomatology from various systems, most importantly the respiratory and central nervous systems. Breathlessness brain fog are main complaints. The pulmonary function pattern is consistent with restrictive defects, which, in cases, self-resolved, while cognitive profile may be impaired. Rehabilitation an ongoing field for holistic management of long-post-COVID-19 patients. Virtual reality (VR) applications represent innovative implementation rehabilitation. We aimed investigate effect exercise without VR system assess further breathlessness functional fitness indicators mild impairment after self-selected duration using system. Twenty were enrolled our study (age: 53.9 ± 9.1 years, male: 80%, body mass index: 28.1 3.1 kg/m 2 ). Participants' anthropometric data recorded, they underwent test evaluation as well sleep quality assessment. participants randomly exercised a (VR vs. no-VR) and, later, results showed that resulted lower dyspnea score than VR. In conclusion, seem attractive safe tool implementing They can enhance performance during benefit both symptoms.

Language: Английский

Citations

15

Efficacy and Safety of Respiratory Telerehabilitation in Patients with Long COVID-19: A Systematic Review and Meta-Analysis DOI Open Access
Andrés Calvache‐Mateo, Alejandro Heredia‐Ciuró, Javier Martín‐Núñez

et al.

Healthcare, Journal Year: 2023, Volume and Issue: 11(18), P. 2519 - 2519

Published: Sept. 12, 2023

The aim of this review was to identify, map, and synthesize the extent nature research activity on use telerehabilitation support Long COVID-19 rehabilitation examine efficacy safety respiratory in patients with COVID-19. A systematic meta-analysis randomized controlled trials were performed. We included that tested effect interventions versus no intervention, usual care, placebo, or face-to-face intervention. data pooled, a completed for quality life, dyspnea, lung function, anxiety depression, muscle strength, functional capacity, lower limb strength. Finally, 10 studies included. results show significant differences favor life (

Language: Английский

Citations

13