Pulmonary and Physical Virtual Reality Exercises for Patients With Blunt Chest Trauma: Randomized Clinical Trial (Preprint)

• DOI: 10.2196/preprints.54389
• Publication Date: 2023-12-01T21:36:32Z
• Authors: Tjitske D Groenveld; Indy GM Smits; Naomi Scholten; Marjan de Vries; Harry van Goor; Vincent MA Stirler

<sec> <title>BACKGROUND</title> Adequate pain relief, early restoration of breathing, and rapid mobilization pose a clinical challenge in patients with blunt chest trauma. Virtual reality (VR) has the potential to achieve these three interrelated treatment objectives enhanced self-efficacy autonomy limited support by clinicians. </sec> <title>OBJECTIVE</title> To assess effectivity breathing physical exercises using VR on pulmonary recovery trauma at ward. <title>METHODS</title> A randomized controlled trial was performed. The control group received usual physiotherapy consisting according protocol. instructed perform VR. Primary outcome vital lung capacity day 5 or earlier discharge. Secondary outcomes were patient mobility, outcomes, pain, activities daily living, reported measures. Patient experiences barriers facilitators towards implementation assessed through interviews. <title>RESULTS</title> study prematurely ended due enrolment failure combined poor protocol adherence both groups. 27 included. Vital days (or last measurement) equal between groups 1830mL (±591) 1857 mL (SD 435) respectively. No important differences observed secondary outcomes. interviews showed positive attitudes use However, did not experience added value over care that better integration hectic hospital environment could improve exercises. <title>CONCLUSIONS</title> suitability Reality therapy (trauma) ward setting is lower than generally expected. Effective application requires professional guidance needs thorough alignment practice. <title>CLINICALTRIAL</title> ClinicalTrial.gov NCT05194176