The use of the virtual reality as intervention tool in the postoperative of cardiac surgery

Revista Brasileira de Cirurgia Cardiovascular

Lucas De Assis Pereira Cacau¹  Géssica Uruga Oliveira²  Luana Godinho Maynard²  Amaro Afrânio De Araújo Filho²  Walderi Monteiro Da Silva Junior¹  Manoel Luiz Cerqueria Neto¹  Angelo Roberto Antoniolli²  Valter J. Santana-filho¹ 

[1] ,Federal University of Sergipe Graduate Program in Health Science Aracaju SE ,Brazil

关键词: Video games;    Cardiac surgical procedures;    Motivation;    Physical therapy modalities;    Jogos de vídeo;    Procedimentos cirúrgicos cardíacos;    Motivação;    Modalidades de fisioterapia;   

DOI  :  10.5935/1678-9741.20130039

来源: SciELO

【 摘 要 】

INTRODUCTION: Cardiac surgery has been the intervention of choice in many cases of cardiovascular diseases. Susceptibility to postoperative complications, cardiac rehabilitation is indicated. Therapeutic resources, such as virtual reality has been helping the rehabilitational process. The aim of the study was to evaluate the use of virtual reality in the functional rehabilitation of patients in the postoperative period. METHODS: Patients were randomized into two groups, Virtual Reality (VRG, n = 30) and Control (CG, n = 30). The response to treatment was assessed through the functional independence measure (FIM), by the 6-minute walk test (6MWT) and the Nottingham Health Profile (NHP). Evaluations were performed preoperatively and postoperatively. RESULTS: On the first day after surgery, patients in both groups showed decreased functional performance. However, the VRG showed lower reduction (45.712.3) when compared to CG (35.0612.09, P<0.05) in first postoperative day, and no significant difference in performance on discharge day (P>0.05). In evaluating the NHP field, we observed a significant decrease in pain score at third assessment (P<0.05). These patients also had a higher energy level in the first evaluation (P<0.05). There were no differences with statistical significance for emotional reactions, physical ability, and social interaction. The length of stay was significantly shorter in patients of VRG (9.410.5 days vs. 12.2 1 0.9 days, P<0.05), which also had a higher 6MWD (319.9119.3 meters vs. 263.5115.4 meters, P<0.02). CONCLUSION: Adjunctive treatment with virtual reality demonstrated benefits, with better functional performance in patients undergoing cardiac surgery.

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