Bariatric Surgery Clinical Trial
Official title:
The Use of Virtual Reality Exercise Games to Improve Prehabilitation Exercise Compliance in Patients Awaiting Bariatric Surgery
Exercise is a vital part of cardiopulmonary conditioning, this means improving general fitness. Undertaking surgery has been likened, physiologically, to running a marathon. It is essential that before any operation the patient undergoing the procedure is as optimised as possible. Bariatric surgery is no exception. Patients with a high weight often have other conditions most commonly related to the heart and lungs through the excess visceral fat content. This places this group of patients at particular risk of potentially, albeit rare, of having a major and possibly catastrophic cardiac event on the operating table during anaesthetic. Pre-operative conditioning is therefore vital in this group of patients who are often young and not other than their weight necessarily unwell. Exercise plays an important role in the run up to surgery however, many pre-operative exercise prescription programs in the past have failed, often related to the lack of compliance. However, this maybe due to the poor body image they have of themselves presenting in public to the gym or swimming pool. Current Virtual Reality Games propose that, through their use they encourage exercise and increase heart rate. Given the more personalised nature of this form of media over public engagement, this new media may offer an opportunity to explore whether there is any benefit in terms of pre-conditioning this group of patients prior to their surgery. This study aims, in its first instance, to evaluate whether the Virtual Reality promoted exercise games encourage and can sustain increased activity prior to surgery.
Status | Recruiting |
Enrollment | 40 |
Est. completion date | April 30, 2023 |
Est. primary completion date | April 30, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 80 Years |
Eligibility | Inclusion Criteria: 1. All patients referred to the Weight Management and Obesity Surgery Service at the Royal Cornwall Hospital between January 2020 and December 2020 for Primary Bariatric Surgery. 2. Patients aged 18yrs and over. 3. Patient able to consent (with or without interpreter). 4. Patient able to undergo a general anaesthetic (seen by anaesthetist). Exclusion Criteria: 1. Patients referred for Revisional Bariatric Surgery. 2. Patients unable to use the Virtual Reality Gaming system. 3. Patient unable to consent. 4. Patients without a clear understanding of the English language. |
Country | Name | City | State |
---|---|---|---|
United Kingdom | Royal Cornwall Hospitals Trust | Truro | Cornwall |
Lead Sponsor | Collaborator |
---|---|
Royal Cornwall Hospitals Trust |
United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Exercise pre-operatively only using Activity Tracker | Measurement of exercise taken | Each day for 4 weeks prior to surgery | |
Primary | Activity minutes using Activity tracker | Measured using Activity tracker | 6 weeks preoperatively | |
Primary | Calories Burnt using Activity Tracker | Measured using Activity tracker | 6 weeks preoperatively | |
Primary | Heart rate and Heart rate variability using Activity Tracker | Measured using Activity tracker | 6 weeks preoperatively | |
Primary | Complications at surgery using Clavien-Dindo Classification | Record of 90 day surgical complications | 90 days post operatively | |
Secondary | Total excess Weight-loss post surgery (Kg) | Measurement of weight at postoperative consultations | 18 months |
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