Clinical Trial Details
— Status: Completed
Administrative data
NCT number |
NCT05591248 |
Other study ID # |
S66360 |
Secondary ID |
|
Status |
Completed |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
January 9, 2023 |
Est. completion date |
June 30, 2023 |
Study information
Verified date |
November 2023 |
Source |
Universitaire Ziekenhuizen KU Leuven |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
Feasibility study of the use of an interactive Virtual Reality device in rehabilitation of
critically ill patients on the Intensive Care Unit. Patients will use the upper limb muscles
and memory playing the 2 games in our "MotiVeeR UZeLf"-app. This will be the case 3x/week as
part of the conventional rehabilitation program.
Description:
Virtual Reality (VR) is the simulation of a real environment generated by a computer software
and experienced by the user through glasses that are slid over the head. VR is already known
for its use in the entertainment and technology industry, but there is a growing interest in
the use of VR for medical purposes. Also in the field of rehabilitation, virtual reality
rehabilitation (VRR) has been studied in different patient populations, with beneficial
effect.
For intensive care, VRR is a new but promising application domain. Patients in intensive care
(IC) need specific medical care and rehabilitation. Critically ill patients who are in an
intensive care for a long time (8 or more days) often show a severe muscle weakness caused by
being critically ill in itself.
The importance and benefits of starting rehabilitation as soon as possible has been
undeniably established in the literature. Early mobilization and exercises during the stay at
IC prevents the occurrence of muscle weakness or reduces its onset, shortens the duration of
the stay at IC and improves functionality.
In addition to the muscle problems, changes in the brain or impaired mental functioning can
also occur in IC patients.
A rehabilitation program for ICU patients that stimulates memory and attention, combined with
physical and functional training, could potentially be effective in improving mental
performance and functional outcomes.
The investigators will record the time required for the setup, learning, use and cleaning of
the advanced device, and note any problems that delay this process. Patients will be
encouraged to report any type of problem (technical, medical, emotional) at any time
(before/during/after the procedure). Any problem spontaneously reported by the patient will
be registered. The study will cover the virtual world in a closed headset, completely
blocking any other vision, while the patient will be encouraged/triggered to move the arms.
The feasibility and safety of using such a closed VR headset on IC patients during
rehabilitation exercises is being studied.
Many of the VR modules available today are focused on passive forms of VR, with the aim of
relaxation. With this project, the investigators created an interactive ICU-specific VRR app,
using a closed VR headset, to stimulate motivation for muscle and attention training in ICU
patients through a game.
The exercise program will be gradually build up from low to medium training intensity. Only
the therapist (and not the patient) can change the level of difficulty/intensity, so that a
correct training intensity is guaranteed.
With this study the investigators want to test whether this form of support of exercise
therapy is feasible and safe in Intensive Care. The investigators also want to test whether
the patient and the physiotherapist / occupational therapist remain motivated with this VRR
for exercise therapy, also for bedridden ICU patients with a long stay.