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Virtual reality exercise intradialysis to improve physical function: A feasibility randomized trial
Author(s) -
SeguraOrtí Eva,
PérezDomínguez Borja,
OrtegaPérez de Villar Lucía,
MeléndezOliva Erika,
MartínezGramage Javier,
GarcíaMaset Rafael,
GilGómez José Antonio
Publication year - 2019
Publication title -
scandinavian journal of medicine and science in sports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.575
H-Index - 115
eISSN - 1600-0838
pISSN - 0905-7188
DOI - 10.1111/sms.13304
Subject(s) - physical therapy , heel , randomized controlled trial , medicine , physical medicine and rehabilitation , gait , test (biology) , virtual reality , preferred walking speed , psychological intervention , computer science , surgery , paleontology , artificial intelligence , psychiatry , biology , anatomy
Objective The main objective of this investigation was to assess feasibility of conducting a future RCT with an intradialysis non‐immersive virtual reality exercise intervention. The secondary aim was to explore the impact of either conventional or VR exercise on physical function. Design Feasibility randomized trial. Participants Eighteen subjects who participated in a 16‐week intradialysis combined exercise program. Interventions The program lasted four additional weeks of either combined exercise or virtual reality exercise. Main outcome measures Physical function was measured through several reliable tests (sit‐to‐stand‐to‐sit tests 10 and 60, gait speed, one‐leg heel‐rise tests, and 6‐minute walk test) at baseline, after 16 weeks of intradialysis combined exercise and by the end of four additional weeks of exercise. Adherence to the exercise programs was registered. Results There was a significant time effect, so that physical function improved in both groups. By the end of the 20 weeks, function improved as measured through the sit‐to‐stand‐to‐sit tests 10 and 60, gait speed, one‐leg heel‐rise left leg, and the 6‐minute walk test. Changes that did not occur due to error in the test were seen after 20 weeks were achieved in the sit‐to‐stand‐to‐sit test 60, gait speed, one‐leg heel‐rise test for the left leg, and 6‐minute walking test. Conclusion Virtual reality was a feasible intervention. Both interventions improved physical function. Adherence was not significantly different between groups.