Virtual Reality Distraction Technique to Improve Chest Burns With Acute Respiratory Distress Syndrome
Condition: Burns Chest Left Lateral; Burns Chest Right Lateral; Acute Respiratory Distress Syndrome
MeSH terms: Respiratory Distress Syndrome; Respiratory Distress Syndrome, Newborn; Acute Lung Injury; Syndrome; Burns
Study type: Interventional

Summary: 
      Inhalation of toxic gases and chemical irritants during the fire leads to damage to the
      respiratory tract or the alveolar tissue, which is known as smoke inhalation injury. Acute
      Respiratory Distress Syndrome (ARDS) is associated with smoke inhalation injury. These
      patients usually need physiotherapy in the form of chest mobilization and breathing exercises
      for up to 4 to 6 weeks after discharge from the burns care centre. The patients during this
      phase are usually in pain and extremely anxious about these exercises. Virtual reality
      distraction (VRD) is one such technique that is gaining immense popularity recently, it has
      more immersive distraction when compared to traditional distraction techniques. This study
      aims to investigate the effect of a virtual reality distraction (VRD) technique as a pain
      alleviation tool for reducing pain during physiotherapy in burns patients with acute
      respiratory distress syndrome (ARDS) in a hospital setting.
    

Detailed description: 
      Burns of the chest region (Chest burns - CB) constitute a common burn (29%) among other types
      of burn, in which second and third-degree burns are the most common type of injuries noted.
      Additionally, inhalation of toxic gases and chemical irritants during the fire leads to
      damage to the respiratory tract or the alveolar tissue, which is known as smoke inhalation
      injury. Acute Respiratory Distress Syndrome (ARDS) is associated with smoke inhalation
      injury, which is one of the infectious complications after a burn injury. According to the
      present data, the incidence of ARDS in burn patients is about 20 - 56% and is one of the main
      causes of death among burn patients. Management of ARDS generally includes mechanical
      ventilation, prophylaxis treatment, proper diet and physiotherapy treatment. These patients
      usually need physiotherapy in the form of chest mobilization and breathing exercises for up
      to 4 to 6 weeks after discharge from the burns care centre. The patients during this phase
      are usually in pain and extremely anxious about these exercises, hence pain and anti-anxiety
      drugs may be prescribed. Virtual reality distraction (VRD) is one such technique that is
      gaining immense popularity recently, it has more immersive distraction when compared to
      traditional distraction techniques like inhibition exercises, meditation or progressive
      muscle relaxation exercises. This study aims to investigate the effect of a virtual reality
      distraction (VRD) technique as a pain alleviation tool for reducing pain during physiotherapy
      in burns patients with acute respiratory distress syndrome (ARDS) in a hospital setting.
    

Intervention name(s): Virtual reality; Progressive muscle relaxation
Intervention type(s): Device; Procedure
Intervention description(s): The Oculus Rift's (Lenovo, Beijing, China) "Fujii - Mystical Journey" was the game played by the VRD group on a tablet. The game is a peaceful, ethereal voyage that passes through several surreal, natural locations.
The game combines elements of adventure, agriculture and revitalizing music. It alternates between outdoor exploration and inventive gardening. Players explore three different magical biomes. The life force in each biome is restored by interacting with the plants and animals there.; The patients of the control group performed Progressive muscle relaxation technique, a relaxation technique used to control pain. It is believed that anxiety-inducing thoughts result in muscle tension and hence muscle relaxation can reduce anxiety. The relaxation technique consisted of tensing and relaxing different muscles, starting from the toes and finally involving muscles of the head and neck. It was recommended that this be done in a peaceful, distraction-free environment. The muscle groups were tensed for a period of 5 seconds and then relaxed for 30 seconds.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: This trial was a randomized, parallel-group, clinical controlled trial conducted at the department of health and rehabilitation sciences, college of applied medical sciences, Prince Sattam bin Abdulaziz University, Al Kharj, Saudi Arabia.
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Treatment