Clinical trial NCT06604754: Effects of VR Training on Balance and Fall Risk of Patients With COPD
Official title: Effects of Virtual Reality Training on Balance and Fall Risk of Patients With Chronic Obstructive Pulmonary Disease
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: COPD (Chronic Obstructive Pulmonary Disease)
Keywords: COPD
VR
BBS
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-09-19
Enrollment: 56
Sex: ALL
Minimum age (years): 40
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: The aim of this study is to determine whether Virtual Reality (VR) training has significant effects on balance and fall risk of patients with COPD, with a focus on the patient group (GOLD STANDARD I \&amp; II). Additionally, the study determines whether VR training is a reliable substitute for traditional physical therapy balance.

Detailed description: Chronic Obstructive Pulmonary Disease (COPD) is the forth leading cause of mortality worldwide. COPD often impairs balance due to decreased physical activity, muscle weakness, and compromised respiratory function. Virtual Reality training addresses these issues by offering an immersive and engaging environment that enhances patient motivation and adherence to rehabilitation. The technology allows for personalized and controlled balance exercises, progressively increasing the difficulty to match the patient's skill level and providing real-time feedback. By integrating cognitive and motor tasks, VR promotes a comprehensive approach to balance training, improving sensory integration and postural control.

Research indicates that VR training can enhance both static and dynamic balance, helping patients maintain stability in various conditions. It improves the integration of sensory inputs crucial for balance, while also contributing to muscle strength and endurance. This results in a reduction in fall frequency, as patients become more adept at managing balance and are less likely to fall during daily activities. Additionally, VR training teaches specific fall prevention strategies and boosts patient confidence, which further mitigates the fear of falling-a common issue among COPD patients.

Incorporating VR training into physical therapy programs for COPD patients can be highly beneficial. Its ability to provide engaging and customizable exercises makes it a valuable tool in addressing balance issues and reducing fall risks. However, it is essential to ensure that VR training is conducted under proper supervision to avoid potential accidents, especially in patients with severe COPD or additional health concerns. Overall, VR training represents a significant advancement in rehabilitation, offering a novel and effective approach to managing balance and fall risks in COPD patients. The purpose of study is to determine whether VR training has significant effects on balance and fall risk of patients with COPD (GOLD standard stage I \&amp; II).

Eligibility criteria: Inclusion Criteria:

* Both Male and Female
* Diagnosed with mild to moderate COPD (GOLD stages I-II)
* Age between 40-65 years
* BBS score above 35 will be included.
* COPD patients with oxygen saturation of above 88%.
* Patients able to follow instructions / commands.

Exclusion Criteria:

* Recent exacerbation of COPD requiring hospitalization within last 4 weeks.
* Diagnosed with severe cognitive impairments.
* Previous experience with VR-based rehabilitation.
* Use of medication that could affect exercise response.

Primary outcomes:
measure: Balance
timeFrame: 8 weeks
measure: Functional Capacity
timeFrame: 8 weeks
measure: Peak Expiratory Flow rate
timeFrame: 8 weeks
measure: Forced Vital Capacity
timeFrame: 8 weeks
measure: Forced Expiratory Volume in 1sec
timeFrame: 8 weeks
measure: FVC/FEV1 ratio
timeFrame: 8 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Rawalpindi
country: Pakistan
facility: Railway General Hospital
state: Punjab
Study officials:
affiliation: Riphah International University
name: Suman Sheraz, PhD
role: PRINCIPAL_INVESTIGATOR
References: