The impact of Virtual Reality on Anxiety and Functional Capacity in Cardiac Rehabilitation: A Systematic Review and Meta-analysis

Bashir, Zubair; Misquith, Chelsea; Ahmed, Shadab; Has, Phinnara; Bukhari, Syed

doi:10.1016/j.cpcardiol.2023.101628

Cited by 16 publications

(10 citation statements)

References 51 publications

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“…However, the high degree of bias, the small sample size, and the considerable variability in exercise regimens could have influenced the results. Furthermore, the non-significance of the improvement in functional capacity can be explained by the fact that in the RCTs, the data were collected and measured at different times of CR ( 12 ). Chen et al conducted a systematic review and meta-analysis including 10 RCTs.…”

Section: The Vr Technologymentioning

confidence: 99%

Clinical application of virtual reality in patients with cardiovascular disease: state of the art

Micheluzzi,

Navarese,

Merella

et al. 2024

Front. Cardiovasc. Med.

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Virtual reality offers a multisensory experience to patients, allowing them to hear, watch, and interact in a virtual environment. Immersive virtual reality is particularly suitable for the purpose of completely isolating patients from the external environment to transport them away from the suffering related to the disease. On this state of the art, we summarize the available literature on the effectiveness of virtual reality on various physical and psychological outcomes in patients with atherosclerotic cardiovascular disease. Virtual reality has been employed in the cardiovascular field in various settings such as cardiac rehabilitation, interventional cardiology, and cardiac surgery. This technology offers promising opportunities to improve several outcomes related to cardiovascular disease, but further research is needed to entirely capture its benefits and to standardize the intervention.

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Section: The Vr Technologymentioning

confidence: 99%

Clinical application of virtual reality in patients with cardiovascular disease: state of the art

Micheluzzi,

Navarese,

Merella

et al. 2024

Front. Cardiovasc. Med.

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show abstract

“…La telesalud, que integra tecnologías móviles, el uso de dispositivos de medición y evaluación médica a distancia, con sesiones interactivas sincrónicas y asincrónicas, utilizando un sistema audiovisual en tiempo real, creció en cantidad y calidad. Estas intervenciones han sido analizadas en varios estudios prospectivos y retrospectivos, con resultados conflictivos, aunque sugieren la no inferioridad de los programas e-supervisados (diferencia en MET = 0.33; p < 0.001 de no inferioridad) 45,46 .…”

Section: Pregunta 5 ¿Las Nuevas Modalidades De Ejercicio (Telerrehabi...unclassified

Guía latinoamericana de recomendaciones al egreso de un síndrome coronario agudo

Ponte-Negretti,

Zaidel,

López-Santi

et al. 2024

ACM

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“…In recent years, the use of niVR active videogames in CRP has increased. To date, four reviews (one qualitative review [16] and three meta-analyses [40][41][42]) have assessed the effect of all VR devices as therapeutic tools to be included in CRP. However, the effectiveness (or non-effectiveness) of VR devices on specific variables such as functional capacity or cardiovascular endurance, anxiety, depression, or QoL is not clear.…”

Section: Introductionmentioning

confidence: 99%

Non-Immersive Virtual Reality-Based Therapy Applied in Cardiac Rehabilitation: A Systematic Review with Meta-Analysis

Peinado-Rubia,

Verdejo-Herrero,

Obrero-Gaitán

et al. 2024

Sensors

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Background: The aim of this systematic review with meta-analysis was to assess the effectiveness of non-immersive virtual reality (niVR) active videogames in patients who underwent cardiac rehabilitation (CR). Methods: A systematic review with meta-analysis, according to the PRISMA guidelines and previously registered in PROSPERO (CRD42023485240), was performed through a literature search in PubMed (Medline), SCOPUS, WOS, and PEDro since inception to 21 November 2023. We included randomized controlled trials (RCTs) that assessed the effectiveness of an niVR intervention, in comparison with conventional CR and usual care, on aerobic capacity and cardiovascular endurance (physical function), anxiety, depression, and quality of life (QoL). The risk of bias in individual studies was assessed using the Cochrane risk of bias tool. Effect size was estimated using Cohen’s standardized mean difference (SMD) and its 95% confidence interval (95% CI) in a random-effects model. Results: Nine RCT that met the inclusion criteria were included in the meta-analysis. The meta-analysis showed a moderate-to-large effect favoring niVR active videogames included in CR in increasing aerobic capacity and cardiovascular endurance (SMD = 0.74; 95% CI 0.11 to 1.37; p = 0.021) and reducing anxiety (SMD = −0.66; 95% CI −1.13 to −0.2; p = 0.006). Only 4.8% of patients reported adverse events while performing niVR active videogames. Conclusions: Inclusion of niVR active videogames in CR programs is more effective than conventional CR in improving aerobic capacity and cardiovascular endurance and in reducing anxiety.

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The impact of Virtual Reality on Anxiety and Functional Capacity in Cardiac Rehabilitation: A Systematic Review and Meta-analysis

Cited by 16 publications

References 51 publications

Clinical application of virtual reality in patients with cardiovascular disease: state of the art

Clinical application of virtual reality in patients with cardiovascular disease: state of the art

Guía latinoamericana de recomendaciones al egreso de un síndrome coronario agudo

Non-Immersive Virtual Reality-Based Therapy Applied in Cardiac Rehabilitation: A Systematic Review with Meta-Analysis

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