The Effect of Video Game-Based Exercises After Open Heart Surgery

Effect of Video Game-Based Exercises on Respiratory Muscle Strength and Physical Fitness After Open Heart Surgery

The aim of the study is to investigate the effects of video game-based exercises applied in addition to the cardiac rehabilitation program applied after open heart surgery, on pulmonary function and functional independence in the acute state.

After ethics committee approval is received; Patients who volunteer to participate in the study will be divided into two groups by simple random method. The first group will be given a 12-week cardiac rehabilitation program after bypass surgery, and the second group will be given video game-based exercise training together with the cardiac rehabilitation program for 12 weeks. It is planned to apply the cardiac rehabilitation program to both groups twice a day during the postoperative period until hospital discharge. The patient's cardiac rehabilitation program after hospital discharge will be carried out in the cardiac rehabilitation unit three days a week. Cardiac r in the video game-based exercise group In addition to rehabilitation; "Breathing Labs Breathing Games" exercises will continue during the hospital stay, and Xbox games will continue after discharge. Evaluations will be made in the preoperative period (within one week before surgery) and at the end of the 12th postoperative week.

Study Overview

• Status: Recruiting
• Conditions: Sleep Quality; Physical Fitness; Open Heart Surgery
• Intervention / Treatment: Other: video based exercises

Detailed Description

Our work; In order to evaluate the effect of video game-based exercises on respiratory muscle strength and physical fitness within the scope of cardiac rehabilitation after open heart surgery; It will be conducted with patients who have undergone open bypass surgery in the Cardiovascular Surgery Department of Private Sani Konukoğlu Training and Research Hospital.

After ethics committee approval is received; Patients who volunteer to participate in the study will be divided into two groups by simple random method. The first group will be given a 12-week cardiac rehabilitation program after bypass surgery, and the second group will be given video game-based exercise training together with the cardiac rehabilitation program for 12 weeks. It is planned to apply the cardiac rehabilitation program to both groups twice a day during the postoperative period until hospital discharge. The patient's cardiac rehabilitation program after hospital discharge will be carried out in the cardiac rehabilitation unit three days a week. Cardiac in the video game-based exercise group In addition to rehabilitation; "Breathing Labs Breathing Games" exercises will continue during the hospital stay, and Xbox games will continue after discharge. Evaluations will be made in the preoperative period (within one week before surgery) and at the end of the 12th postoperative week.

Maximum inspiratory pressure (MIP), maximal expiratory pressure (MEP) with an intraoral pressure measurement device to evaluate the respiratory muscle strength of the patients, Respiratory Function Test to evaluate respiratory function, Sensior Fitness Test to evaluate physical fitness. International Physical Activity Questionnaire - Short Form (IPAQ-SF) to determine the physical activity levels of the cases in daily life, Charlson Comorbidity Index to quantitatively examine the comorbidities that have an impact on prognosis, and to measure the severity of anxiety and depression in cases with physical diseases. Hospital Anxiety and Depression Scale to monitor patients; quality of life and changes, EQ-5D scale to evaluate patients; quality of life, KATZ scale to evaluate independence in daily living activities, Visual Analog Scale to evaluate dyspnea and pain symptoms. , the Pittsburg Sleep Quality Index will be used to evaluate sleep quality, and the Modified Borg Scale will be used to determine exercise intensity.

• Study Type: Interventional
• Enrollment (Estimated): 28
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: burcu bağcı; Phone Number: 5368369804; Email: ozsert_burcu@hotmail.com

Study Locations

• Turkey
  • Şehitkamil
    • Gaziantep, Şehitkamil, Turkey, 27500
      • Recruiting
      • Sanko University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Those who are younger than 65 years old

  • Having undergone open heart surgery
  • Hemodynamically stable
  • At ambulatory level
  • Agreeing to participate in the study
  • Scoring 25 or more from the Mini-Mental Test

Exclusion Criteria:

• • Those diagnosed with previous cerebrovascular accident

  • Those with orthopedic problems that prevent walking
  • Those with uncontrolled diabetes
  • Those with uncontrolled hypertension
  • Those with severe vision problems
  • Having other diseases (pulmonary, neurological, metabolic, etc.) that limit participation in exercise training.
  • Having verbal and/or auditory cooperation problems

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: video game based exercise training; Breathing Games; developed by a company called &Breathing Labs&; allow breathing exercises to be implemented based on video games. Studies have reported that breathing exercises accompanied by visual feedback provide additional benefits, and it has been stated that the virtual reality-based approach is an effective method in this respect.	Other: video based exercises; Respiratory muscle training and other factors will be examined through 12 weeks of video-based game exercises.
Other: control group; No intervention will be made to the control group.	Other: video based exercises; Respiratory muscle training and other factors will be examined through 12 weeks of video-based game exercises.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
tiredness	Modified Borg Scale	12 weeks
Comorbid disease status	Charlson Comorbidity Index	12 weeks
Hospital Anxiety and Depression	Hospital Hospital Anxiety and Depression Scale	12 weeks
Physical Activity	International Physical Activity Questionnaire-Short Form (IPAQ-SF)	12 weeks
Measures quality of life status	EQ-5D-3l quality of life scale	12 weeks
activity of daily living	KATZ İndex	12 weeks
measures pain intensity	Visual Analog Scale	12 weeks
Sleep Quality	Pittsburg Sleep Quality Index	12 weeks

Collaborators and Investigators

• Sponsor: Sanko University
• Investigators: Principal Investigator: burcu bağcı, Sanko University

Study record dates

Study Major Dates

• Study Start (Actual): September 11, 2023
• Primary Completion (Estimated): February 1, 2024
• Study Completion (Estimated): June 1, 2024

Study Registration Dates

• First Submitted: January 2, 2024
• First Submitted That Met QC Criteria: January 2, 2024
• First Posted (Actual): January 12, 2024

Study Record Updates

• Last Update Posted (Actual): January 12, 2024
• Last Update Submitted That Met QC Criteria: January 2, 2024
• Last Verified: January 1, 2024

More Information

Terms related to this study

• Keywords: sleep quality; respiratory muscle strenght; pyhscal fitness; Open Heart Surger
• Other Study ID Numbers: BurcuB

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No