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- Sperimentazione clinica NCT07700550
VIRTUAL REALITY TRAINING AFTER THORACIC SURGERY (VRTS)
Effects of Exercise Training With Virtual Reality After Thoracic Surgery
Panoramica dello studio
Stato
Condizioni
Tipo di studio
Iscrizione (Effettivo)
Fase
- Non applicabile
Contatti e Sedi
Luoghi di studio
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Denizli, Turchia (Türkiye), 20160
- Pamukkale University Hospital
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
Inclusion Criteria:
Age between 25 and 70 years Stable symptoms and no other disease affecting pulmonary function (e.g., scoliosis or ankylosing spondylitis) Good cooperation and ability to walk independently Patients who underwent thoracic surgery FEV1 > 2 L for pneumonectomy, > 1 L for lobectomy, and > 0.6 L for segmentectomy Maximum oxygen consumption (VO₂max) > 15-20 mL/kg/min Cycle ergometer performance > 83 W No severe visual impairment Approved for participation in exercise training by the operating physician Hodkinson Mental Test score > 6 Willingness to participate and provision of informed consent -
Exclusion Criteria:
Contraindications to pulmonary rehabilitation or physiotherapy, including unstable cardiovascular disease, severe pulmonary hypertension, severe uncorrectable hypoxemia, exercise-induced desaturation, rib fractures, subcutaneous emphysema, advanced osteoporosis, or thrombocytopenia Orthopedic or neurological disorders that may impair independent ambulation, exertional dyspnea, or exertional vertigo Requirement for repeat thoracic surgery due to previous thoracic surgical history Inability to establish verbal and/or auditory communication and cooperation Inability to cooperate due to psychological and/or perceptual impairments Withdrawal Criteria Development of unexpected chest pain during the study Occurrence of syncope or nausea during testing procedures Participants may withdraw from the study at any time without providing a reason Study Completion / Termination Criterion Achievement of the planned sample size
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Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
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Comparatore attivo: Conventional Pulmonary Rehabilitation Group
Participants received conventional pulmonary rehabilitation and cycle ergometer training after thoracic surgery.
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Participants received conventional pulmonary rehabilitation and cycle ergometer training after thoracic surgery.
Participants underwent thoracic surgery (lobectomy, segmentectomy, pneumonectomy, or wedge resection) according to the clinical indication before receiving the assigned rehabilitation intervention.
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Sperimentale: Virtual Reality Exercise Training Group
Participants received conventional pulmonary rehabilitation, cycle ergometer training, and virtual reality-based exercise training after thoracic surgery.
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Participants received conventional pulmonary rehabilitation and cycle ergometer training after thoracic surgery.
Participants underwent thoracic surgery (lobectomy, segmentectomy, pneumonectomy, or wedge resection) according to the clinical indication before receiving the assigned rehabilitation intervention.
Participants received virtual reality-based exercise training in addition to conventional pulmonary rehabilitation and cycle ergometer training after thoracic surgery.
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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FEV1
Lasso di tempo: From baseline to 2 weeks after hospital discharge
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Forced expiratory volume in one second (FEV1) measured by spirometry.
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From baseline to 2 weeks after hospital discharge
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FVC
Lasso di tempo: From baseline to 2 weeks after hospital discharge.
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Forced vital capacity (FVC) measured by spirometry.
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From baseline to 2 weeks after hospital discharge.
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FEF25-75
Lasso di tempo: From baseline to 2 weeks after hospital discharge.
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Forced expiratory flow between 25% and 75% of forced vital capacity measured by spirometry.
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From baseline to 2 weeks after hospital discharge.
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Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Pain Intensity
Lasso di tempo: Baseline, postoperative day 2, and hospital discharge (up to 7 days after surgery).
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Pain intensity was assessed using the Visual Analog Scale (VAS).Pain intensity was assessed using the Visual Analog Scale (VAS), ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain.
Higher scores indicate greater pain intensity.
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Baseline, postoperative day 2, and hospital discharge (up to 7 days after surgery).
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Exercise Capacity
Lasso di tempo: Baseline, postoperative day 2, and hospital discharge (up to 7 days after surgery)
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Exercise capacity was assessed using the 1-minute sit-to-stand test.Exercise capacity was assessed using the 1-minute sit-to-stand test (1-min STS).
The outcome was recorded as the number of completed sit-to-stand repetitions in one minute.
Higher values indicate better exercise capacity.
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Baseline, postoperative day 2, and hospital discharge (up to 7 days after surgery)
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Anxiety and Depression
Lasso di tempo: Baseline, postoperative day 2, and hospital discharge (up to 7 days after surgery).
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Anxiety and depression were assessed using the Hospital Anxiety and Depression.
Anxiety was assessed using the Hospital Anxiety and Depression Scale - Anxiety subscale (HADS-A).
Scores range from 0 to 21, with higher scores indicating greater anxiety symptoms.
Depression was assessed using the Hospital Anxiety and Depression Scale - Depression subscale (HADS-D).
Scores range from 0 to 21, with higher scores indicating greater depression symptoms.
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Baseline, postoperative day 2, and hospital discharge (up to 7 days after surgery).
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Dyspnea
Lasso di tempo: Baseline, postoperative day 2, and hospital discharge (up to 7 days after surgery)
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Dyspnea was assessed using the Modified Borg Dyspnea Scale.
Dyspnea was assessed using the Modified Borg Dyspnea Scale.
Scores range from 0 to 10, where 0 indicates no dyspnea and 10 indicates maximal dyspnea.
Higher scores indicate greater dyspnea severity.
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Baseline, postoperative day 2, and hospital discharge (up to 7 days after surgery)
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Oxygen Saturation
Lasso di tempo: Baseline, postoperative day 2, and hospital discharge (up to 7 days after surgery).
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Peripheral oxygen saturation was measured before, immediately after, and 3 minutes after the 1-minute sit-to-stand test.Peripheral oxygen saturation (SpO₂) was measured using a pulse oximeter before, immediately after, and 3 minutes after the 1-minute sit-to-stand test.
Oxygen saturation was recorded as a percentage (%), with higher values indicating better oxygenation.
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Baseline, postoperative day 2, and hospital discharge (up to 7 days after surgery).
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Length of Hospital Stay
Lasso di tempo: From the day of surgery until hospital discharge (typically within 7 days after surgery).
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Length of hospital stay was recorded as the total number of days from surgery until hospital discharge.
Shorter hospital stay indicates a better outcome.
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From the day of surgery until hospital discharge (typically within 7 days after surgery).
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Patient satisfaction
Lasso di tempo: Hospital discharge (up to 7 days after surgery)
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Patient satisfaction was assessed using a short patient satisfaction questionnaire.Patient satisfaction was assessed using the Short Patient Satisfaction Questionnaire (SPSQ/HMKDF), which consists of 7 items rated on a 5-point Likert scale.
Total scores range from 7 to 35, with higher scores indicating greater patient satisfaction.
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Hospital discharge (up to 7 days after surgery)
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Collaboratori e investigatori
Sponsor
Investigatori
- Investigatore principale: Orçin T ATALAY, PhD, Pamukkale University
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Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .
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