Could Virtual Reality play a role in the rehabilitation after COVID-19 infection?

Merlijn Smits, J Bart Staal, Harry van Goor, Merlijn Smits, J Bart Staal, Harry van Goor

Abstract

Post-COVID-19 patients, particularly those who needed high care, are expected to have high needs for physical, psychological and cognitive rehabilitation. Yet, the resources needed to provide rehabilitation treatment are expected to be inadequate because healthcare systems faced a shortage of high-quality treatment of these symptoms already before the COVID-19 crisis emerged in patients with comparable needs. In this viewpoint, we discuss the potential of Virtual Reality (VR) administering fast, tailor-made rehabilitation at a distance, and offering a solution for the impending surge of demand for rehabilitation after COVID-19. VR consists of a head-mounted display (HMD) that can bring the user by computer-generated visuals into an immersive, realistic multi-sensory environment. Several studies on VR show its potential for rehabilitation and suggest VR to be beneficial in post-COVID-19. The immersion of VR may increase therapy adherence and may distract the patient from experienced fatigue and anxiety. Barriers still have to be overcome to easily implement VR in healthcare. We argue that embedding VR in virtual care platforms would assist in overcoming these barriers and would stimulate the spread of VR therapy, both for post-COVID-19 patients in the present and possibly for other patients with similar rehabilitation needs in the future.

Keywords: Exercise rehabilitation; Physiotherapy; Psychology.

Conflict of interest statement

Competing interests: None declared.

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

References

    1. Biehl M, Sese D. Post-intensive care syndrome and COVID-19 - implications post pandemic. Cleve Clin J Med 2020. 10.3949/ccjm.87a.ccc055
    1. Inoue S, Hatakeyama J, Kondo Y, et al. Post‐intensive care syndrome: its pathophysiology, prevention, and future directions. Acute Med Surg 2019;6:233–46. 10.1002/ams2.415
    1. Thornton J. COVID-19: the challenge of patient rehabilitation after intensive care. BMJ 2020;369 10.1136/bmj.m1787
    1. Barker-Davies RM, Sullivan O, Senaratne KPP, et al. The Stanford Hall consensus statement for post-COVID-19 rehabilitation. Br J Sports Med 2020;bjsports–2020–102596 10.1136/bjsports-2020-102596
    1. Simpson R, Robinson L. Rehabilitation following critical illness in people with COVID-19 infection. Am J Phys Med Rehabil 2020;1 10.1097/PHM.0000000000001443
    1. Phillips M, Turner-Stokes L, Wade D, et al. Rehabilitation in the wake of COVID-19 - a phoenix from the ashes. Br Rehabil Med 2020. Available
    1. Davidson JE, Harvey MA. Patient and family post-intensive care syndrome. AACN Adv Crit Care 2016;27:184–6. 10.4037/aacnacc2016132
    1. Bevilacqua R, Maranesi E, Riccardi GR, et al. Non-immersive virtual reality for rehabilitation of the older people: a systematic review into efficacy and effectiveness. J Clin Medi 2019;8:1882 10.3390/jcm8111882
    1. Lin H-T, Li Y-I, Hu W-P, et al. A scoping review of the efficacy of virtual reality and exergaming on patients of musculoskeletal system disorder. J Clin Medi 2019;8:791 10.3390/jcm8060791
    1. Dorsey ER, Topol EJ. State of telehealth. N Engl J Med 2016;375:154–61. 10.1056/NEJMra1601705
    1. De Graaf J, Behandelprogramma BM. COVID-19 post-IC de Hoogstraat. Online, 2020.
    1. Yang F, Liu N, Hu J, et al. Pulmonary rehabilitation guidelines in the principle of 4S for patients infected with 2019 novel coronavirus (2019-nCoV). Chin J Tuberculosis Respir Dis 2020;43:180–2. 10.3760/cma.j.issn.1001-0939.2020.0004
    1. Darekar A, McFadyen BJ, Lamontagne A, et al. Efficacy of virtual reality-based intervention on balance and mobility disorders post-stroke: a scoping review. J NeuroEng Rehabil 2015;12:46 10.1186/s12984-015-0035-3
    1. Wu J, Loprinzi PD, Ren Z. The rehabilitative effects of virtual reality games on balance performance among children with cerebral palsy: a meta-analysis of randomized controlled trials. Int J Environ Res Public Health 2019;16:4161 10.3390/ijerph16214161
    1. Pourmand A, Davis S, Marchak A, et al. Virtual reality as a clinical tool for pain management. Curr Pain Headache Rep 2018;22:53 10.1007/s11916-018-0708-2
    1. Li J, Theng Y-L FS. Game-based digital interventions for depression therapy: a systematic review and meta-analysis. Cyberpsychol Behav Soc Netw 2014;17:519–27. 10.1089/cyber.2013.0481
    1. Meyerbröker K, Emmelkamp PM. Virtual reality exposure therapy in anxiety disorders: a systematic review of process‐and‐outcome studies. Depress Anxiety 2010;27:933–44. 10.1002/da.20734
    1. Gonçalves R, Pedrozo AL, Coutinho ESF, et al. Efficacy of virtual reality exposure therapy in the treatment of PTSD: a systematic review. PloS One 2012;7:12 10.1371/journal.pone.0048469
    1. Honarmand K, Lalli RS, Priestap F, et al. Natural history of cognitive impairment in critical illness survivors: a systematic review. Am J Respir Crit Care Med. 2020. 10.1164/rccm.201904-0816CI
    1. Zhao J, Yao L, Wang C, et al. The effects of cognitive intervention on cognitive impairments after intensive care unit admission. Neuropsychol Rehabil 2017;27:301–17. 10.1080/09602011.2015.1078246
    1. Cho DR, Lee SH. Effects of virtual reality immersive training with computerized cognitive training on cognitive function and activities of daily living performance in patients with acute stage stroke: a preliminary randomized controlled trial. Medicine 2019;98:e14752 10.1097/MD.0000000000014752
    1. Warwick U. Physiotherapy could be done at home using virtual reality online 2020. Available.
    1. Torous J, Wykes T. Opportunities from the coronavirus disease 2019 pandemic for transforming psychiatric care with telehealth. JAMA Psychiatry 2020. 10.1001/jamapsychiatry.2020.1640
    1. Irgens I, Rekand T, Arora M, et al. Telehealth for people with spinal cord injury: a narrative review. Spinal Cord 2018;56:643–55. 10.1038/s41393-017-0033-3
    1. Koninklijk Nederlands Genootschap voor Fysiotherapie KNGF position statement - physiotherapy recommendations in patients with COVID-19. Amersfoort: Royal Dutch Society for Physical Therapy (KNGF), 2020.

Source: PubMed

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