Food and heart-the nutritional jungle: Patients' experiences of dietary habits and nutritional counselling after coronary artery bypass grafting.
Pia Elbrønd, Ida E Højskov, Malene Missel...
https://pubmed.ncbi.nlm.nih.gov/31512796Actively Recruiting
Phase Not Applicable
Age: 30Years - 60Years
All Genders
ID07331558
Effects of Multimodal Virtual Reality-based Rehabilitation on Dyspnea, Cardiorespiratory Fitness, Left Ventricular Ejection Fraction, and Quality of Life in CABG Phase II
Led by Riphah International University · Updated on 2026-01-12
66
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
This research aims to evaluate the effects of multimodal virtual reality-based rehabilitation on patients recovering from coronary artery bypass graft (CABG) surgery in phase II of their rehabilitation. The study focuses on improving dyspnea (breathing difficulty), cardiorespiratory fitness, left ventricular ejection fraction (heart function), and quality of life. CABG phase II typically starts weeks after hospital discharge and involves medically supervised recovery to address limited physical capacity, reduced exercise tolerance, and fatigue. The study involves randomizing 66 patients into three groups to compare different rehabilitation methods. All participants will receive weight-bearing Liuzijue Qigong as a baseline treatment. Group A will undergo multimodal circuit training while simultaneously viewing nature scenes through virtual reality (VR) in a clinical setting. Group B will receive the same multimodal circuit training in a standard clinical environment, and Group C will do the training through telerehabilitation using Google Meetings. Each approach combines education, physical activity, nutritional counseling, and psychological support using behavioral cognitive therapy. Participants will be assessed over two months using several measures: the Dyspnea 12 Questionnaire for breathing difficulty, Cooper's 12-minute test for cardiorespiratory fitness, echocardiography for heart function, EQ-5D-5L for quality of life, and the Pittsburgh Sleep Quality Index to evaluate sleep quality. The study includes clinical visits and remote sessions depending on the group. Data will be collected and analyzed to determine how these rehabilitation methods affect recovery after CABG surgery.
CONDITIONS
Brief Title
Multimodal VR Rehabilitation for Cardiorespiratory Fitness in CABG Phase II
Who Can Participate
Age: 30Years - 60Years
All Genders
Eligibility Criteria
You may qualify if you...
- Patients who underwent CABG surgery will be recruited after twelve weeks
- Both male and female
- Age 30-60 years old
- Left ventricular ejection fraction (LVEF) less than 40%
- Persistent dyspnea with a self-rated intensity of 5 or higher on a visual analogue dyspnea scale
- Preserved cognitive function with Montreal Cognitive Assessment score above 24
You will not qualify if you...
- History of recurrent CABG surgery
- Non-cardiac surgical procedure within 2 months prior to recruitment
- Unstable angina, uncontrolled hypertension (blood pressure above 180/100 mmHg), presence of pacemaker or atrial fibrillation, documented valve stenosis, or symptomatic peripheral arterial disease limiting exercise
- Documented chronic obstructive pulmonary disease with FEV1 and FVC less than 60%
- Any shoulder impairment limiting exercise participation
- Presence of kinesiophobia
- Epilepsy, vertigo, or eyesight impairment that contraindicates virtual reality use
- Patients with conditions that limit safe participation in the study interventions or exercise programs
- Patients with documented contraindications for virtual reality usage due to neurological or vision conditions
- Patients who cannot safely participate in multimodal circuit training sessions or telerehabilitation methods used in the study
- Patients with medical conditions that may interfere with study participation or outcome assessment
- Patients with other significant health issues that may affect study safety or results
- Patients who do not meet the inclusion criteria or have any exclusion conditions as listed above
- Patients unable to comply with study procedures or follow-up requirements
- Patients with other cardiac or pulmonary conditions not specified but impacting exercise capacity or safety
- Patients with severe cognitive impairment or neurological disorders preventing informed consent or proper participation
- Patients with any other contraindications assessed during screening that preclude study involvement
- Patients currently enrolled in other conflicting clinical trials or rehabilitation programs
- Patients with any other health issues that would interfere with the study or participant safety
- Patients with severe comorbidities or unstable medical conditions
- Patients with recent acute cardiac events other than the qualifying CABG surgery
- Patients with persistent arrhythmias or pacemaker dependency
- Patients with severe musculoskeletal disorders limiting exercise
- Patients with any other condition that the study team determines would interfere with safe participation or data integrity
- Patients with eyesight impairment incompatible with VR use
- Patients with epilepsy or vertigo contraindicating VR use
- Patients with kinesiophobia preventing exercise participation
- Patients with shoulder impairment limiting exercise participation
- Patients with chronic obstructive pulmonary disease with severe lung function impairment
- Patients with uncontrolled hypertension above 180/100 mmHg
- Patients with unstable angina or other unstable cardiac conditions
- Patients who had non-cardiac surgery within 2 months before recruitment
- Patients with recurrent CABG surgery history
- Patients unable to cooperate with the study protocol or complete assessments
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - 2 months
Participants receive multimodal circuit training through one of three methods: viewing nature scenes through VR in a clinical setting, multimodal circuit training in a real-world clinical setting, or multimodal circuit training through telerehabilitation. The treatment includes education, physical activity, nutritional counselling, and psychological support.
Regular visits in clinical settings or sessions through telerehabilitation depending on group assignment
Trial Site Locations
Total: 1 location
1
Riphah International University
Lahore, Punjab Province, Pakistan, 54000
Actively Recruiting
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Research Team
W
Wajeeha Zia, PP-DPT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
3
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Ali Pooria, Afsoun Pourya, Alireza Gheini
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