Study of Virtual Reality-Enhanced Multimodal Rehabilitation to Improve Breathing, Heart Fitness, and Quality of Life in Adults Aged 30 to 60 After CABG Surgery

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, Coopers 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.

Multimodal VR Rehabilitation for Cardiorespiratory Fitness in CABG Phase II