使用虚拟现实（MEP-VR）的多组分锻炼计划与标准方法对住院老年患者功能和认知领域的影响：一项随机对照试验的研究方案

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia Pub Date : 2025-03-13 DOI:10.1016/j.regg.2025.101646

Maria Cristina Ferrara , Fabiola Zambom-Ferraresi , Arkaitz Galbete , Marisa Fernández-González de la Riva , Maite Izco-Cubero , Agurne García-Baztán , Amaya Capón-Sáez , Soledad Domínguez-Mendoza , Itxaso Marín-Epelde , Fabricio Zambom-Ferraresi , Nicolás Martínez-Velilla

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引用次数: 0

摘要

传统的老年人护理模式往往忽视了住院治疗的负面影响，忽视了技术的潜在好处。本试验旨在研究虚拟现实多组分运动计划（MEP-VR）对住院老年人功能和认知结果的影响，与仅使用mep或常规护理方法相比。方法：这项三组平行组随机对照试验将纳入255名年龄在75岁或以上、Barthel指数评分至少为60、能够行走和合作、预计住院时间至少为4天、并提供知情同意的参与者。患有严重痴呆、绝症或临床不稳定的患者将被排除在外。参与者将被随机分配到对照组或两个干预组中的一个。干预组将接受MEP-VR或仅mep计划，包括有监督的有氧运动，阻力训练和平衡训练，有或没有虚拟现实组件。干预将持续4天，每次持续30-40分钟。主要结局指标为出院时的功能改变。认知、情绪、生活质量和沉浸式虚拟现实（IVR）可用性也将被评估。随着人口老龄化，技术进步正在迅速增加，这为将技术整合到老年人护理中创造了潜在的好处。本研究将评估IVR结合MEP的实施情况。如果我们的假设被证明是正确的，它将为修改住院制度铺平道路，有助于减少老年人因医院获得性残疾而造成的关键医疗负担。试验注册：该研究于2021年6月14日获得Navarra临床研究伦理委员会批准（PI_2021_90）。该试验在ClinicalTrials.gov上回顾性注册，注册号为NCT06469554。

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Effect of a Multicomponent Exercise Program with Virtual Reality (MEP-VR) versus standard approaches on functional and cognitive domains in hospitalised geriatric patients: Study protocol for a randomized controlled trial

Background

Conventional care models for older adults often disregard negative effects of hospitalization and neglect potential benefits of technology. This trial aims to investigate effects of Multicomponent Exercise Program with Virtual Reality (MEP-VR) on functional and cognitive outcomes in hospitalized older adults, compared to MEP-only or usual care approaches.

Methods

This three-arm, parallel-group, randomized controlled trial will include 255 participants aged 75 or older, with a Barthel Index score of at least 60, able to walk and cooperate, have an estimated hospital stay of at least four days, and provide informed consent. Patients with severe dementia, terminal illness, or clinical instability will be excluded. Participants will be randomly assigned to a control group or one of two intervention groups. The intervention groups will receive either MEP-VR or MEP-only program, consisting of supervised aerobic exercise, resistance training, and balance training, with or without a virtual reality component. The intervention will occur over four consecutive days, each session lasting 30–40 min. The primary outcome measure will be functional changes at discharge. Cognition, mood, quality of life, and immersive virtual reality (IVR) usability will also be assessed.

Discussion

Technological advances are rapidly increasing with population aging, creating potential benefits for integrating technology into older adult care. This study will evaluate the implementation of IVR combined with MEP. If our hypothesis proves accurate, it will pave the way for modifying the hospitalization system, helping to reduce the critical healthcare burden resulting from hospital-acquired disability in the older population.

Trial registration

This study was approved by the Navarra Clinical Research Ethics Committee on June 14th, 2021 (PI_2021_90). The trial was retrospectively registered at ClinicalTrials.gov, registration number NCT06469554.

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来源期刊

Revista Espanola de Geriatria y Gerontologia Medicine-Medicine (miscellaneous)

CiteScore

1.90

自引率

0.00%

发文量

审稿时长

85 days

期刊介绍： Una revista de gran prestigio por sus artículos originales de investigación y revisiones. Permite cubrir todas las áreas de la medicina pero siempre desde la atención al paciente anciano, y está presente en los más reconocidos índices internacionales.