Health Condition 1: R69- Illness, unspecified Health Condition 2: G729- Myopathy, unspecified Health Condition 3: R538- Other malaise and fatigue Health Condition 4: R098- Other specified symptoms and signsinvolving the circulatory and respiratory systems
Conditions
Interventions
Intervention1: Virtual reality-based mobilization program: The intervention is a virtual reality game based mobilization program. As a replacement to traditional mobilization program consisting of exe
heart rate less than 50 bpm or more than 140 bpm, Oxygen saturation level drop i.e. less than 90%, Altered level of consciousness, Increased pain or level of discomfort, Symptoms of nausea, distress,
Sponsors
Vaishanavi Shetty
Eligibility
Inclusion criteria
Inclusion criteria: Duration of stay in ICU: more than 48 hours Breathing spontaneously with or without an advanced airway Must follow 5 standardized questions for co-operation. (Open and close your eyes, look at me, open your mouth and put out your tongue, nod your head, raise your eyebrow after I have counted to five) Can functionally communicate Muscle power of at least 3 in both upper limbs Functional vision and hearing
Exclusion criteria
Exclusion criteria: Known psychiatric disorders Infectious skin conditions, non-healing pressure sores on occiput or sacrum Patients with contact precautions Hemodynamic instability Non-Invasive ventilation Nausea while travelling Untreated DVT Neurological conditions limiting movements of the upper or lower limb History of seizures, Headache, Migraine Uncontrolled hypertension Pregnancy Untreated or just treated (less than 14 days) fractures that prevent a person from moving upper limbs/using the VR controllers Recent MI (less than 3 days) and not revascularized, Unstable angina Untreated arrythmias Musculoskeletal Pain; NPRS more than 5
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility will be assessed using Bowen framework. Acceptability will be assessed using Theoretical framework of acceptability scale on 5-point Likert scale. Usability will be assessed using System usability scale on 5-point Likert scale . Timepoint: On the day of shift from HDU To wards | — |
Secondary
| Measure | Time frame |
|---|---|
| Muscle Strength will be assessed using Medical Research Council (MRC) sum score. It consists of grade 0 to 5. Mobility will be assessed using John Hopkins Highest Level of Mobility scale. It has 8 Levels. ICU Delirium will be assessed using The Confusion Method for the Intensive Care Unit (CAM-ICU). It is a 4 item scale Physical function will be assessed using Physical function ICU test scored (PFIT-s). It has 4 components. Timepoint: Beginning of the study, before and after each session of intervention, and on the day of shift from HDU to wards | — |
Countries
India
Contacts
Public ContactDr Abraham Samuel Babu
Manipal College of Health Professions, Manipal College of Higher Education Manipal
Outcome results
None listed