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Virtual Reality During Exercise Testing

Effects of Virtual Reality on Cardiorespiratory Fitness Test Results

Status
Recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06464406
Enrollment
24
Registered
2024-06-18
Start date
2024-06-07
Completion date
2024-10-07
Last updated
2024-06-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Virtual Reality

Keywords

virtual reality, cardiorespiratory fitness, anaerobic threshold, bicycle ergometer test

Brief summary

The goal of this clinical trial is to explore the effects of virtual reality use on maximal aerobic exercise test performance (aerobic capacity) in healthy adults. The main questions it aims to answer are: * Does using a virtual reality program during a maximal aerobic exercise test lead to differences in VO2peak (maximal aerobic capacity)? and, * Does using a virtual reality program during a maximal aerobic exercise test lead to differences in work rate at the ventilatory threshold? Participants will complete a maximal aerobic exercise test two times (separated by 1 week of recovery) under the following conditions: * normal testing conditions in a lab * while viewing a virtual reality video Researchers will compare the test results of both conditions to see if the use of a virtual reality program alters VO2peak or the ventilatory threshold.

Detailed description

Virtual reality imparts a dissociative effect on users during exercise, such that the physical activity task is experienced as more enjoyable and pleasant, requires less exertion, and requires less physiological function for a given submaximal work rate. This array of positive effects may be particularly advantageous during a maximal aerobic exercise test, mainly because participant motivation and negative psychological state often lead to premature test termination. Ameliorating the unpleasantness of this type of exercise test with the use of virtual reality technology may prolong effort expenditure during the test and result in superior performance compared to a control condition. Additionally, improving physiological function at submaximal work rates may lead to alterations in other important testing outcomes, particularly the ventilatory threshold. The ventilatory threshold is used as a reference point for prescribing exercise intensity. An intervention that modifies this value would have repercussions for physical fitness practitioners who prescribe exercise intensity relative to the ventilatory threshold. The general purpose of this study is to determine the effect of virtual reality on maximal aerobic exercise test performance in healthy adults. The specific questions it aims to answer are: * Does using a virtual reality program during a maximal aerobic exercise test lead to differences in VO2peak (maximal aerobic capacity)? and, * Does using a virtual reality program during a maximal aerobic exercise test lead to differences in work rate at the ventilatory threshold? Secondary questions this study aims to answer include: Does using a virtual reality program during a maximal aerobic exercise test lead to differences in * exercise test time? * maximal heart rate during the exercise test? * maximal respiratory exchange ratio (RER) during the exercise test? * heart rate (HR) at the ventilatory threshold? * RER at the ventilatory threshold? * psychological response \[rating of perceived exertion (RPE) and affective valence\] throughout the exercise test? To address these aims, participants will complete the same maximal aerobic exercise test on a cycler ergometer under normal laboratory conditions (Control) and when viewing an immersive virtual reality video (VR). The two tests will be completed in a randomized and counterbalanced order to account for learning or familiarity effects, and will be separated by 1 week to account for the effects of testing fatigue. Respiratory data, HR, RPE, and affective valence were collected during the exercise tests to address the aims of the study.

Interventions

BEHAVIORALVirtual Reality condition

Participants will watch a video on a virtual reality headset during the completion of the maximal cardiorespiratory exercise test.

BEHAVIORALControl condition

Participants will complete the maximal cardiorespiratory exercise test under control conditions without video, music, or other distractions.

Sponsors

Augusta University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)

Masking description

It is not possible to mask the participant or data collection personnel from the conditions because the Virtual Reality condition requires that the headset be worn. Metabolic data and resulting outcomes (i.e. VO2peak value) will be analyzed by independent research assistants who will be blinded to the condition under which the data were gathered.

Intervention model description

This study will use a repeated-measures crossover model in which each participant completes the two conditions of the maximal exercise test (Control and Virtual Reality) in a randomized, counterbalanced order.

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

\-

Exclusion criteria

* Answering YES to one or more items on the Physical Activity Readiness Questionnaire (PAR-Q). * Women who are pregnant at the time of participation according to a pregnancy test.

Design outcomes

Primary

MeasureTime frameDescription
VO2peakAssessed during the exercise test for each condition.The highest level of oxygen uptake averaged over a 20-second period.
Ventilatory thresholdAssessed during the exercise test for each condition.The work load (in Watts) during the maximal cardiorespiratory exercise test at which breakpoints are identified between metabolic measures associated with the ventilatory threshold (CO2 production and O2 utilization; ventilatory equivalent for O2 and O2 utilization; and excess CO2 production).

Secondary

MeasureTime frameDescription
RPEAssessed throughout the exercise test for each condition (at the end of the warm-up and end of every even-numbered stage)..Rating of Perceived Exertion measured from 0 (no perceived exertion) to 10 (maximal perceived exertion).
Affective ValenceAssessed throughout the exercise test for each condition (at the end of the warm-up and end of every even-numbered stage)..Affective valence measured from -5 (feeling very bad) to +5 (feeling very good).
%VO2peak at ventilatory thresholdAssessed during the exercise test for each condition.The percentage of VO2peak at which the ventilatory threshold was reached.
Peak powerAssessed during the exercise test for each condition.The work load (in Watts) of the highest exercise test stage that was completed
Heart rate at VO2peakAssessed during the exercise test for each condition.The heart rate (in beats per minute) at which VO2peak was reached.
Respiratory Exchange Ratio (RER) at VO2peakAssessed during the exercise test for each condition.The proportion of carbon dioxide production to oxygen consumption when VO2peak was reached.
Respiratory Exchange Ratio (RER) at ventilatory thresholdAssessed during the exercise test for each condition.The proportion of carbon dioxide production to oxygen consumption when the ventilatory threshold was reached.
Heart rate at ventilatory thresholdAssessed during the exercise test for each condition.The heart rate corresponding to the time that the ventilatory threshold was reached.
Total test timeAssessed during the exercise test for each condition.The duration of the test (in minutes), not including the warm-up.

Countries

United States

Contacts

Primary ContactAndrew R Moore, PhD
andmoore@augusta.edu650-477-7746

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026