Effects of VR Training on Balance and Fall Risk of Patients With COPD

NCT ID: NCT06604754

Last Updated: 2025-07-03

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 56 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-06-12
• Study Completion Date: 2025-12-30

Brief Summary

The aim of this study is to determine whether Virtual Reality (VR) training has significant effects on balance and fall risk of patients with COPD, with a focus on the patient group (GOLD STANDARD I & II). Additionally, the study determines whether VR training is a reliable substitute for traditional physical therapy balance.

Detailed Description

Chronic Obstructive Pulmonary Disease (COPD) is the forth leading cause of mortality worldwide. COPD often impairs balance due to decreased physical activity, muscle weakness, and compromised respiratory function. Virtual Reality training addresses these issues by offering an immersive and engaging environment that enhances patient motivation and adherence to rehabilitation. The technology allows for personalized and controlled balance exercises, progressively increasing the difficulty to match the patient's skill level and providing real-time feedback. By integrating cognitive and motor tasks, VR promotes a comprehensive approach to balance training, improving sensory integration and postural control.

Research indicates that VR training can enhance both static and dynamic balance, helping patients maintain stability in various conditions. It improves the integration of sensory inputs crucial for balance, while also contributing to muscle strength and endurance. This results in a reduction in fall frequency, as patients become more adept at managing balance and are less likely to fall during daily activities. Additionally, VR training teaches specific fall prevention strategies and boosts patient confidence, which further mitigates the fear of falling-a common issue among COPD patients.

Incorporating VR training into physical therapy programs for COPD patients can be highly beneficial. Its ability to provide engaging and customizable exercises makes it a valuable tool in addressing balance issues and reducing fall risks. However, it is essential to ensure that VR training is conducted under proper supervision to avoid potential accidents, especially in patients with severe COPD or additional health concerns. Overall, VR training represents a significant advancement in rehabilitation, offering a novel and effective approach to managing balance and fall risks in COPD patients. The purpose of study is to determine whether VR training has significant effects on balance and fall risk of patients with COPD (GOLD standard stage I & II).

Conditions

COPD (Chronic Obstructive Pulmonary Disease)

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: OTHER
• Blinding Strategy: NONE

Study Groups

Virtual Reality Based Training

Virtual reality (VR) based balance training utilizes immersive digital environments to enhance balance and stability through interactive and engaging exercises. Patients wear VR headsets that create realistic scenarios where they perform various balance tasks, such as navigating virtual obstacles or maintaining stability on unstable surfaces. This technology offers the advantage of providing controlled, adjustable challenges that can be tailored to the patient's specific needs and progress. VR training often incorporates real-time feedback, which helps patients improve their balance in a motivating and dynamic setting.

Group Type: EXPERIMENTAL

Assigned Intervention for VR Training

Intervention Type: OTHER

In VR training patients use VR headsets to engage in virtual environments for 8 weeks where they perform exercises designed to enhance balance, coordination, and strength. Simultaneously, the VR platform incorporate pulmonary exercises that focus on improving breathing techniques, lung capacity, and overall respiratory health. Patients will engage in 3 sessions per week with total time duration of 45 to 60 minutes. VR-based training provides real-time feedback and adapts to the patient's progress, offering a comprehensive approach to rehabilitation that addresses both balance and pulmonary function in a motivating and controlled manner.

Traditional Physical Therapy Based Training:

Traditional physical therapy-based balance training focuses on improving stability and preventing falls through a variety of exercises and techniques. It typically begins with a comprehensive assessment to identify balance issues and set individualized goals. The training includes static exercises like single-leg stands, dynamic activities such as walking on uneven surfaces, and strengthening and flexibility exercises to enhance muscle control and range of motion. Coordination and functional training, including gait and daily activity simulation, are also integral. Additionally, patients receive education on fall prevention strategies and home safety. Regular monitoring ensures that the program is adjusted to the patient's progress and ongoing needs, ultimately enhancing balance and reducing fall risk.

Group Type: ACTIVE_COMPARATOR

Assigned Intervention for Traditional Physical Therapy Training

Intervention Type: OTHER

In Traditional physical therapy balance training for patients with chronic obstructive pulmonary disease (COPD) involves exercises designed to improve stability, strength, and coordination for duration of 8 weeks. These exercises, such as static balance tasks, dynamic movement drills, and strength training, help address the balance deficits often seen in COPD patients due to muscle weakness and reduced physical activity. Additionally, pulmonary effects are managed through breathing exercises such as deep breathing and pursed lip breathing that enhance respiratory functions, improve lung capacity and efficiency.

Interventions

Assigned Intervention for VR Training

In VR training patients use VR headsets to engage in virtual environments for 8 weeks where they perform exercises designed to enhance balance, coordination, and strength. Simultaneously, the VR platform incorporate pulmonary exercises that focus on improving breathing techniques, lung capacity, and overall respiratory health. Patients will engage in 3 sessions per week with total time duration of 45 to 60 minutes. VR-based training provides real-time feedback and adapts to the patient's progress, offering a comprehensive approach to rehabilitation that addresses both balance and pulmonary function in a motivating and controlled manner.

Intervention Type: OTHER

Assigned Intervention for Traditional Physical Therapy Training

In Traditional physical therapy balance training for patients with chronic obstructive pulmonary disease (COPD) involves exercises designed to improve stability, strength, and coordination for duration of 8 weeks. These exercises, such as static balance tasks, dynamic movement drills, and strength training, help address the balance deficits often seen in COPD patients due to muscle weakness and reduced physical activity. Additionally, pulmonary effects are managed through breathing exercises such as deep breathing and pursed lip breathing that enhance respiratory functions, improve lung capacity and efficiency.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Both Male and Female
• Diagnosed with mild to moderate COPD (GOLD stages I-II)
• Age between 40-65 years
• BBS score above 35 will be included.
• COPD patients with oxygen saturation of above 88%.
• Patients able to follow instructions / commands.

Exclusion Criteria

• Recent exacerbation of COPD requiring hospitalization within last 4 weeks.
• Diagnosed with severe cognitive impairments.
• Previous experience with VR-based rehabilitation.
• Use of medication that could affect exercise response.

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Suman Sheraz, PhD

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Railway General Hospital

Rawalpindi, Punjab Province, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Suman Sheraz, PhD

Role: CONTACT

suman.sheraz@riphah.edu.pk

+923335646361 ext. +923335646361

Imran Amjad, PhD

Role: CONTACT

imran.amjad@riphah.edu.pk

+92 3324390125 ext. +923324390125

Facility Contacts

Suman Sheraz, PhD*

Role: primary

suman.sheraz@riphah.edu.pk

+92 335646361 ext. +92 3335646361

Other Identifiers

Syeda Marium Nadeem

Identifier Type: -

Identifier Source: org_study_id