Effects of conventional versus virtual reality-simulated treadmill exercise on fatigue, cognitive function, and participant satisfaction in post-COVID-19 subjects. A randomized trial.

Post-COVID-19 subjects typically experience symptoms of fatigue, cognitive impairment, and sleep difficulty, which can be relieved by conventional aerobic exercise. Virtual Reality (VR) technology to support conventional exercise has recently gained much attention. Therefore, this study aimed to ass...

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Published in:Journal of Exercise Science & Fitness Vol. 22; no. 4; pp. 316 - 322
Main Authors: Ahmad, Ahmad Mahdi, Mohamed Awad Allah, Sara Ali, Abd Elhaseeb, Gehad Ali, Elsharawy, Dalia Ezzat, Ahmed, Hend Salem, Mohamed Abdelwahab, Mona Ahmed
Format: research randomized controlled trial Journal Article
Published: Elsevier B.V. Oct2024
Online Access:View this record in EBSCOhost
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      dt: Oct2024
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      pub: Elsevier B.V.
      place: New York, New York
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        10.1016/j.jesf.2024.04.003
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        atl: Effects of conventional versus virtual reality-simulated treadmill exercise on fatigue, cognitive function, and participant satisfaction in post-COVID-19 subjects. A randomized trial.
      aug:
        au:
          Ahmad, Ahmad Mahdi
          Mohamed Awad Allah, Sara Ali
          Abd Elhaseeb, Gehad Ali
          Elsharawy, Dalia Ezzat
          Ahmed, Hend Salem
          Mohamed Abdelwahab, Mona Ahmed
        affil: Department of Physical Therapy for Cardiovascular and Respiratory Disorders, Faculty of Physical Therapy, Cairo University, Giza, Egypt
      sug:
        subj:
          Treadmills
          Training Effect (Physiology)
          Virtual Reality
          Fatigue Prevention and Control
          Cognition
          Sleep Quality
          Consumer Satisfaction
          COVID-19
          Human
          Randomized Controlled Trials
          Random Assignment
          Descriptive Statistics
          Adult
          Middle Age
          Exercise Intensity
          Questionnaires
          Summated Rating Scaling
          Prospective Studies
          Adult: 19-44 years
          Middle Aged: 45-64 years
      ab: Post-COVID-19 subjects typically experience symptoms of fatigue, cognitive impairment, and sleep difficulty, which can be relieved by conventional aerobic exercise. Virtual Reality (VR) technology to support conventional exercise has recently gained much attention. Therefore, this study aimed to assess the effects of traditional treadmill exercise compared to virtual reality-simulated treadmill exercise on fatigue, cognitive function, sleep quality, and participant satisfaction with the exercise program in post-COVID-19 subjects. This single-centered, randomized, parallel-group intervention study was conducted between December 2021 and March 2022. Sixteen of twenty post-COVID-19 subjects completed this study (n1 = 8, n2 = 8). Inclusion criteria were persistent dyspnea/fatigue, mild cognitive problems, and age from 30 – 60 years. Exclusion criteria were previous severe COVID-19 infection and ICU admission, concomitant respiratory or cardiovascular disease, and musculoskeletal or neurological disease. Eligible subjects were assigned randomly to two groups: a non-VR group that received traditional treadmill aerobic exercise only and a VR group that received treadmill exercise with non-immersive VR. Both groups received moderate-intensity exercise on a treadmill at [50 – 60 % (peak HR-resting HR) + resting HR] for 30 – 45 min, three times per week, and for four weeks. The outcome measures were the Chalder Fatigue Scale, Montreal Cognitive Assessment (MoCA) questionnaire, Pittsburgh Sleep Quality Index (PSQI), and participant satisfaction with the exercise program rated on a 5-point Likert scale. Both groups showed significant improvements in the Chalder Fatigue Scale, the MoCA questionnaire, and the PSQI scores after training compared to baseline (p < 0.05), without significant differences between them (p > 0.05). However, participant satisfaction with the exercise program was significantly higher in the VR group than in the non-VR group (p = 0.037). A moderate-intensity 4-week treadmill exercise program with and without non-immersive VR may improve fatigue, cognitive function, and sleep quality to the same extent in COVID-19 survivors. However, participant satisfaction with the exercise program could be greater after conventional treadmill training assisted by non-immersive VR than after conventional treadmill training alone in this cohort. Pan African Clinical Trials Registry, PACTR202311561948428, retrospectively registered.
      pubtype: Academic Journal
      doctype:
        research
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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