(1) Background: The aim of the present study was to determine the effects of a virtual reality (VR) program, as a complementary tool to a conventional cardiac rehabilitation (CR) program in phase II of patients with ischemic heart disease compared to a conventional treatment group. (2) Methods: A single blinded randomized clinical trial was conducted. The patients were randomized to a control group (CG) or an experimental group (EG). The EG carried out a training based on VR of aerobic exercise using the XBOX ONE console and Kinect sensor. Ergometry, metabolic equivalents (METS), Functional Independence Measure, 6-min walk test (6MWT), the Short Form Health Survey-36 Questionnaire (SF-36), the Beck Depression Inventory-II, and the degree of satisfaction and adherence to treatment were used as outcome measures. (3) Results: Our results showed no statistically significant differences between the two groups. Statistical analysis within group for the EG showed statistically significant changes in the variables HR final ergometry, ergometry minutes, % ergometry, METS, final HR 6MWT, 6MWT distance, 6MWT number of laps, and for the SF-36 and Beck Depression Inventory-II. (4) Conclusion: A VR-based video game program, as an adjunct tool to a CR program, showed improvements in ergometry, METS, resistance to fatigue and health-related quality of life with excellent adherence and satisfaction perceived by patients with ischemic heart disease in phase II.

Introduction Rotator cuff-related shoulder pain (RCRSP) is the most common cause of shoulder pain. Currently, exercise is proposed as the first-line treatment for patients suffering from RCRSP. However, adherence to therapeutic exercise programmes can be poor in the long term in a home setting. The aim of this study is to evaluate the effects of adding video animations to a traditional paper-based exercise programme. Methods and analysis A single-centre, randomised, open-labelled clinical trial will be conducted in a hospital in Spain. Adults aged between 18 and 80 years diagnosed with RCRSP who meet the eligibility criteria will be included. Patients (n=132) will be randomised into two groups, with both receiving paper-based exercises, and the experimental group will also be provided with video animations. The participants will receive seven face-to-face physical therapy sessions and will be asked to perform the exercises at home for 6 months. The primary outcome measure will be the Shoulder Pain and Disability Index, measured at baseline, 3 weeks, 3 months (primary analysis) and 6 months. Secondary outcomes will be the patient’s pain intensity during the last week (rest, during movement and at night); expectations of improvement; satisfaction with treatment; impression of improvement; perceived usability, usefulness and satisfaction of multimedia animations; and adherence to exercises. Generalised least squares regression models with an autoregressive-moving average lag one correlation structure will be implemented, with an intention-to-treat analysis. Ethics and dissemination This study has been approved by the ethics committee of Hospital Universitario Fundación Alcorcón (Madrid, Spain), reference number CI18/16. All participants will sign an informed consent. The results will be published in a peer-reviewed scientific journal. Trial registration ClinicalTrials.gov, NCT05770908.

Background/Objectives: In the shoulder region, shear wave elastography (SWE) has been used to obtain data from multiple muscles. However, there is still a lack of evidence regarding normative values for the supraspinatus muscle. The aim of this study is to estimate the range of normative values and to evaluate the relationship between SWE measurements and isometric strength. Methods: A cross-sectional study with 46 healthy subjects was conducted. Data regarding the SWE of supraspinatus muscle at rest and during contraction and isometric elevation strength were collected. Ordinal cumulative probability models were implemented to calculate normative values based on age and sex. Results: There was a significant increase in muscle stiffness from rest to contraction (3.97; 95% CI, 3.52 to 4.43), but there were no differences between males and females. The ordinal regression models showed a relationship between age and SWE at rest (coefficient, 0.08; 95% CI, 0.01 to 0.14), but not during contraction, and there was no significant age–sex interaction. Normative values of the median and 25th and 75th percentiles were provided based on individuals’ age and sex. There was no correlation between SWE measurements and strength values. Conclusions: Normative values for supraspinatus muscle SWE measurements at rest and during contraction were obtained. These data can help clinicians to interpret measurements of their patients with shoulder disorders.