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FREQUENTLY ASKED QUESTIONS

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VR TierOne technically

1. What is Virtual Reality?

Virtual Reality (VR) is a 3D world created with the use of computer technology, either resembling closely the real world, or presenting an image of another, fictional environment. In other words, it is a generated environment in which we can completely immerse ourselves.

2. What does the VR TierOne solution involve?

VR TierOne is a therapeutic story conveyed to the patient using the latest technology – Virtual Reality. It consists of eight therapeutic sessions – with each lasting about 20 minutes.

3. How can one enter the world of Virtual Reality?

To do this, we have to use our solution: VR TierOne, it consists of a special VR headset that displays a three-dimensional (3D) image, and after we put it on, it isolates us completely from the elements of the outside world.

4. How exactly does the VR TierOne work?

VR TierOne brings the patient in a special created virtual space and provides strong positive therapeutic suggestions, which improve the patient’s mood and reduce the level of anxiety, increasing hope for improvement and strengthening the motivation for rehabilitation.

5. What does the VR TierOne therapeutic solution consist of?

The VR TierOne designed by us consists of two parts: a medical VR device and a therapeutic cycle – the therapeutic cycle was uploaded to the device.

6. How complicated is the installation of the VR TierOne device?

The device is designed as a “plug and play” system, so after plugging it in, you can launch it with a single button. The device does not require calibration. It takes just several minutes to learn how to use it – we have created it in such a way that it is very easy to use.

7. Has the VR TierOne therapeutic solution been subject to scientific research?

Yes. The device has been successfully tested and proven to be effective. Additionally, VR TierOne is a medical device. Details of scientific research can be found in the SCIENTIFIC RESEARCH tab of this website.

8. What do GDS, PSQ and HADS, that were all quoted in the research section, stand for?

GDS, PSQ and HADS are measurement tools applied in research on the effectiveness of the VR TierOne solution in the area of depression, stress and anxiety reduction. You will find further details of each of them below.

GDS (Geriatric Depression Scale) is a scale for assessing depression in the elderly designed in the 1980s. The creator of the Geriatric Depression Scale is Jerome Yesavage a geriatric psychiatrist from California. GDS helps diagnose depression in people during their autumn years. The scale consists of 30 questions which can be answered either “yes” or “no”. The maximum GDS score is 30 points. Using the scale, we can diagnose: no depression, mild depression and severe depression. The application of the reliable GDS research tool allowed us to conclude that in patients undergoing rehabilitation with the use of VR TierOne, the symptoms of depression were reduced by 37%.

PSQ (Perception of Stress Questionnaire) is the research tool created by professors Mieczysław Plopa and Ryszard Makarowski. The Polish tool is based on the 1980s PSQ by an American doctor practicing in Italy – Dr. Susan Levenstein. The PSQ questionnaire consists of 27 statements relating to the areas of external stress, intrapsychic stress and emotional tension. The examined persons determine the degree to which a given statement applies to them. The higher score in the PSQ the higher the perceived stress level. The questionnaire study was conducted before and after the intervention with the use of VR TierOne. The use of the PSQ tool in research on the effectiveness of VR TierOne allowed to discover a decrease in the level of stress in patients by 28%.

HADS (Hospital Anxiety and Depression Scale) is the tool created in the 1980s by British psychiatrists. The scale consists of 14 items, half of which are related to anxiety and half to depression. It is an established research tool, commonly applied by physicians to determine the level of anxiety and depression in a patient. The questionnaire is intended for self-completion by the patient. It is precisely constructed – a concise and understandable measurement tool for the patient and a convenient measuring tool for the researcher. It takes 2-5 minutes to complete the questionnaire. The HADS assessment performed after VR TierOne intervention demonstrated a 37% decrease in patients’ anxiety.

9. How can you learn to use the VR TierOne portal?

The set includes an instruction manual. It is a step-by-step explanation of how to operate the VR TierOne device. Its operation is intuitive, the therapeutic session for the patient is initiated via the touch activated interface. Our staff will conduct training after purchasing the device. If you are a patient who wants to take advantage of VR TierOne therapy, you do not have to worry about anything – the medical staff will start a therapeutic session for you.

10. Is the VR TierOne device difficult to operate?

The device interface is extremely clear and intuitive. Even people with no experience in the use of medical devices and computers, whatsoever, have no problems with using it. The device is started and stopped with a single button.

11. What does the interface of the VR TierOne device look like?

Touchscreen user interface, sample screen:

 

12. Where can I buy the VR TierOne therapy device?

We are the manufacturer of VR TierOne solution. You can buy the device directly from us. All you have to do is leave us your details by filling out the contact form at the Contact page. We will contact you as soon as possible and arrange a convenient presentation date. We can meet or introduce the device to you also during an online video presentation.

13. What is the price of the VR TierOne device?

The gross price is EUR 18 800.

14. What is the warranty period for the VR TierOne device?

The warranty period is 12 months.

15. Can the warranty be extended?

The warranty period can be extended to cover another 12 months for an additional fee of EUR 1650 gross (the price includes 23% VAT).

When buying a new device, the price of the 12-month warranty is EUR 1400 gross (the price includes 8% VAT).

Please remember to extend the warranty 6 months before the end of the current warranty period.

16. What media should be provided for the device to work?

The VR TierOne device requires access to electricity (115-230V, 50-60Hz) and, optionally, Internet connection (Ethernet RJ-45 cable connection).

17. How many languages is the manual available in?

The device comes with a manual in three languages: English, German and Polish.

18. What is the mass of the VR TierOne device?

The VR TierOne device weighs 35 kg.

19. Does the device produce sound?

Yes. Thanks to VR headsets, the patient receives visual stimuli with the help of goggles, and the auditory stimuli – i.e. spatial sound – with use of headphones. Thanks to the involvement of both senses, the patient is more easily subjected to the phenomenon of total immersion.

20. What room size do I require to freely install a VR TierOne portal in it?

The minimum requirements for the room are: height 99 in, width 158 in, length 158 in.

21. What are the other parameters of the VR TierOne device?

The screen diagonal size of the monitor is ~ 24 inch, the height of the device is 86 in, the width is 0.91 m, the length is 36 in, the arm range is 40 in, the length of the power cable is 197 in.

22. How to care for the VR TierOne device correctly?

Proper care and removal of any dirt or soiling will enable you to prevent device failure. Regular care of the components, by keeping them clean allows you to check the condition of the device and maintain its efficiency and safety.

Caring for the VR headset:

  • Never grab or lift the headset by the transmission cable.
  • Protect the goggle lenses from scratching.
  • Protect the goggle lenses from exposure to sunlight.
  • Wipe the optics of the goggles with moist cleaning wipes.
  • Use goggle adjustments – knobs and straps, do not use force solutions.
  • After the session is over, hang the goggles on the dedicated hanger at the VR portal.
  • Use disposable hygienic masks under the VR goggles, they protect users and prevent the inside of the goggles from getting dirty with makeup and sweat.
  • The soft cover inside the goggles can be removed and cleaned under running water. Dry the cover before reassembling.

Caring for the VR headset cable:

  • Do not bend the goggles data cable, a possible break is dangerous.
  • Do not let the hanging part of the VR headset cable located outside the slide arm guide twist or bend.

Taking care of the device/VR portal:

  • Always operate the device with clean, dry hands.
  • Remove dirt from the device using a damp cloth.
  • Do not use detergents for cleaning, do not pour water on the device.
  • To prevent overheating of components, do not block ventilation ports.
  • Keep the virtual therapy room clean.
  • Avoid relocating the VR TierOne device when cleaning the room.

VR TierOne therapeutically

1. What is the connection between Virtual Reality and the rehabilitation process?

In course of our research we established that it would be beneficial to bring the patient in condition of relaxation and motivation that would enable to eliminate barriers rendering the rehabilitation impossible, as rehabilitation in the first three months following the trauma (e.g. brain injury, or cardiac issues) is critical for the best possible recovery. It was found that the Ericksonian therapy (which is used by the VR TierOne solution) also helps to improve the mental condition of the therapy participants. There is a niche area where rehabilitation systems can benefit from virtual reality. Accordingly, there is a need for methods and systems to provide rehabilitation using Virtual Reality (VR).

2. Why does VR TierOne therapeutic solution help?

Virtual Reality technology allows us to completely detach the patient from reality (also in a hospital setting), which is often depressive in itself, and transfer him or her to a world full of colours, joy and hope, which has a healing effect on his/her psyche and stimulates the mechanisms of brain plasticity. During the therapeutic cycle, the patient is positively stimulated by the immersive world of VR coupled with carefully targeted therapeutic texts.

3. How exactly does the VR TierOne therapeutic story work?

Whenever there is a threat to life, psychological defense mechanisms are weakened, which is why a person is very susceptible to suggestions. Without the appropriate therapeutic preparation, it may happen that the patient receives a series of negative suggestions that will have a very strong impact on his/her mental condition. VR TierOne therapeutic story provides strong positive therapeutic suggestions, which improve the patient’s mood and reduce the level of anxiety, increasing hope for improvement and strengthening the motivation for rehabilitation.

4. Is the therapy proven and safe?

The VR TierOne device is a medical device. It is completely safe, as confirmed by scientific research. A detailed risk analysis was also carried out. VR TierOne device therapy is a pioneering solution that a specially selected team of professionals has been working on for several years. VR TierOne therapy is a tested and safe solution.

5. What does the virtual space, in which the patient stays, look like during the therapy?

Virtual space is the Garden of Rebirth created by us.

6. How long does VR TierOne therapy take?

The therapy is a two-week therapeutic cycle, in which 8 therapy sessions are scheduled, of up to 20 minutes each, plus a session introducing the patient to Virtual Reality.

7. How many sessions per day does the patient participate in?

The patient takes part in one session a day.

8. Can the patient be subjected to more than one session a day?

The twenty-minute session is the best duration during which the mind is receptive and does not get overloaded.

Therefore, for the highest effectiveness of VR TierOne therapy, we recommend limiting it to 1 session a day.

9. Is there a compendium of knowledge about VR TierOne therapy, other than the website?

Yes, apart from the website, the recommended knowledge resource covering our virtual therapy is the VR TierOne Clinical Guide. The publication helps people involved in the patients’ therapeutic process. If you work with the VR TierOne device, you can request the content of the Clinical Guide by filling out the form in the DOWNLOAD tab.

10. Can I somehow consolidate the therapeutic effect between the sessions?

Yes, the VR experience can be recorded and continued using the VR TierOne therapeutic colouring book entitled “Colours of my reflections”, which serves as a therapy diary. This does not constitute a necessary component, but it will help you capture your memories and emotions in a pleasant way, using words and colours. All you need is a box of crayons and the dedicated VR TierOne therapeutic colouring book, which you can be purchased in the store at your medical facility.

Before therapy

1. What should a patient know before using VR TierOne?

Please notify the patient about the realism of the Virtual Reality (VR) environment. The patient should know that during the therapy he or she will be cut off from the outside world during the therapy and that his/her task is to delve into the created virtual world. The effectiveness of therapeutic sessions depends on the patient’s compliance with the instructor’s suggestions and on performing simple tasks that are presetn within the therapy.

2. Is it safe to stay within Virtual Reality?

As long as you follow our recommendations: you are safe.

3. How does VR TierOne therapy look like exactly?

Therapy is carried out under the supervision of trained personnel (often a therapist). During the therapeutic session, the patient is wearing a VR headset with headphones – while holding a controller in hand. The patient transfers to the virtual world and is not alone there. He or she follows the guidance of the virtual therapist. The therapy lasts up to 20 minutes.

4. How should I prepare for a therapeutical session?

The therapy does not require any special preparation. Try to come rested to the therapy.

5. What are the indications for using the VR TierOne solution?

The indications for therapy are depression, anxiety, low motivation, apathy, sadness, lack of motivation, psychophysical exhaustion, lack of concentration, attention disorders, pain, depression accompanying somatic diseases such as COVID-19, heart attack or stroke.

6. What are the contraindications to VR TierOne therapy?

The contraindications to using the VR TierOne portal are epilepsy, schizophrenia and other productive symptoms, the condition following cataract surgery or other surgery of the eyeball. Persons with pacemakers or other implanted medical devices may only use the device after previously consulting their physician or the manufacturer of the medical device in question.

7. Can a patient wearing corrective glasses use the advantages of virtual therapy?

Yes, the patient can use the VR headset wearing their prescription glasses – the VR headset designed so as to accommodate their spectacle frames inside.

8. I am in a wheelchair, can I use VR TierOne therapy?

Yes, moving in a wheelchair is not an obstacle as VR TierOne therapy is performed in a sitting position.

9. What chair will be the most appropriate for the participants of therapy?

The therapy is performed in a sitting position, so it is important to ensure that the patient is properly seated. The right seat for the patient equals safety, freedom of movement and easier entering into the state of total immersion. We recommend a swivel chair with a stable structure and without wheels. The chair we offer provides adequate back support, lack of a headrest allows the patient to freely look around in Virtual Reality, and the rounded armrests do not block the movement of the patient’s hands during the session with the controller. The armchair we offer is easy to clean and disinfect, functional and aesthetic. It is available in two colours.

10. Can the patient feel safe during the therapy?

All the instructor’s messages, images and sounds are completely safe for the therapy participant. The virtual therapeutic world was designed by professionals in such a way that it does not bring side effects with the use of VR solutions. During the therapeutic session, the operator does not interact with the patient – the entire session and the course of the task are controlled by the instructor in Virtual Reality (VR). If the patient observes disturbing phenomena, he or she should calmly inform the operator about it and wait for assistance – please do not get up from the chair and do not attempt to remove the goggles abruptly.

11. Does the patient experience discomfort similar to motion sickness when using the VR TierOne therapeutic solution?

Absolutely not. We did our best to make the use of VR TierOne bring only the intended positive effect, to be fully comfortable and free of side effects. We have made every effort to ensure that the patient does not experience any unpleasant sensations in the virtual world of VR TierOne.

12. Are there any tests required before a VR TierOne session?

No additional tests are required immediately prior to the session, but blood pressure and heart rate measurements can be taken before and after the therapy session.

13. What is the nearest location, where I can enjoy the benefits of VR TierOne therapy?

Write us and we will send you a list of the nearest facilities offering the VR TierOne solution.

14. How much does the therapy cost?

The suggested price for 1 therapeutic session is EUR 9. The therapy consists of eight such sessions.

15. What effects can we expect from VR TierOne therapy?

The effects of using VR TierOne are mood improvement, reduction of anxiety, psychophysical relaxation, increased faith in treatment success, improvement of concentration and attention, improvement of visual and spatial functions, reduction of pain sensations, motivation for rehabilitation and stimulation of brain plasticity.

16. Are there any special recommendations for the therapists?

Useful recommendations for therapy providers can be found in the VR TierOne Clinical Guide. The publication, recommended by specialists, contains a description of clinical cases, advantages and health benefits of using the VR TierOne device. The guide facilitates the conduct of virtual therapy. We recommend reading the Clinical Guide, you can find it in the DOWNLOAD section.

17. Why is it recommended to use the VR TierOne therapeutic colouring?

We recommend to get the diary – VR TierOne therapeutic colouring book before starting the therapeutic sessions. It does not constitute an obligatory element of therapy, but it is recommended for patients to help organize their emotions after each session. It allows you to keep a tangible memory of the virtual world and reach for therapeutic content at any time. Ask for the VR TierOne therapeutic colouring book in the shop of a medical facility or at your therapist.

Depression

1. What is depression?

Depression is a disease that can affect anyone regardless of their age, gender, education or social position. Depression, like any other disease plaguing us, requires the help of a specialist psychiatrist or psychotherapist, and the implementation of appropriate therapy.

2. How does depression manifest itself?

Depression is a condition that has many faces, it affects the soul and the body. Depression is characterized by symptoms such as depression, apathy, anxiety, pessimism lasing a long period of time. Worse days happen to everyone and, a one-off drop in mood is not yet depression. Loss of interest in what has been perceived as fun so far is one significant symptom. Person affected by depression feels a decrease in mental and physical strength. Depression is often accompanied by headache, backache or gastrointestinal pain.

3. What are the types of depression?

Depression can adopt various images. There are several types of depression, with its four primary types listed below.

  • Major depression, characterized by symptoms that prevent you from functioning properly. Even routine activities such as getting out of bed, washing and getting dressed become difficult or even impossible. It is a condition where work, meeting friends, sex, eating, and even watching TV loose their meaning. An affected person experiences overwhelming depression, marked sadness, helplessness, feelings of hopelessness, emptiness, lasting more than two weeks. This type of depression is persistent and will deprive the person of its current life. It’s a mental distress.

 

  • Dysthymia is a milder, but longer-lasting form of depression, the symptoms of which make everyday life less impaired. People suffering from dysthymia do not function and feel as well as a healthy person does. In this case, symptoms persist most days of the week and last for at least two years. Symptoms include depressed mood, decreased or increased appetite, insomnia or excessive sleep, low self-esteem, difficulty making decisions, and impaired concentration. Nevertheless, an affected person can remain functioning in its adopted social roles.

 

  • The bipolar mood disorder (manic depressive disorder) – is characterized by a cyclical change of mood. From over-excitement and even euphoria (mania) to markedly depressed mood or despair (depression), frequently with periods of normal mood pressed inbetween. This type of the disease may be chronic or recurrent.

 

  • Temporary depression, also known as reactive or situational depression. It is associated with specific life events that were excessive stressors for the affected person. Most often it is the loss of a loved one, breakdown of a relationship, significant deterioration of living conditions or job loss. This type of depression has little effect on activity or ability to perform duties. Still, when it lasts more than six months, we may be dealing with a different type of depression.

4. Is it difficult to diagnose depression yourself?

Depression is an insidious disease that distorts the perception of ourselves and the world around us. If Your functioning is based on cutting yourself off from your emotions, denying unpleasant emotional conditions or events, rationalizing, ignoring or downplaying body signals, you may not notice that you already sank into depression.
Give considering yourself and your emotions the right to become a priority. Don’t underestimate your moods and body signals. Becoming aware of the issue is one of the first steps towards recovery

5. Is this my fault that I am depressed?

No fault can be attributed to depression. It is a reaction to what has happened to You or the result of changes in your brain’s biochemistry. Feeling guilty and ashamed is one of the symptoms of depression. People suffering from depression often feel guilty, stripped of dignity, and hopeless.

6. When do you need help?

Immediate treatment is required in the event of suicidal thoughts. These include not only the direct planning of the suicide, but also fantasizing about what would be if I died, how would my family react to it, etc.

Help is also required when we observe most of the following symptoms:

  • guilt or depressed mood
  • nervousness and tension
  • fatigue and low level of vital energy
  • loss of interest and loss of sense of pleasure
  • reduced sexual needs
  • changes in sleep patterns – difficulty sleeping or sleeping longer than usual
  • increase or decrease in body mass, for no apparent reason.

Specialist help for people with depression increases the chance of an accurate diagnosis and the return to psychophysical well-being.

7. How does the VR TierOne help in fighting depression?

The idea is to completely separate the patient from his/her surroundings, transferring him/her to a beautiful scene of Garden of Rebirth. Then subjecting him/her to different therapeutic suggesting and carefully selected visual and auditory stimuli. Application of the aforesaid tools significantly reduces the depression levels of therapy participants.

8. Why does the VR TierOne solution work and is there any evidence of it?

The solution works because it is based on the proven therapeutic method by M. Ericsson. Elements sourced from this trend allow the patient to restore self-confidence and significantly accelerate the healing process.
This is evidenced by the results of research carried out on patients of neurology, cardiology and pulmonary wards.

9. Does VR TierOne replace a psychologist/psychotherapist?

Obviously not. However, it largely improves the specialist’s work with the patient. The psychologists claim, that patients are significantly faster to communicate with their own emotions, which renders their work easier.

10. How can I help myself before I require the care of a specialist?

If you notice any disturbing symptoms like sleep pattern disturbances, weight loss, feeling anxious or meaningless, then you are clearly dealing with a depressive disorder.
Of course you can attempt to make a change in your life first. Introduce more exercise into your life, switch your menu to healthy unprocessed products, give up stimulants, try something new. Reaching for the VR TierOne therapeutic solution will also be a good idea at this stage.

11. How does your lifestyle affect your well-being?

The style and quality of our lives have a overwhelming impact on our well-being. Lack of rest, improper nutrition, shortness of sleep and insufficient intake of hydration fluids all affect our body. If you don’t take care of your body, your well-being will deteriorate.
The well-known saying says: “a sound mind in a sound body” – the condition of the body and the state of mind are interrelated. People who are constantly sleepy, exhausted, eating junk food, experience, in longer time perspective, decline in their strength and vital energy, reduced concentration and chronic fatigue. By living haphazardly and in a hurry, we disturb the correct functions of both the body and the psyche.

12. What are the depression treatment methods?

Each treatment should begin with a correct diagnosis. Based on that diagnosis the treatment may include antidepressants, psychotherapy, participation in support groups, use of sleep deprivation, and sometimes electroconvulsive therapy. Of course, there are also the innovative methods of treating depression based on modern technologies.
An example of such a method is the comprehensive VR TierOne therapeutic solution based on Virtual Reality.

COVID-19

1. What is COVID-19?

COVID-19 is a disease caused by the Wuhan coronavirus (SARS-CoV-2). Previously, the disease had no proper name, and terms such as “coronavirus disease” or “illness due to Wuhan coronavirus” were applied to describe it. The term COVID-19 was proclaimed by the World Health Organization (WHO) and is now official.

2. What's the difference between COVID-19 and the Coronavirus?

The difference between the coronavirus and COVID-19 is that the coronavirus is the causative agent of the disease and COVID-19 is the disease, that is, a set of symptoms triggered by this factor.

3. What are the symptoms of COVID-19?

Patients with confirmed SARS-CoV-2 coronavirus infection experienced symptoms of respiratory infection, such as:

  • fever (in excess of 38 degrees centigrade),
  • cough (rather dry),
  • dyspnoea.

Common symptoms also included muscle pain, and less frequently confusion, headache, sore throat, productive (or “wet”) cough, and hemoptysis. In some patients the characteristic symptom is a sudden loss of smell and taste.

4. When do the first symptoms appear?

Symptoms usually appeared between 2 and 14 days following contraction. Symptoms are mild at first and become more severe over time.

5. Can COVID-19 trigger neurological symptoms?

A June research review demonstrated that ca. 50 percent of people hospitalized due to the SARS-Cov-2 coronavirus infection develop neurological symptoms – vertigo, difficulty concentrating, strokes and weakness.

6. Does the COVID-19 affect mental health?

During a pandemic, fear and depression increase, and the feeling of anxiety increases. It comes as no surprise that in current epidemiological situation numerous states report higher than usual levels od anxiety and depression.

7. Can VR TierOne help patients recovering after COVID-19?

Yes, of course. Especially if these patients are in a bad mental conditions, they suffer from anxiety or depressive states, following their COVID-19 recovery.

8. Is that only the COVID-19 patients, who can use the VR TierOne device?

The VR TierOne device is very helpful for all people who struggle with psychological problems or with significantly depressed mood and depression in the course of somatic diseases, not solely following COVID-19 infections.

9. Is it safe to use VR TierOne medical equipment during the COVID-19 pandemic?

Yes, it is. A patient who meets all sanitary requirements (measured temperature, disinfected hands, covered mouth and nose, equipped with disposable gloves and a protective mask placed under the VR googles) stays absolutely safe.

Myocardial infarction

1. What is a heart attack?

A heart attack (myocardial infarction) is a form of coronary artery disease, also referred to as ischemic heart disease. An infarction occurs when the coronary blood flow to the heart becomes blocked, resulting in hypoxia and necrosis of the non-bloodied areas of the said organ. A heart attack therefore causes an irreversible damage to a part of the heart.

2. How to recognize a heart attack?

The symptoms of a heart attack may vary depending on the degree of closure of the coronary arteries. However, we may distinguish the most characteristic symptoms of a heart attack:

  • chest pain radiating to the neck, left arm, sometimes towards the abdomen,
  • dyspnoea,
  • prolonged cough,
  • weakness,
  • heart palpitation,
  • feeling tired,
  • vertigo,
  • feeling anxious,
  • numbness in the limbs,
  • cold sweat,
  • digestive symptoms: heartburn, nausea and vomiting.

It also happens that an infarction presents atypically or is asymptomatic.

3. What causes a heart attack?

The cause of a heart attack is ischemia, which is caused by insufficient volumes of blood passing through the narrowed or closed lumen of the vessels that supply the heart with blood. Atherosclerosis is responsible for the narrowing of blood vessels in most of the cases.

4. Who is most at risk of having a heart attack?

People most at risk of having a heart attack are:

  • genetically burdened,
  • aged 50+ (women); 30-45 (men)
  • with diabetes,
  • with arterial hypertension,
  • smoking tobacco,
  • overweight or obese,
  • physically inactive,
  • overworked and stressed,
  • not controlling the condition of their health.

5. Why can stress lead to a heart attack?

Under the influence of stress, hormones are released that make the body ready to fight or flee in response to the stressor. The so-called stress (HPA) axis is activated. What is good in a short-term perspective, has, in the longer run, detrimental effect on the immune system. Long-term stress causes inflammation and promotes the aggregation of morphotic blood consitutuents, hindering its flow. Under stress, the heart speeds up, blood vessels constrict, and blood pressure rises. The constricted coronary arteries can no longer deliver enough oxygen to the heart. The occlusion of the coronary vessel is most often caused by an atherosclerotic plaque. Whenever the heart muscle has to work harder, e.g. during stress, the limited possible blood flow may result in ischemic heart disease or a heart attack if the vessel becomes completely closed.

6. How is a heart attack diagnosed?

In the diagnosis of a heart attack, the following are performed:

  • laboratory blood tests,
  • electrocardiogram (ECG),
  • Chest X-ray,
  • heart echocardiography (ECHO),
  • coronarography

7. How is a heart attack treated?

Treatment of the myocardial infarction should be initiated as soon as possible as it is a life-threatening condition. Swift restoration of blood flow through the closed arteries minimizes damage to the heart. In the event of cardiac arrest, resuscitation measures must be initiated as soon as possible. Inpatient treatment of myocardial infarction consists of pharmacological and/or surgical treatment such as angioplasty (ballooning, stents) or coronary artery bypass grafting (bypass).

8. How to help yourself following a heart attack?

Follow your doctor’s orders issued after the heart attack. Also, remember to undergo cardiac rehabilitation and lead a healthy lifestyle.  Do not be afraid to look for mental support, taking care of your own psyche and reducing stress will help you carry out the next stages of rehabilitation more effectively and will make you feel better, making it lighter for your heart.

9. How does the VR TierOne solution help patients after heart attack?

After a heart attack, it is worth trying to reduce stress for the sake of your own heart. Psychotherapy with use of VR TierOne responds to the needs of reducing anxiety and stress related to the need to change the current lifestyle and external factors such as the required hospitalization period. VR TierOne calms down and helps to achieve a state of deep relaxation, supporting the patient’s mental condition.

10. Why is VR therapy important in the rehabilitation and prevention of heart attacks?

The initiation of rehabilitation following a heart attack is important for the prevention of subsequent cardiac episodes and to avoid the so-called additions of a heart attack. VR TierOne therapy is important in that it helps to eliminate stress, which is one of the causative factors of a heart attack. Psychotherapy with the use of VR TierOne accelerates the return to normality, allowing the patient to return to home and work-related activities.

Stroke

1. What is a stroke?

A stroke is a narrowing lumen of a vessel that carries blood to an area of the brain. Even the smallest symptoms that indicate this condition cannot be ignored, as this can lead to serious consequences. The ability to recognize symptoms and provide first aid as soon as possible is important, as every second counts in this case.

2. How do you recognize a stroke?

Symptoms of a stroke are manifested by a sudden neurological deficit, most often paresis of varying severity affecting one hemisphere of the body. The most common symptoms of a stroke are:

  • fallen corner of the mouth,
  • numbness or disturbed sensation,
  • partial amblyopia,
  • speech disorder,
  • inability to express sentences,
  • hemiparesis (paralysis of one half of the body),
  • muscle weakness on one side of the body.

3. How to conduct a stroke test?

Ask the patient: “smile” – one corner of the mouth drops.

Ask: “repeat the sentence” (e.g. “the weather is nice today”) – the patient will be unable to.

Ask: “Raise both hands” – one goes down.

Ask: “stick out your tongue” – the tongue is tilting or, on one side, it is wrinkled.

4. What do the effects of a stroke depend on?

First of all, the cause of the stroke, also the size of the thrombus and, consequently, the extent of the ischemic area of the brain, and the locus of the brain damage. The effects will also depend on the time after which the treatment is initiated. Ideally, the patient should be admitted to the hospital within the so-called golden hour from the occurrence of first symptoms.

5. What is an ischemic stroke?

An ischemic stroke (also called a cerebral infarction) is a weakening of the brain operation resulting from a clogged arterial vessel. It may be caused by atherosclerotic changes, atrial fibrillation, and decreased blood pressure. It is the most common form of stroke.

6. What is a hemorrhagic stroke?

It is colloquially a cerebral hemorrhage. It is caused by a rupture of a vessel that supplies the brain with blood. Haemorrhagic strokes account for 10-15% of the total number of strokes and have often more severe course than ischemic strokes. Patients may experience unconsciousness or severe headache, nausea and vomiting.

7. What are the causes of a hemorrhagic stroke?

A vessel that ruptures must have previously been damaged as a result of untreated or ineffective treatment of high blood pressure or diabetes. Rarer causes include blood clotting disorders.

8. How is a stroke treated?

First, a neurological interview is conducted, preferably already in an ambulance, the next stage is computed tomography, which allows to assess the extent of losses. International guidelines recommend thrombolysis (that is, the dissolution of a clot as a result of the administration of thrombolytic drugs such as tPA or streptokinase) as soon as possible. This can be done up to 4.5 hours after the onset of an ischemic stroke. Hemorrhagic stroke is treated with medications that reduce brain swelling.

9. Who is at risk of a stroke?

Unfortunately, a stroke can happen to anyone, regardless of age, although the factors contributing to its occurrence are poor eating habits, smoking, lack of exercise and diseases: diabetes, atherosclerosis and hypertension.

10. How soon after a stroke can one use the VR TierOne therapy?

Stroke rehabilitation should be implemented as soon as the patient’s condition is stabilized. In the early phase, the patient using VR TierOne experiences an improvement in well-being, motivation and reduced anxiety. In the subsequent stages of rehabilitation, once movement is possible, VR TierOne supports the concentration and eye-hand coordination of the patient, thanks to his involvement in the performance of tasks in the virtual garden.

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