Exercise-Based Telerehabilitation for Heart Failure Patients Declining Outpatient Rehabilitation – A Randomized Controlled Trial

远程康复 医学 物理疗法 康复 随机对照试验 心力衰竭 生活质量(医疗保健) 射血分数 最大VO2 远程医疗 物理医学与康复 心率 医疗保健 心脏病学 内科学 血压 经济 护理部 经济增长
作者
Kari Margrethe Lundgren,Knut Asbjørn Rise Langlo,Øyvind Salvesen,Nils Petter Aspvik,Rune Mo,Øyvind Ellingsen,Elisabeth Kleivhaug Vesterbekkmo,Paolo Zanaboni,Håvard Dalen,Inger‐Lise Aamot Aksetøy
出处
期刊:Medicine and Science in Sports and Exercise [Ovid Technologies (Wolters Kluwer)]
标识
DOI:10.1249/mss.0000000000003590
摘要

ABSTRACT Purpose: Cardiac rehabilitation participation rates are low despite strong recommendations, and many chronic heart failure patients remain physically inactive. Rural living, long travel distance, costs, age, and frailty might be factors explaining this. To increase cardiac rehabilitation uptake, we designed an exercise-based randomized controlled telerehabilitation trial enabling chronic heart failure patients unable or unwilling to participate in outpatient cardiac rehabilitation to exercise at home. Aim was to evaluate the long-term effects of telerehabilitation on physical activity levels. Methods and results: CHF patients (n = 61) with reduced (≤40%), mildly reduced (41–49%), or preserved ejection fraction (≥50%) were randomized (1:1) to telerehabilitation (n = 31) with an initial 3-month group-based high-intensity exercise telerehabilitation program or control (n = 30), with regular follow-up visits over a 2-year period. All participants attended a “Living with heart failure” course. Outcomes were measures of physical activity, peak oxygen uptake, 6-minute walk test distance, quality of life, morbidity, and mortality. We found no significant differences between groups for long-term changes in moderate to vigorous activity (MVPA) or peak oxygen uptake from baseline to the 2-year follow-up. Nor quality of life differed between groups, but both groups had significant within-group improvements in score on the Minnesota living with heart failure questionnaire (p = 0.000) and improvement in EQ-5D VAS score was significant (p = 0.05) in the telerehabilitation group. Conclusions: Telerehabilitation performed as home-based real-time high-intensity exercise sessions provided by videoconferencing for participants unable or unwilling to participate in standard outpatient cardiac rehabilitation did not affect long-term physical activity levels or physical capacity as expected. Still, a positive effect on health-related quality of life was seen in both groups.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
1秒前
1秒前
超级的皮带完成签到,获得积分10
1秒前
2秒前
CipherSage应助llw198611采纳,获得10
2秒前
mostspecial完成签到,获得积分10
3秒前
星星完成签到 ,获得积分10
3秒前
旭日林间关注了科研通微信公众号
4秒前
4秒前
泽灵完成签到,获得积分10
5秒前
饱满苞络发布了新的文献求助10
5秒前
JiayaoYang发布了新的文献求助20
5秒前
wangwang完成签到,获得积分10
5秒前
6秒前
dada发布了新的文献求助10
6秒前
上官若男应助超级的皮带采纳,获得10
6秒前
哪吒大闹小布丁完成签到,获得积分10
6秒前
test完成签到,获得积分10
7秒前
小二郎应助归朴采纳,获得10
7秒前
7秒前
xilingang发布了新的文献求助10
8秒前
8秒前
10秒前
zzz发布了新的文献求助10
10秒前
10秒前
隐形曼青应助鹤唳采纳,获得10
11秒前
kento发布了新的文献求助10
11秒前
樊傲云发布了新的文献求助10
12秒前
12秒前
小蘑菇应助Michael采纳,获得10
12秒前
12秒前
13秒前
潇公子完成签到,获得积分10
14秒前
丘比特应助Eikou采纳,获得10
15秒前
15秒前
16秒前
lxt完成签到 ,获得积分10
16秒前
向南发布了新的文献求助10
16秒前
不配.应助Diego采纳,获得20
16秒前
暮霭沉沉应助Diego采纳,获得10
16秒前
高分求助中
Spray / Wall-interaction Modelling by Dimensionless Data Analysis 2000
ALA生合成不全マウスでの糖代謝異常の分子機構解析 520
安全防范技术与工程 500
2024 Medicinal Chemistry Reviews 400
Актуализированная стратиграфическая схема триасовых отложений Прикаспийского региона. Объяснительная записка 360
Dictionary of socialism 350
AI-Driven Alzheimer's Disease Detection and Prediction 300
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3193422
求助须知:如何正确求助?哪些是违规求助? 2842415
关于积分的说明 8039135
捐赠科研通 2506377
什么是DOI,文献DOI怎么找? 1339098
科研通“疑难数据库(出版商)”最低求助积分说明 638616
邀请新用户注册赠送积分活动 607245