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
涛ss完成签到 ,获得积分10
1秒前
1秒前
ww4566发布了新的文献求助10
1秒前
1秒前
丘比特应助ty采纳,获得10
1秒前
闪闪的宛海完成签到,获得积分20
3秒前
3秒前
打打应助diudiu采纳,获得10
3秒前
4秒前
ab发布了新的文献求助10
6秒前
无幻发布了新的文献求助10
7秒前
沐言发布了新的文献求助10
7秒前
7秒前
加州未雨应助朱z采纳,获得10
8秒前
明凯完成签到,获得积分10
8秒前
9秒前
zjhzslq完成签到,获得积分10
9秒前
ww4566完成签到,获得积分20
9秒前
二水发布了新的文献求助10
10秒前
小鱼头发布了新的文献求助10
10秒前
幽默的乐双应助ss采纳,获得10
11秒前
heqingqing完成签到,获得积分10
11秒前
huqingtao发布了新的文献求助10
12秒前
DSC完成签到,获得积分10
14秒前
15秒前
小号完成签到,获得积分10
15秒前
沐言完成签到,获得积分10
15秒前
16秒前
17秒前
Jasper应助M998采纳,获得10
18秒前
无幻完成签到,获得积分10
18秒前
18秒前
DSC发布了新的文献求助10
19秒前
19秒前
小何发布了新的文献求助10
20秒前
烟花应助哈哈采纳,获得10
20秒前
fakte发布了新的文献求助10
21秒前
szy发布了新的文献求助10
21秒前
hh关注了科研通微信公众号
21秒前
22秒前
高分求助中
Spray / Wall-interaction Modelling by Dimensionless Data Analysis 2000
Aspects of Babylonian celestial divination: the lunar eclipse tablets of Enūma Anu Enlil 500
Mathematics and Finite Element Discretizations of Incompressible Navier—Stokes Flows 500
Dictionary of socialism 350
Mixed-anion Compounds 300
Geochemistry, 2nd Edition 地球化学经典教科书第二版 300
Idoxuridine 260
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 3195658
求助须知:如何正确求助?哪些是违规求助? 2844522
关于积分的说明 8050318
捐赠科研通 2509151
什么是DOI,文献DOI怎么找? 1341478
科研通“疑难数据库(出版商)”最低求助积分说明 639124
邀请新用户注册赠送积分活动 608333