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
bubble嘞完成签到 ,获得积分10
刚刚
小虎应助一口吸十只猫采纳,获得10
刚刚
电池高手关注了科研通微信公众号
1秒前
xiamu完成签到 ,获得积分20
2秒前
3秒前
善良梦竹完成签到 ,获得积分10
3秒前
无所吊谓发布了新的文献求助10
3秒前
小小米完成签到,获得积分10
4秒前
shun完成签到,获得积分10
6秒前
如意的汽车完成签到,获得积分10
7秒前
宋家志完成签到 ,获得积分10
7秒前
一口吸十只猫完成签到,获得积分10
8秒前
科目三应助hua采纳,获得10
9秒前
找寻四氢叶酸完成签到,获得积分10
10秒前
大陆完成签到,获得积分10
10秒前
10秒前
长安完成签到,获得积分10
11秒前
初之发布了新的文献求助20
11秒前
优雅的沛春完成签到 ,获得积分10
12秒前
13秒前
香蕉觅云应助羊羊羊采纳,获得10
13秒前
曙光完成签到,获得积分10
14秒前
英姑应助夏远航采纳,获得10
16秒前
电池高手完成签到,获得积分10
17秒前
18秒前
包容的初南完成签到,获得积分10
18秒前
shuke完成签到,获得积分10
19秒前
hua完成签到,获得积分20
19秒前
执着牛青完成签到,获得积分10
20秒前
bkagyin应助请输入昵称采纳,获得10
22秒前
桐桐应助夏远航采纳,获得10
22秒前
无所吊谓发布了新的文献求助10
23秒前
23秒前
hua发布了新的文献求助10
23秒前
mao完成签到,获得积分10
24秒前
岐黄举报luonayi求助涉嫌违规
25秒前
26秒前
领导范儿应助健壮的月光采纳,获得10
26秒前
27秒前
Charon发布了新的文献求助10
27秒前
高分求助中
Spray / Wall-interaction Modelling by Dimensionless Data Analysis 2000
Evolution 3rd edition 1500
Mantiden: Faszinierende Lauerjäger Faszinierende Lauerjäger 700
PraxisRatgeber: Mantiden: Faszinierende Lauerjäger 700
Mathematics and Finite Element Discretizations of Incompressible Navier—Stokes Flows 500
A new species of Coccus (Homoptera: Coccoidea) from Malawi 500
2-Acetyl-1-pyrroline: an important aroma component of cooked rice 500
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 3187269
求助须知:如何正确求助?哪些是违规求助? 2837276
关于积分的说明 8013988
捐赠科研通 2499791
什么是DOI,文献DOI怎么找? 1334620
科研通“疑难数据库(出版商)”最低求助积分说明 637194
邀请新用户注册赠送积分活动 605171