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
飞快的盼易完成签到,获得积分10
刚刚
风大刀发完成签到,获得积分10
1秒前
黑粉头头完成签到,获得积分10
1秒前
娇气的白卉完成签到,获得积分10
2秒前
一个有点长的序完成签到 ,获得积分10
3秒前
ruuuu完成签到,获得积分10
4秒前
万里完成签到,获得积分10
6秒前
Yolo完成签到,获得积分10
9秒前
JamesPei应助我要去上学采纳,获得10
9秒前
一直成长完成签到,获得积分10
10秒前
匆匆完成签到,获得积分10
15秒前
大白不白完成签到,获得积分10
17秒前
仲夏完成签到,获得积分10
18秒前
Bluebulu完成签到,获得积分10
19秒前
wyr完成签到,获得积分0
23秒前
香蕉觅云应助自转无风采纳,获得10
24秒前
Capacition6完成签到,获得积分10
25秒前
25秒前
一一一完成签到,获得积分10
28秒前
chi完成签到 ,获得积分10
29秒前
明亮的代灵完成签到 ,获得积分10
30秒前
淡淡明辉完成签到,获得积分10
32秒前
龙抬头完成签到,获得积分10
32秒前
32秒前
魔幻的妖丽完成签到 ,获得积分10
33秒前
咔滋脆鸡腿堡完成签到 ,获得积分10
35秒前
jscr完成签到,获得积分10
35秒前
SAINT完成签到 ,获得积分10
35秒前
36秒前
科研通AI2S应助科研通管家采纳,获得30
37秒前
shtatbf应助科研通管家采纳,获得30
37秒前
Lucas应助科研通管家采纳,获得10
37秒前
Orange应助科研通管家采纳,获得10
37秒前
确幸完成签到,获得积分10
37秒前
38秒前
震动的修洁完成签到 ,获得积分10
38秒前
俭朴的世界完成签到 ,获得积分10
41秒前
liyiren完成签到,获得积分10
43秒前
44秒前
azhu完成签到 ,获得积分10
44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
Mathematics and Finite Element Discretizations of Incompressible Navier—Stokes Flows 500
2024 Medicinal Chemistry Reviews 400
Актуализированная стратиграфическая схема триасовых отложений Прикаспийского региона. Объяснительная записка 360
Dictionary of socialism 350
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 3192710
求助须知:如何正确求助?哪些是违规求助? 2841827
关于积分的说明 8034735
捐赠科研通 2505467
什么是DOI,文献DOI怎么找? 1338618
科研通“疑难数据库(出版商)”最低求助积分说明 638372
邀请新用户注册赠送积分活动 606929