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
乳酪蚊完成签到,获得积分10
4秒前
rysben完成签到,获得积分10
4秒前
风中小懒虫完成签到,获得积分10
5秒前
Titi完成签到 ,获得积分10
7秒前
积极废物完成签到 ,获得积分10
7秒前
北海完成签到,获得积分10
9秒前
YXHTCM完成签到,获得积分10
9秒前
9秒前
WW应助科研通管家采纳,获得10
10秒前
Hello应助科研通管家采纳,获得10
10秒前
压缩完成签到 ,获得积分10
10秒前
柔之完成签到,获得积分10
10秒前
许多多同学完成签到,获得积分10
12秒前
13秒前
16秒前
吃花生酱的猫应助ChloeF采纳,获得30
16秒前
科研通AI2S应助陈秋采纳,获得10
19秒前
伯爵完成签到 ,获得积分10
21秒前
宇宇完成签到 ,获得积分10
21秒前
ZZ发布了新的文献求助10
22秒前
李爱国应助Tonald Yang采纳,获得10
26秒前
27秒前
亚稳态应助djbj2022采纳,获得10
28秒前
平常的元蝶完成签到 ,获得积分10
29秒前
只影有你完成签到,获得积分10
30秒前
31秒前
爱静静应助Eclipse采纳,获得10
32秒前
32秒前
欣喜的白风完成签到,获得积分10
34秒前
Radish完成签到 ,获得积分10
35秒前
香菜完成签到 ,获得积分10
35秒前
亚稳态应助王贺帅采纳,获得10
36秒前
clocksoar完成签到,获得积分10
36秒前
Anlix发布了新的文献求助10
37秒前
38秒前
hdx完成签到 ,获得积分10
39秒前
dream完成签到 ,获得积分10
40秒前
个性的雅柏完成签到,获得积分20
40秒前
djbj2022发布了新的文献求助10
40秒前
Cheshire完成签到,获得积分10
40秒前
高分求助中
Spray / Wall-interaction Modelling by Dimensionless Data Analysis 2000
Write Like a Chemist: A Guide and Resource (第二版) 600
Mixed-anion Compounds 600
A new species of Velataspis (Hemiptera Coccoidea Diaspididae) from tea in Assam 500
Earth System Geophysics 500
Aspects of Babylonian celestial divination: the lunar eclipse tablets of Enūma Anu Enlil 500
Geochemistry, 2nd Edition 地球化学经典教科书第二版 401
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 3200827
求助须知:如何正确求助?哪些是违规求助? 2850571
关于积分的说明 8072556
捐赠科研通 2514335
什么是DOI,文献DOI怎么找? 1347061
科研通“疑难数据库(出版商)”最低求助积分说明 640332
邀请新用户注册赠送积分活动 610520