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
123456发布了新的文献求助10
2秒前
Pengzhuhuai完成签到,获得积分10
3秒前
phoebe发布了新的文献求助10
4秒前
matchais1ife完成签到 ,获得积分10
7秒前
123456完成签到,获得积分20
11秒前
丹霞应助余存采纳,获得10
15秒前
蓝色斑马完成签到,获得积分10
16秒前
17秒前
21秒前
牛马关注了科研通微信公众号
25秒前
Jenny发布了新的文献求助10
25秒前
28秒前
微笑芒果完成签到 ,获得积分10
30秒前
FashionBoy应助科研通管家采纳,获得10
31秒前
完美世界应助科研通管家采纳,获得10
31秒前
斯文败类应助科研通管家采纳,获得10
31秒前
31秒前
脑洞疼应助科研通管家采纳,获得10
31秒前
烟花应助科研通管家采纳,获得10
31秒前
顾矜应助科研通管家采纳,获得10
31秒前
Orange应助科研通管家采纳,获得10
31秒前
31秒前
科研通AI2S应助科研通管家采纳,获得10
31秒前
耳与总完成签到,获得积分10
31秒前
Thunnus001完成签到,获得积分10
33秒前
34秒前
耀学菜菜应助phoebe采纳,获得20
34秒前
36秒前
36秒前
38秒前
Artemis完成签到 ,获得积分10
39秒前
聪仔发布了新的文献求助10
40秒前
42秒前
深情的芷巧关注了科研通微信公众号
42秒前
果果完成签到,获得积分10
45秒前
是大法官寒假快乐完成签到,获得积分10
49秒前
nisha发布了新的文献求助10
49秒前
49秒前
柳叶刀发布了新的文献求助10
51秒前
小镇青年完成签到,获得积分10
52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
ALA生合成不全マウスでの糖代謝異常の分子機構解析 520
Mathematics and Finite Element Discretizations of Incompressible Navier—Stokes Flows 500
A new species of Coccus (Homoptera: Coccoidea) from Malawi 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 3187734
求助须知:如何正确求助?哪些是违规求助? 2837488
关于积分的说明 8015060
捐赠科研通 2500112
什么是DOI,文献DOI怎么找? 1334764
科研通“疑难数据库(出版商)”最低求助积分说明 637271
邀请新用户注册赠送积分活动 605251