Role of wearable devices in cardiac telerehabilitation: A scoping review

Abstract

Background Cardiac rehabilitation (CR) is an evidence-based comprehensive program that includes exercise training, health education, physical activity promotion, and extensive counseling for the management of cardiovascular risk factors. Wearable devices monitor certain physiological functions, providing biometric data such as heart rate, movement, sleep, ECG analysis, blood pressure, energy expenditure, and numerous other parameters. Recent evidence supports wearable devices as a likely relevant component in cardiovascular risk assessment and disease prevention. The purpose of this scoping review is to better understand the role of wearable devices in home-based CR (HBCR) and to characterize the evidence regarding the incorporation of wearable devices in HBCR programs and cardiovascular outcomes. Methods & findings We created a search strategy for multiple databases, including PubMed, Embase (Elsevier), CINAHL (Ebsco), Cochrane CENTRAL (Wiley), and Scopus (Elsevier). Studies were included if the patients were eligible for CR per Medicare guidelines and >18 years of age and if some type of wearable device was utilized during HBCR. Our search yielded 57 studies meeting all criteria. The studies were classified into 4 groups: patients with coronary heart disease (CHD) without heart failure (HF); patients with HF; patients with heart valve repair or replacement; and patients with exposure to center-based CR. In three groups, there was an upward trend toward improvement in quality of life (QOL) and peak VO2, less sedentary time, and an increase in daily step count in the intervention groups compared to control groups. Conclusions HBCR using wearable devices can be a comparable alternative or adjunct to center-based CR for patients with CHD and HF. More studies are needed to draw conclusions about the comparability of HBCR to center-based CR in patients with heart valve repair or replacement.

Cardio-oncology rehabilitation: are we ready?

“…accelerometers and gyroscopes) and wearable sensors of heart rate, electrocardiogram, blood pressure, body weight, glycaemia, etc. 75 In the near future, wearable devices that allow somatosensory sensations will become available. 76 Mobile technologies, besides, enable a more objective evaluation of patients.…”

Relationship Between Clinical, Psychological, Physiological, and Technical Parameters and the Use of Digital Tools During Cardiac Rehabilitation Including Home Training (Preprint)

“…However, in the current paper no significant correlation between ΔP max and the objective adherence measures obtained from the digital training diaries, heart rate monitors and activity trackers was identified (see Table 7). Jones et al [6] reported that digital tools resulted in a significantly higher improvement of QoL for the home-based compared to the centre-based CR group. Although we identified a significant improvement in both groups, no significant difference in the improvement of the QoL between patients with or without digital tools was found.…”

“…Various studies have analysed the effect of wearables and home-base CR on the QoL. In a recent review including 57 articles, Jones et al [6] conclude that home-based CR leads to an improved QoL and exercise capacity. So far, there is little knowledge concerning the relationship of patients' intrinsic motivation and digital tools during home-based CR.…”

Current State of Connected Sensor Technologies used during Rehabilitation Care: Scoping Review Protocol (Preprint)

“…Most prior studies have focused on development and validation of connected sensor technologies [14][15][16] and the infrastructure necessary to support data sharing and cloud computing [17,18]. Previous reviews have focused broadly on technological solutions to address specific behavior interventions such as weight loss [19], while others have focused on tools capable of assessment and remote monitoring of specific patient populations-cardiac [20], pulmonary [21], neurological [22], and cancer…”