Telerehabilitation for Cardiac Patients: Systematic Review

Cristo, Danieli de; Nascimento, Natan Pinto do; Dias, Alexandre Simões; Sachetti, Amanda

doi:10.5935/2359-4802.20180032

Cited by 13 publications

(14 citation statements)

References 3 publications

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“…ese have been effective to track adherence and quality of exercises performed at home. An improvement in patient compliance and understanding was reported, making them more adherent to these programs [15,16].…”

Section: Cr and Functional Capacitymentioning

confidence: 96%

“…It became an integral part of the cardiac rehabilitation program to educate patients and caregivers about its significance for the cumulative health of individuals [12]. Studies that focused on physical activity have tried to incorporate these programs with educational and behavioural methods into the home-based cardiac rehabilitation programs [16,28,31,46]. Physical activity programs were decided according to normally performed activities or according to preference of the patient.…”

Section: Cardiology Research and Practicementioning

confidence: 99%

“…Furthermore, behavioural counselling sessions were administered, which added a psychological aspect into the program [31,46]. Assessment methods between studies vary from subjective (questionnaires-disease specific, self-reported, or global PA questionnaires, e.g., Paffenbarger physical activity questionnaire, seven-day recall questionnaire) to objective (use of pedometer or accelerometer for gauging levels of physical activity) [16,28,46]. ese studies conclude that, after a physical activity program, an overall improvement was observed in the functional status and physical activity levels [16,31,43,46].…”

Section: Cardiology Research and Practicementioning

confidence: 99%

“…Formerly cardiac rehabilitation focused on implementation of centre-based rehabilitation programs. However with the advent of time, home-based and e-health programs (telerehabilitation) were designed trying to make CR accessible to those patients who were unable to avail benefits of centre-based programs [14][15][16]. Benefits of participation in regular CR programs have proven to reduce all-cause mortality by more than 12% after CABG over a duration of 10 years [17].…”

Section: Introductionmentioning

confidence: 99%

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Impact of Cardiac Rehabilitation on Functional Capacity and Physical Activity after Coronary Revascularization: A Scientific Review

Prabhu

Maiya

2020

Cardiology Research and Practice

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Background. Coronary revascularization procedures often cause lowered exercise capacity and declining physical activity levels. These outcomes are paramount in predicting morbidity and mortality after these procedures. Cardiac rehabilitation (CR) focuses on incrementing cardiovascular endurance, exercise capacity, muscle strength, levels of physical activity, and quality of life through health education and lifestyle modification in post-coronary revascularization patients. Objective. To review the impact of cardiac rehabilitation on functional capacity, levels of physical activity, and health related quality of life in patients following coronary revascularization. Methods. A structured literature search in PubMed, Scopus, CINAHL, and ProQuest for studies focused on CR and its effects on functional capacity, physical activity, and quality of life after coronary revascularization. Results. A total of 2,010 studies were retrieved. Deduplication and eligibility screening included 190 studies after the application of filters. A sum of 21 studies were considered for this review. Most studies reported that exercise and physical activity programs were centre-based and home-based and via telerehabilitation. Treadmill and cycle ergometry training with callisthenics and flexibility exercises in phase 2 CR exhibited significant improvement in functional capacity and physical activity levels in patients after coronary revascularization procedures. Conclusion. Although centre-based supervised CR programs do improve functional capacity after coronary revascularization, home-based or telerehabilitation-based CR programs are feasible, improve patient compliance in improving physical activity, and thereby increase functional capacity. Patient education improves levels of physical activity, health related quality of life, and adherence to home- and centre-based CR programs.

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Section: Cr and Functional Capacitymentioning

confidence: 96%

Section: Cardiology Research and Practicementioning

confidence: 99%

Section: Cardiology Research and Practicementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impact of Cardiac Rehabilitation on Functional Capacity and Physical Activity after Coronary Revascularization: A Scientific Review

Prabhu

Maiya

2020

Cardiology Research and Practice

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“…Most interventions had only one or two components of cardiac rehabilitation, and physical activities were the most frequently used approach [7]. Systematic reviews on cardiac telerehabilitation show that it can help reduce depression and improve both functional capacity and physical activity level [12,13].…”

Section: Introductionmentioning

confidence: 99%

Integration of Rehabilitation Activities Into Everyday Life Through Telerehabilitation: Qualitative Study of Cardiac Patients and Their Partners

et al. 2019

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Background Implementation of cardiac rehabilitation has not been optimal, with patient participation rates below 50%. Factors that contribute to cardiac patients’ lack of participation in rehabilitation programs are patient motivation, logistical difficulties in getting to the rehabilitation facilities, lack of psychosocial elements, and individualization of activities in the rehabilitation programs. Telerehabilitation has been proposed as a new way to address the challenge of engaging and motivating cardiac patients and their partners to participate in rehabilitation. Objective The aim of this study was to explore the experiences of cardiac patients and their partners of participating in the Teledialog Telerehabilitation Program (TTP). The Teledialog program consisted of a digital rehabilitation plan, transmission of health data from patient’s home to hospital and health care center, and an interactive Web portal with information and training videos. Methods This case study used a theoretical approach combining the “community of practice” approach and self-determination theory. A triangulation of data collection techniques was used, including documents, participant observation (72 hours), and qualitative interviews with cardiac patients and their partners enrolled in the telerehabilitation group. A total of 14 cardiac patients, 12 patient spouses/partners, and 1 son participated in the study. The participants were interviewed at enrollment in the telerehabilitation program and after 12 weeks of participation in the program. Interview data were analyzed using NVivo 11.0. Results Patients and their partners found the Web portal ActiveHeart.dk and the electronic rehabilitation (e-rehabilitation) plan to be helpful tools for health education, coordinating rehabilitation goals, creating an overview of the data, and ensuring continuity in the rehabilitation process. The patients felt that the TTP treated them as individuals, gave them a sense of autonomy, and provided enhanced relatedness to health care professionals and partners and a sense of competence as active participants in their own rehabilitation process. Some patients missed being part of a community of practice with other cardiac patients and did not use the Web forum. Patients’ partners found that the telerehabilitation program gave them a sense of security and helped them balance their involvement as a partner to the patient and not push the patient too hard. Conclusions Cardiac patients and their partners found telerehabilitation technologies a useful digital toolbox in the rehabilitation process. Telerehabilitation motivated the patients to integrate rehabilitation activities into their work schedule and everyday life and made them feel like unique individuals. Participating in the Teledialog Telerehabilitation Program might not be a suitable strategy for all cardiac patients. Being a patient’s partner in the telerehabilit...

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Effectiveness of Tele-rehabilitation Programs in Heart Failure: A Systematic Review and Meta-analysis

Cavalheiro

Silva-Cardoso

Rocha

et al. 2021

Health�Serv�Insights

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Background: Tele-rehabilitation (TR) may be an effective alternative or complement to centre-based cardiac rehabilitation (CBCR) with heart failure (HF) patients, helping overcome accessibility problems to CBCR. The aim of this study is to systematically review the literature in order to assess the clinical effectiveness of TR programs in the management of chronic HF patients, compared to standard of care and standard rehabilitation (CBCR). Methods and Results: We conducted a systematic review and meta-analysis of randomized controlled trials on the effect and safety of TR programs in HF patients, regarding cardiovascular death, heart failure-related hospitalizations, functional capacity and quality of life. We searched 4 electronic databases up until May 2020, reviewed references of relevant articles and contacted experts. A quantitative synthesis of evidence was performed by means of random-effects meta-analyses. We included 17 primary studies, comprising 2206 patients. Four studies reported the number of hospitalizations (TR: 301; Control: 347). TR showed to be effective in the improvement of HF patients’ functional capacity in the 6 Minute Walk-Test (Mean Difference (MD) 15.86; CI 95% [7.23; 24.49]; I2 = 74%) and in peak oxygen uptake (pVO2) results (MD 1.85; CI 95% [0.16; 3.53]; I2 = 93%). It also improved patients’ quality of life (Minnesota Living with Heart Failure Questionnaire: MD −6.62; CI 95% [−11.40; −1.84]; I2 = 99%). No major adverse events were reported during TR exercise. Conclusion: TR showed to be superior than UC without CR on functional capacity improvement in HF patients. There is still scarce evidence of TR impact on hospitalization and cv death reduction. Further research and more standardized protocols are needed to improve evidence on TR effectiveness, safety and cost-effectiveness.

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Telerehabilitation for Cardiac Patients: Systematic Review

Cited by 13 publications

References 3 publications

Impact of Cardiac Rehabilitation on Functional Capacity and Physical Activity after Coronary Revascularization: A Scientific Review

Impact of Cardiac Rehabilitation on Functional Capacity and Physical Activity after Coronary Revascularization: A Scientific Review

Integration of Rehabilitation Activities Into Everyday Life Through Telerehabilitation: Qualitative Study of Cardiac Patients and Their Partners

Effectiveness of Tele-rehabilitation Programs in Heart Failure: A Systematic Review and Meta-analysis

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