Update on RFA Increasing Use of Cardiac and Pulmonary Rehabilitation in Traditional and Community Settings NIH-Funded Trials

Shero, Susan T.; Benzo, Roberto; Cooper, Lawton S.; Finkelstein, Joseph; Forman, Daniel E.; Gaalema, Diann E.; Joseph, Lyndon; Keteyian, Steven J.; Peterson, Pamela N.; Punturieri, Antonello; Zieman, Susan J.; Fleg, Jerome L.

doi:10.1097/hcr.0000000000000635

Cited by 6 publications

(5 citation statements)

References 24 publications

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“…The most reported real-time MSFT program approach includes live video streams of each patient while exercising in either a oneon-one or group formats (98). MSFT interventions combining telehealth and real-time monitoring technologies allow exercise sessions to have an element of medical or professional supervision while also making the intervention accessible to a broader scope of patients.…”

Section: Medically Supervised Fitness Training (Msft)mentioning

confidence: 99%

ehealth technology in cardiac exercise therapeutics for pediatric patients with congenital and acquired heart conditions: a summary of evidence and future directions

White,

Layton,

Curran

et al. 2023

Front. Cardiovasc. Med.

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Many children and adolescents with congenital and acquired heart disease (CHD) are physically inactive and participate in an insufficient amount of moderate-to-vigorous intensity exercise. Although physical activity (PA) and exercise interventions are effective at improving short- and long-term physiological and psychosocial outcomes in youth with CHD, several barriers including resource limitations, financial costs, and knowledge inhibit widespread implementation and dissemination of these beneficial programs. New and developing eHealth, mHealth, and remote monitoring technologies offer a potentially transformative and cost-effective solution to increase access to PA and exercise programs for youth with CHD, yet little has been written on this topic. In this review, a cardiac exercise therapeutics (CET) model is presented as a systematic approach to PA and exercise, with assessment and testing guiding three sequential PA and exercise intervention approaches of progressive intensity and resource requirements: (1) PA and exercise promotion within a clinical setting; (2) unsupervised exercise prescription; and (3) medically supervised fitness training intervention (i.e., cardiac rehabilitation). Using the CET model, the goal of this review is to summarize the current evidence describing the application of novel technologies within CET in populations of children and adolescents with CHD and introduce potential future applications of these technologies with an emphasis on improving equity and access to patients in low-resource settings and underserved communities.

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Section: Medically Supervised Fitness Training (Msft)mentioning

confidence: 99%

ehealth technology in cardiac exercise therapeutics for pediatric patients with congenital and acquired heart conditions: a summary of evidence and future directions

White,

Layton,

Curran

et al. 2023

Front. Cardiovasc. Med.

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“… 2–6 In order to extend physical rehabilitation from a hospital or ambulatory settings to patient homes as a part of routine care of patients with chronic health conditions, 1 successful telerehabilitation programs should support scalable and cost-effective means for prescribing individualized exercise programs, monitoring safety and adherence with exercise, two-way communication between patient and providers, and timely feedback based on patient performance. 26–28 …”

Section: Introductionmentioning

confidence: 99%

Development and Evaluation of Wireless Interfaces to Monitor and Control Cycling Exercise During Home Telerehabilitation

Smiley¹,

Tsai²,

Havrylchuk³

et al. 2023

MDER

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Purpose This paper focuses on developing and testing three versions of interactive bike (iBikE) interfaces for remote monitoring and control of cycling exercise sessions to promote upper and lower limb rehabilitation. Methods Two versions of the system, which consisted of a portable bike and a tablet PC, were designed to communicate through either Bluetooth low energy (BLE) or Wi-Fi interfaces for real-time monitoring of exercise progress by both the users and their clinical team. The third version of the iBikE system consisted of a motorized bike and a tablet PC. It utilized conventional Bluetooth to implement remote control of the motorized bike’s speed during an exercise session as well as to provide real-time visualization of the exercise progress. We developed three customized tablet PC apps with similar user interfaces but different communication protocols for all the platforms to provide a graphical representation of exercise progress. The same microcontroller unit (MCU), ESP-32, was used in all the systems. Results Each system was tested in 1-minute exercise sessions at various speeds. To evaluate the accuracy of the measured data, in addition to reading speed values from the iBikE app, the cycling speed of the bikes was measured continuously using a tachometer. The mean differences of averaged RPMs for both data sets were calculated. The calculated values were 0.38 ± 0.03, 0.25 ± 0.27, and 6.7 ± 3.3 for the BLE system, the Wi-Fi system, and the conventional Bluetooth system, respectively. Conclusion All interfaces provided sufficient accuracy for use in telerehabilitation.

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“…Pulmonary rehabilitation (PR) has been shown to significantly improve the quality of life and clinical outcomes in patients with Chronic Obstructive Pulmonary Disease (COPD) [1]. One of the major barriers to joining PR programs is a lack of awareness about its benefits, combined with overall skepticism about regular exercise among COPD patients [2]. Empowering COPD patients with foundational knowledge about PR may potentially facilitate their decision to join a PR program [3].…”

Section: Introductionmentioning

confidence: 99%

Feasibility of a Virtual Reality App to Promote Pulmonary Rehabilitation

Finkelstein

Parvanova

Huo

2023

Caring Is Sharing – Exploiting the Value in Data for Health and Innovation

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One of the major barriers to joining pulmonary rehabilitation (PR) programs is a lack of awareness about its benefits, combined with overall skepticism about regular exercise among COPD patients. Empowering COPD patients with foundational knowledge about PR may potentially facilitate their decision to join a PR program. A virtual reality (VR) app may serve as an engaging and interactive means to deliver PR education; however, the feasibility of this approach in COPD patients is unknown. The goal of this project was to assess the feasibility of VR-based PR education in COPD patients. Using mixed methods design, the feasibility of the VR app was assessed by evaluating its usability, patient acceptance, and its impact on patient knowledge about PR. The results of the usability assessment showed high user acceptance of the VR system and the ability to successfully operate the VR appliances. The use of the VR education app resulted in a statistically significant increase in patient understanding of the main concepts of pulmonary rehabilitation. Further development and evaluation of VR-based systems for patient engagement and empowerment are warranted.

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Update on RFA Increasing Use of Cardiac and Pulmonary Rehabilitation in Traditional and Community Settings NIH-Funded Trials

Cited by 6 publications

References 24 publications

ehealth technology in cardiac exercise therapeutics for pediatric patients with congenital and acquired heart conditions: a summary of evidence and future directions

ehealth technology in cardiac exercise therapeutics for pediatric patients with congenital and acquired heart conditions: a summary of evidence and future directions

Development and Evaluation of Wireless Interfaces to Monitor and Control Cycling Exercise During Home Telerehabilitation

Feasibility of a Virtual Reality App to Promote Pulmonary Rehabilitation

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