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@article{1756516,
author = {Baťalík, Ladislav and Dosbaba, Filip and Hartman, Martin and Konečný, Vladimír and Baťalíková, Kateřina and Špinar, Jindřich},
article_location = {Turin},
article_number = {5},
doi = {http://dx.doi.org/10.23736/S1973-9087.21.06653-3},
keywords = {TelerehabilitationCardiac rehabilitation; Exercise; Heart rate; Coronary artery disease; Cardiorespiratory fitness},
language = {eng},
issn = {1973-9087},
journal = {EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE},
title = {Long-term exercise effects after cardiac telerehabilitation in patients with coronary artery disease: 1-year follow-up results of the randomized study},
url = {https://www.minervamedica.it/en/journals/europa-medicophysica/article.php?cod=R33Y2021N05A0807},
volume = {57},
year = {2021}
}
TY - JOUR
ID - 1756516
AU - Baťalík, Ladislav - Dosbaba, Filip - Hartman, Martin - Konečný, Vladimír - Baťalíková, Kateřina - Špinar, Jindřich
PY - 2021
TI - Long-term exercise effects after cardiac telerehabilitation in patients with coronary artery disease: 1-year follow-up results of the randomized study
JF - EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
VL - 57
IS - 5
SP - 807-814
EP - 807-814
PB - Edizioni Minerva Medica
SN - 19739087
KW - TelerehabilitationCardiac rehabilitation
KW - Exercise
KW - Heart rate
KW - Coronary artery disease
KW - Cardiorespiratory fitness
UR - https://www.minervamedica.it/en/journals/europa-medicophysica/article.php?cod=R33Y2021N05A0807
N2 - BACKGROUND: Home-based cardiac telerehabilitation (HBCT) is a feasible and effective alternative to traditional center-based cardiac rehabilitation (CBCR). Currently, there are only limited studies focusing on a long-term effect of HBCT, which means it is essential to do more research in this study field. AIM: This study aimed at investigating a 1-year effect of a randomized controlled study using Cardiac Rehabilitation through the Global Position System (CR-GPS) compared to outpatient cardiac rehabilitation. Study focused on cardiorespiratory fitness (CRF) and health-related quality of life (HRQL) in patients with coronary heart disease (CAD). DESIGN: A long-term follow-up of a randomized study. SETTING: Patients were enrolled, and the intervention was performed in an outpatient or home-based model. The results were obtained and evaluated in a hospital. POPULATION: Patients who participated in the CR-GPS study were diagnosed with CAD with low to moderate cardiovascular risk. METHODS: Patients enrolled in the study were eligible participants who had previously completed a 12-week HBCT program using a wrist heart rate (HR) monitor or attended a traditional CBCR. Primary outcome was the change in CRF expressed in peak oxygen uptake (pVO(2)), and the secondary outcomes were self-reported HRQL, objectively measured anthropometric characteristics, and mortality and hospitalization rates. RESULTS: Forty-four patients (76%) completed the long-term follow-up. The average peak of pVO(2) was higher after 1-year follow-up in the telerehabilitation group (HBCT 25.5 mL/kg/min compared to the active control group CBCR 23.6 mL/kg/min P=0.047). No statistically significant difference between the two groups was found after long-term follow-up for the parameter HRQL. For both groups, there was a significant improvement in the range of perceptions of general health. There was no death case and no difference in hospitalization rate between the groups. CONCLUSIONS: This study supports the HBCT model. It has been demonstrated that it induces satisfactory long-term effects in pVO(2), exercise performance, and perceived general health in CAD patients with low to moderate cardiovascular risk. CLINICAL REHABILITATION IMPACT: Cardiovascular telerehabilitation using wrist HR monitors is a feasible and effective rehabilitation method that can help patients eliminate barriers that prevent them from using CBCR programs. Especially in the current global situation with the COVID-19 pandemic, this topic is becoming increasingly important.
ER -
BAŤALÍK, Ladislav, Filip DOSBABA, Martin HARTMAN, Vladimír KONEČNÝ, Kateřina BAŤALÍKOVÁ and Jindřich ŠPINAR. Long-term exercise effects after cardiac telerehabilitation in patients with coronary artery disease: 1-year follow-up results of the randomized study. \textit{EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE}. Turin: Edizioni Minerva Medica, 2021, vol.~57, No~5, p.~807-814. ISSN~1973-9087. Available from: https://dx.doi.org/10.23736/S1973-9087.21.06653-3.
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