J 2023

Efficacy of supervised home-based, real time, videoconferencing telerehabilitation in patients with type 2 diabetes: a single-blind randomized controlled trial

BLIOUMPA, Christina, Evmorfia KARANASIOU, Varsamo ANTONIOU, Ladislav BAŤALÍK, Konstantinos KALATZIS et. al.

Basic information

Original name

Efficacy of supervised home-based, real time, videoconferencing telerehabilitation in patients with type 2 diabetes: a single-blind randomized controlled trial

Authors

BLIOUMPA, Christina, Evmorfia KARANASIOU, Varsamo ANTONIOU, Ladislav BAŤALÍK (203 Czech Republic, belonging to the institution), Konstantinos KALATZIS, Leonidas LANARAS and Garyfallia PEPERA

Edition

EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE, TURIN, EDIZIONI MINERVA MEDICA, 2023, 1973-9087

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30304 Public and environmental health

Country of publisher

Italy

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 4.500 in 2022

RIV identification code

RIV/00216224:14110/23:00133203

Organization unit

Faculty of Medicine

UT WoS

001116532300009

Keywords in English

wo kappa ns; Telerehabilitation; Diabetes mellitus; type 2; Walk test

Tags

Tags

International impact, Reviewed
Změněno: 25/1/2024 09:11, Mgr. Tereza Miškechová

Abstract

V originále

BACKGROUND: Exercise-based interventions prevent or delay symptoms and complications of type 2 diabetes (T2D) and are highly recom-mended for T2D patients; though with very low participation rates. Telerehabilitation (TR) could act as an alternative to overcome the barriers preventing the promotion of T2D patients' well-being. AIM: Determine the effects of a six-week TR program on glycemic control, functional capacity, muscle strength, PA, quality of life and body composition in patients with T2D.DESIGN: A multicenter randomized, single-blind, parallel-group clinical study.SETTING: Clinical trial.POPULATION: Patients with T2D.METHODS: Thirty T2D patients (75% male, 60.1 +/- 10.9 years) were randomly allocated to an intervention group (IG) and a control group (CG) with no exercise intervention. IG enrolled in a supervised, individualized exercise program (combination of aerobic and resistance exercises), 3 times/week for 6 weeks at home via a TR platform. Glycated hemoglobin (HbA1c), six-minute walk test (6MWT), muscle strength (Hand Grip Strength Test [HGS], 30-Second Chair Stand test [30CST] physical activity [IPAQ-SF]), quality of life (SF-36) and anthropometric variables were assessed. RESULTS: Two-way repeated-ANOVA showed a statistically significant interaction between group, time and test differences (6MWT, muscle strength) (V=0.33, F [2.17]=4.14, P=0.03, partial 112=0.22). Paired samples t-test showed a statistically significant improvement in HbA1c (Z=-2.7), 6MWT (Mean A=-36.9 +/- 27.2 m, t=-4.5), muscle strength (Mean A=-1.5 +/- 1.4 kg, t=-2.22). Similarly, SF-36 (mental health [Mean A=-13.3 +/- 21.3%], general health [Mean A=-11.4 +/- 16.90%]) were statistically improved only in IG.CONCLUSIONS: The findings of this study indicate that a 6-week supervised home-based TR exercise program induced significant benefits in patients with T2D, thus enabling telehealth implementation in rehabilitation practice as an alternative approach.