A controlled trial of cardiac rehabilitation in the home setting using electrocardiographic and voice transtelephonic monitoring

Ades, Philip A.; Pashkow, Fredric J.; Fletcher, Gerald; Piña, Ileana L.; Zohman, Lenore R.; Nestor, James R.

doi:10.1016/s0002-8703(00)90100-5

Cited by 138 publications

(61 citation statements)

References 12 publications

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“…Ades and colleagues, 30 Sparks and colleagues, 23 and Koreniowska-Kubacka and colleagues 22 showed similar improvements in peak workload between TR and UC groups. Meanwhile, Giallauria and colleagues 25 found greater improvements in peak workload among the TR group.…”

Section: Resultsmentioning

confidence: 84%

“…Flexibility training was also not included, and only two studies included details about warm-up and cool-down times. 30,31 In addition, three studies used walking training in their TR group but used cycle ergometers and other machines in their UC groups. 22,30,33 Despite these differences in exercise intervention, no differences were found in changes in exercise capacity between groups, indicating no training specificity from these exercise prescription differences.…”

Section: Resultsmentioning

confidence: 99%

“…The EHO 3 also had pre-programmed training sessions for participants that outlined exercise duration, breaks, and ECG recording. Studies led by Ades 30 and Sparks 23 used the Scott Care (Cleveland, OH) Tele-Rehab system, and the study led by Giallauria 25 used a Sorin (Milan, Italy) Life Watch CG 6106. Both devices used an ECG to monitor exercise, and home telephone connections were used to communicate ECGs to practitioners.…”

Section: Resultsmentioning

confidence: 99%

“…Studies headed by Ades, 30 Kraal, 19 Piotrowicz, 33 and Sparks 23 found significant improvements in VO 2 peak for both groups, ranging from increases of 1.1 ml/kg/minute to 4.9 ml/kg/minute (Sparks did not include the right kind of numeric data so could not be included in the meta-analysis and this table). Overall, the cumulative I 2 statistic was 0%, and the SMD between the TR and UC groups was 0.160 (95% CI: −0.065, 0.386; p =0.16), indicating no difference between the groups (Figure 2).…”

Section: Resultsmentioning

confidence: 99%

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Exercise Telemonitoring and Telerehabilitation Compared with Traditional Cardiac and Pulmonary Rehabilitation: A Systematic Review and Meta-Analysis

Chan

Yamabayashi

Syed

et al. 2016

Physiotherapy Canada

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Background: Despite exercise capacity and quality-of-life benefits, pulmonary rehabilitation (PR) and cardiac rehabilitation (CR) programmes are not easily accessed because of several barriers. A solution may be telerehabilitation (TR), in which patients exercise in their communities while they are monitored via teletechnology. However, the benefits of TR for the purposes of PR and CR have not been systematically reviewed. Objective: To determine whether the benefits of the exercise component of PR and CR using TR are comparable to usual-care (UC) programmes. Methods: A comprehensive literature search was performed of the Medline, Embase, and CINAHL databases up to July 13, 2015. Meta-analyses were performed for peak oxygen consumption, peak workload, exercise test duration, and 6-minute walk test (6MWT) distance using the I2 statistic and forest plots displaying standardized mean difference (SMD). Results: Of 1,431 citations found, 8 CR studies met the inclusion criteria. No differences were found in exercise outcomes between UC and TR groups for CR studies, except in exercise test duration, which slightly favoured UC (SMD 0.268, 95% CI: 0.002, 0.534, p<0.05). Only 1 PR study was included, and it showed similar improvements on the 6MWT between the UC and TR groups. Conclusion: TR for patients with cardiac conditions provided benefits similar to UC with no adverse effects reported. Similar studies of TR for patients with pulmonary conditions need to be conducted.

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Section: Resultsmentioning

confidence: 84%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Exercise Telemonitoring and Telerehabilitation Compared with Traditional Cardiac and Pulmonary Rehabilitation: A Systematic Review and Meta-Analysis

Chan

Yamabayashi

Syed

et al. 2016

Physiotherapy Canada

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“…Several investigators found significant improvements in functional capacity during CR, 10–13 ranging from 23% 10 to 36%. 11 Although exercise performance increases in CR, there is a downward trend for physical activity/exercise participation during the year following CR.…”

Section: Introductionmentioning

confidence: 99%

Effects of Partners Together in Health Intervention on Physical Activity and Healthy Eating Behaviors

Yates

Norman

Meza

et al. 2015

Journal of Cardiovascular Nursing

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Background Despite proven efficacy of cardiac rehabilitation (CR) in helping patients initiate physical activity and healthy eating changes, less than 50% of CR participants maintain changes 6 months later. Objective The objective of this feasibility study was to test the Partners Together in Health (PaTH) Intervention versus usual care (UC) in improving physical activity and healthy eating behaviors in coronary artery bypass graft (CABG) surgery patients and spouses. Methods An experimental, two-group (n = 17 couples/group), repeated measures design was used. CABG patients in both groups participated in Phase II outpatient CR. Spouses in the PaTH group attended CR with the patient and were asked to make the same physical activity and healthy eating changes as patients. Spouses in the control group attended educational classes with patients. It was theorized that “two persons would be better than one” at making changes and sticking with them long-term. Physical activity behavior was measured using the Actiheart accelerometer; the activity biomarker was an exercise tolerance test. Eating behavior was measured using 3-day food records; the biomarker was the lipid profile. Data were collected at baseline (entrance in CR), 3-months (post-CR), and 6-months. Changes over time were examined using Mann-Whitney U statistics and effect sizes. Results The PaTH intervention was successful primarily in demonstrating improved trends in healthy eating behavior for patients and spouses. No differences were found between the PaTH and UC patients or spouses at 3 or 6 months in the number of minutes/week of physical activity. By 6 months, patients in both groups were, on average, below the national guidelines for PA recommendations (≥ 150 min/week at > 3 METs). Conclusions The couple-focused PaTH intervention demonstrated promise in offsetting the decline in dietary adherence typically seen 6 months after CR.

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Home versus center based physical activity programs in older adults

Ashworth

Chad

Harrison

et al. 2005

Cochrane Database of Systematic Reviews

230

153

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In the short-term, center based programs are superior to home based programs in patients with PVD. There is a high possibility of a training effect however as the center based groups were trained primarily on treadmills (and the home based were not) and the outcome measures were treadmill based. There is conflicting evidence which is better in patients with COPD. Home based programs appear to be superior to center based programs in terms of the adherence to exercise (especially in the long-term).

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A controlled trial of cardiac rehabilitation in the home setting using electrocardiographic and voice transtelephonic monitoring

Cited by 138 publications

References 12 publications

Exercise Telemonitoring and Telerehabilitation Compared with Traditional Cardiac and Pulmonary Rehabilitation: A Systematic Review and Meta-Analysis

Exercise Telemonitoring and Telerehabilitation Compared with Traditional Cardiac and Pulmonary Rehabilitation: A Systematic Review and Meta-Analysis

Effects of Partners Together in Health Intervention on Physical Activity and Healthy Eating Behaviors

Home versus center based physical activity programs in older adults

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