A Systematic Review of the Effects of Telerehabilitation in Patients With Cardiopulmonary Diseases

“…However a majority of the research used phone communications with one or two core components of cardiac rehabilitation (Frederix et al, 2015b;Hwang et al, 2015), and the benefits of using video communications within a comprehensive telerehabilitation program remains unclear. Video-based telerehabilitation is a novel approach which enables patients to exercise in the familiarity of their home environment whilst maintaining synchronous audiovisual communications.…”

Section: Chapter 5 Telerehabilitation Interventionmentioning

confidence: 99%

“…Previous research on telerehabilitation in patients with cardiopulmonary diseases has mainly relied on phone-based communications (Frederix et al, 2015b;Hwang et al, 2015) and has not included remote functional assessments. The use of video-based communications provides the potential to conduct elements of patient assessment remotely by enabling the clinician to supervise patients undertaking the functional assessments remotely, whilst maintaining real-time audiovisual communications.…”

Section: Chapter 4 Telerehabilitation Assessmentmentioning

confidence: 99%

“…From a systematic review of the literature, telerehabilitation appears effective in improving physical or functional outcomes in patients with cardiopulmonary diseases (Hwang et al, 2015). In particular, telerehabilitation is at least as effective as traditional centre-based rehabilitation programs for patients with cardiopulmonary diseases, in terms of exercise capacity as measured by the 6 minute walk test (6MWT) and peak oxygen consumption (Frederix et al, 2015a;Tsai et al, 2017), quality of life (Holland et al, 2016;Piotrowicz et al, 2010), and adverse events (Arthur et al, 2002;Piotrowicz et al, 2015b).…”

Section: Systematic Reviewmentioning

confidence: 99%

“…Telerehabilitation, the delivery of rehabilitation services via telecommunication technologies, is a potential service delivery model which may overcome many issues related to access of services. Telerehabilitation treatment has been trialled in patients with cardiopulmonary diseases (Frederix et al, 2015b;Hwang et al, 2015), but the use of telerehabilitation as an assessment tool to determine functional exercise capacity has not been established in patients with CHF.…”

Section: Introductionmentioning

confidence: 99%

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Providing Heart Failure Rehabilitation in the Home via Telerehabilitation

Hwang

Bruning

Mandrusiak

et al. 2016

Heart, Lung and Circulation

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Exercise is effective for patients with chronic heart failure (CHF). Despite this, many patients are unable to access traditional exercise-based rehabilitation programs for various reasons, such as transport difficulties and program availability. Telerehabilitation, in which telecommunication technologies are used to provide rehabilitation at a distance, is an alternative approach which may overcome some of these barriers.The current literature suggests that telerehabilitation is effective in patients with cardiopulmonary diseases. However the majority of studies focus on phone-based interventions, so there is a need for more studies on the use of video-based telerehabilitation programs. Video-based telerehabilitation is a new approach which enables patients to exercise in the comfort of their homes, whilst maintaining synchronous audiovisual communication. This approach enables the clinician to watch patients performing the exercises and to provide real-time feedback and modification as required, as well as facilitate the development of rapport between the clinician and patients, and peer support amongst patients. Video-based telerehabilitation also presents a potential way to conduct remote assessment of functional exercise capacity.This thesis aimed to explore a new service delivery model for providing heart failure exercise-based rehabilitation programs. The thesis commences with a systematic review of telerehabilitation in patients with cardiopulmonary diseases (Study 1, Paper 1). The next study aimed to determine the suitability of the timed up and go test (TUGT) as an outcome measurement in heart failure rehabilitation programs (Study 2, Paper 2). In addition, the validity and reliability of telerehabilitation assessments of functional tests including the TUGT were examined in patients with CHF (Study 3, Paper 3). A randomised controlled trial determined the feasibility and effectiveness of a home-based heart failure telerehabilitation program compared with a traditional centre-based program (Study 4, Paper 4). A mixed methods study was also conducted to determine patient experiences and perspectives related to a heart failure telerehabilitation program (Study 5, Paper 5).Based on the systematic review of 11 studies, telerehabilitation appears to be a promising alternative to traditional centre-based programs in patients with cardiopulmonary diseases. In particular, telerehabilitation has been shown to improve exercise capacity and quality of life in these patient groups and has higher adherence rates compared with traditional centre-based programs.iii However, suitable outcome measures that can be administered via telerehabilitation are required. A possible outcome measure is the TUGT, which is a quick and easy-to-administer functional test.However prior to using the TUGT as an outcome measure in telerehabilitation studies, it was first important to validate its use in both face-to-face and telerehabilitation environments. The TUGT demonstrated excellent test-retest reliability in patients with C...

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Comparison of Home-Based vs Center-Based Cardiac Rehabilitation in Hospitalization, Medication Adherence, and Risk Factor Control Among Patients With Cardiovascular Disease

et al. 2022

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Key Points Question What are the associations of home-based vs center-based cardiac rehabilitation (CR) with hospitalizations, medication adherence, and cardiovascular risk factor control among diverse patients with cardiovascular disease and high risk? Findings In this cohort study of 2556 demographically diverse patients with high risk in a large integrated health system, there were fewer hospitalizations at 12 months among participants in home-based CR compared with participants in center-based CR programs. Meaning This cohort study found that participation in home-based CR was associated with fewer hospitalizations at 12 months compared with participation in center-based CR.

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A Systematic Review of the Effects of Telerehabilitation in Patients With Cardiopulmonary Diseases

Abstract: Although telerehabilitation shows promise in patients with cardiopulmonary diseases, compelling evidence is still limited. There is a need for more detailed, high-quality studies and for studies on the use of video-based telerehabilitation.

Cited by 98 publications

References 32 publications

Home-Based Rehabilitation With Telemonitoring Guidance for Patients With Coronary Artery Disease (Short-Term Results of the TRiCH Study): Randomized Controlled Trial (Preprint)

Home-Based Rehabilitation With Telemonitoring Guidance for Patients With Coronary Artery Disease (Short-Term Results of the TRiCH Study): Randomized Controlled Trial (Preprint)

Providing Heart Failure Rehabilitation in the Home via Telerehabilitation

Comparison of Home-Based vs Center-Based Cardiac Rehabilitation in Hospitalization, Medication Adherence, and Risk Factor Control Among Patients With Cardiovascular Disease

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