Effects of home-based exercise training for patients with chronic heart failure and sleep apnoea: a randomized comparison of two different programmes

Servantes, Denise Maria; Pelcerman, Amália; Salvetti, Xiomara Miranda; Salles, Ana Fátima; Albuquerque, Pedro Ferreira de; Salles, Fernando Cezar Alves de; Lopes, Carlos Renato; Mello, Marco Túlio de; Almeida, Dirceu Rodrigues; Filho, Japy Angelini Oliveira

doi:10.1177/0269215511403941

Cited by 75 publications

(103 citation statements)

References 28 publications

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“…In addition, we found no significant difference in knee extension strength or resistance after 3 months of HB or CB training. This is consistent with previous studies [35,36]. Conraads et al, collected muscle strength data in 75 CAD patients before and after 12 weeks of an AIT or ACT CR program finding that muscle strength did not improve.…”

Section: Discussionsupporting

confidence: 92%

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

Ávila¹,

Claes²,

Goetschalckx³

et al. 2018

Preprint

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Section: Discussionsupporting

confidence: 92%

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

Ávila¹,

Claes²,

Goetschalckx³

et al. 2018

Preprint

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“…Factors contributing to this discrepancy remain unclear. However, an overall 30% drop-out rate was observed in one study (Oka et al, 2000), compared to 10% in another study (Servantes et al, 2011). Studies which compared telerehabilitation and centre-based exercise, found no significant difference in VO2peak between groups of patients with cardiac conditions (Arthur et al, 2002;Piotrowicz et al, 2010).…”

Section: Vo2peakmentioning

confidence: 96%

“…Two studies found no significant difference in post-program VO2peak between telerehabilitation and no intervention in patients with cardiac conditions (see Figure 2-3) (Brubaker et al, 2000;Oka et al, 2000). Conversely, some studies found a significant improvement in VO2peak following telerehabilitation for patients with cardiac conditions, whereas no intervention group showed a decline (Salvetti et al, 2008;Servantes et al, 2011). Factors contributing to this discrepancy remain unclear.…”

Section: Vo2peakmentioning

confidence: 99%

“…Other benefits of exercise include a positive impact on physical capacity, expressed as an increase in peak oxygen consumption, work capacity, distance on the six minute walk test (6MWD) and exercise duration (Rees et al, 2004). In addition to an improvement in CHF symptoms, research has shown an increase in skeletal muscle strength (Senden et al, 2005;Servantes et al, 2011) and correction of autonomic dysfunction (Coats et al, 1992;Piotrowicz et al, 2016b) in response to exercise.…”

Section: Exercise and Chronic Heart Failurementioning

confidence: 99%

“…Some studies used a generic tool to assess quality of life (Arthur et al, 2002;Piotrowicz et al, 2010;Salvetti et al, 2008), while others used a disease-specific tool (Chien et al, 2011;Oh, 2003;Oka et al, 2000;Servantes et al, 2011). In general, it appears the telerehabilitation group improved significantly from baseline in quality of life for patients with cardiac (Chien et al, 2011;Oka et al, 2000;Salvetti et al, 2008;Servantes et al, 2011) and respiratory conditions (Maltais et al, 2008;Oh, 2003).…”

Section: Quality Of Lifementioning

confidence: 99%

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Providing heart failure rehabilitation in the home via telerehabilitation

Hwang¹

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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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Obstructive Sleep Apnea

2023

Prevention and Management of Cardiovascular and Metabolic Disease

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Effects of home-based exercise training for patients with chronic heart failure and sleep apnoea: a randomized comparison of two different programmes

Abstract: Home-based exercise training is an important therapeutic strategy in chronic heart failure patients with sleep apnoea, and strength training resulted in a higher increase in muscle strength and endurance.

Cited by 75 publications

References 28 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

Obstructive Sleep Apnea

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