Effects of Phase IV Pedometer Feedback Home-Based Cardiac Rehabilitation on Cardiovascular Functional Capacity in Patients With Myocardial Infarction: A Randomized Controlled Trial

Abstract

Introduction: Pedometer feedback home-based cardiac rehabilitation (PFHCR) programs have been effective in augmenting exercise tolerance. Our aim was to investigate the effects of PFHCR on cardiovascular functional capacity in patients with myocardial infarction (MI).Methods: Forty MI patients were divided into two intervention and two control groups (n=10)in a randomized controlled trial. The intervention group received a PFHCR program including routine medications along with continuous exercise program, whereas the control group received traditional care without PFHCR. Baseline evaluations and cardiovascular stresses were controlled during the 8-week follow-up rehabilitation program in all patients. Data analysis was conducted using one-way ANOVA and paired sample student’s t-test (P ≤ 0.05).Results: At baseline, no significant differences were observed between the groups. After eight weeks of PFHCR, the intervention groups had significantly higher metabolic equivalent(P = 0.001), VO2max (P = 0.001), total exercise times (P = 0.001), and total distance traveled(P = 0.003) when compared with the control groups. However, no significant intra-group or inter-group differences in variables were observed between the men and women.Conclusion: Our results showed that PFHCR exhibited significant optimal effects on the cardiovascular functional capacity in MI patients.

Effectiveness of Home-Based Cardiac Rehabilitation, Using Wearable Sensors, as a Multicomponent, Cutting-Edge Intervention: A Systematic Review and Meta-Analysis

“…The exclusion of 35 records with reasons is documented in Figure 1. Finally, 14 studies were included in this systematic review [30][31][32][33][34][35][36][37][38][39][40][41][42][43].…”

“…A summary and a graph of the risk of bias are provided in Figures 2 and 3, respectively. [42]; Avila, 2020 [41]; Batalik, 2020 [40]; Bravo-Escobar, 2017 [38]; Cai, 2021 [30]; Dehghani, 2019 [43]; Frederix, 2015 [34]; Hwang, 2017 [32]; Kraal, 2017 [33]; Maddison, 2019 [31]; Piotrowicz, 2015 [35]; Skobel, 2017 [37]; Snoek, 2021 [36]; Song, 2020 [39].…”

“…Eleven studies were two-arm RCTs [30][31][32][33]37], two were three-arm RCTs [36,41,42], and one included four groups (two intervention and two control) [43] involving a total of 1363 participants (sample size ranging between 28 and 179). Three studies were conducted in Belgium [35,41,42], two in China [30,40], one in the Netherlands [33], one in New Zealand [31], one in Spain [39], one in Iran [43], one in Australia [32], one in Czech Republic [40], one in Poland, one in Germany [36,38], and another one was a multi-center study across Europe [37]. Based on the World Bank database, almost all studies were implemented in countries classified as of high-income, according to their gross national income (GNI) per capita [44].…”

The effectiveness of home-based cardiac rehabilitation program on cardiovascular stress indices in men and women with myocardial infarction: a randomised controlled clinical trial

“…The intervention group (with pedometer) included 40 patients who performed HBCRP as previously described 14 . Briefly, the cardiac rehabilitation walking program using waist-mounted pedometer (PA-S20, Switzerland) was instructed to be performed at 5 to 6 pm.…”

“…The rating of perceived exertion (RPE) was set as 11-13 on the Borg scale. The program was performed by the participants of the intervention group using a pedometer for 8 weeks and 5 sessions per week as noted previously 14 . From the week 2 nd to 8 th , the number of steps was gradually increased by 10 % per week (i.e.…”