The Feasibility and Validity of a Remote Pulse Oximetry System for Pulmonary Rehabilitation: A Pilot Study

Tang, Jonathan; Mandrusiak, Allison; Russell, Trevor

doi:10.1155/2012/798791

Cited by 31 publications

(41 citation statements)

References 51 publications

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“…Although we cannot assert causality in the absence of an experimental design, an increase in resting heart rate is generally considered to be an adverse outcome indicative of declining physical fitness and cardiovascular efficiency. At present, no apparent consensus has been reached on a minimal clinically important difference in resting heart rate, although changes of as few as 3 bpm have been cited (albeit with limited clinical justification 45 ). More recent research suggests that clinically important changes occur at ±5 bpm 46 .…”

Section: Discussionmentioning

confidence: 99%

Effects of the community-based Wellspring Cancer Exercise Program on functional and psychosocial outcomes in cancer survivors

Mina¹,

Au²,

Brunet³

et al. 2017

Curr. Oncol.

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Purpose In this study, we examined the effects of a 30-week community-based exercise program on cancer-related fatigue, quality of life, and other health-related outcomes in a sample of adults with mixed cancer diagnoses. MethodsThis prospective cohort study looked at outcomes for participants involved in the Wellspring Cancer Exercise Program in southern Ontario. The program consisted of an initial phase of two supervised sessions weekly for 10 weeks and a transition phase of one supervised session weekly for the subsequent 20 weeks. Outcomes were measured at baseline and every 10 weeks throughout the intervention, as well as at 16 weeks after program completion.Results During a period of 13 months, 229 of the 355 cancer survivors who enrolled in the exercise program consented to participate in the study. Participants attended 71% of the supervised exercise sessions in the initial phase and 49% in the transition phase. From baseline to the end of the initial phase, significant improvements in cancer-related fatigue, 6-minute walk test, social well-being, systolic blood pressure, balance, and physical activity volume were observed. During the transition phase, health-related quality of life and emotional well-being improved significantly. ConclusionsThe Wellspring Cancer Exercise Program is associated with clinically meaningful improvements in cancer-related fatigue and functional aerobic capacity. Several other aspects of well-being in cancer survivors also improved for participants in the program. Community-based cancer exercise programs such as the Wellspring Cancer Exercise Program can improve well-being for cancer survivors and can provide an effective option that enhances sustainability and accessibility to exercise services for this population.

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Section: Discussionmentioning

confidence: 99%

Effects of the community-based Wellspring Cancer Exercise Program on functional and psychosocial outcomes in cancer survivors

Mina¹,

Au²,

Brunet³

et al. 2017

Curr. Oncol.

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“…Preliminary evidence supports the validity and reliability of telerehabilitation assessment for the 6MWT. These findings resonate with previous research, where telerehabilitation assessments were valid and reliable when compared with face-to-face assessments in other patient populations (Cox et al, 2013;Tang et al, 2012). For example in patients with cystic fibrosis (Cox et al, 2013), there were no significant differences in oxygen saturation, heart rate and rate of perceived exertion between telerehabilitation and face-to-face assessments for the three minute step test.…”

Section: Discussionsupporting

confidence: 89%

“…Despite these technical difficulties, patient satisfaction with telerehabilitation assessment remained high and most study participants found the system easy to use, in line with previous research (Cox et al, 2013;Tang et al, 2012). Telerehabilitation assessment may improve access; reduce travel time and cost; and reduce waiting times for specialised services such as cardiac rehabilitation programs, thereby addressing current shortcomings imposed by living in such a geographically challenging country such as Australia (Neubeck et al, 2009).…”

Section: Discussionsupporting

confidence: 76%

“…For example, the use of telerehabilitation assessment to gather information and form a diagnosis, has been shown to be valid and reliable in patients with shoulder disorders (Steele et al, 2012). Similarly, telerehabilitation assessments of pulse oximetry (Tang et al, 2012) and manual muscle test (Durfee et al, 2007) have been demonstrated to be feasible and valid, compared to face-to-face assessment in healthy individuals (Tang et al, 2012). In a pilot study, functional capacity assessment using the 48 three minute step test has been reported to be feasible and accurate via video-based telerehabilitation in patients with cystic fibrosis (Cox et al, 2013).…”

Section: Introductionmentioning

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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“…It can significantly reduce the risk of hospital admissions and improve health-related quality of life, moreover exercise training may reduce mortality in the longer term. 1,2 According to the most secondary cardiovascular prevention guidelines, regular exercise training and rehabilitation obtained the class of recommendation I, level of evidence A (indications with type I A evidence) in heart failure patients. 3,4 It can play a critical role in restoring their quality of life, and maintaining (or improving-where available) functional capacity.…”

mentioning

confidence: 99%