Department of Rehabilitation, University Hospital Brno, 62500 Brno, Czech Republic.
Department of Public Health, Faculty of Medicine, Masaryk University, 62500 Brno, Czech Republic.
Int J Environ Res Public Health. 2021 Feb 24;18(5):2241. doi: 10.3390/ijerph18052241.
This study investigated an alternative home-based cardiac telerehabilitation model in consideration of the recommendations for the COVID-19 quarantine of people diagnosed with coronary heart disease (CHD). We hypothesized that using a 200 m fast walking test (200 mFWT) and telerehabilitation would create an effective alternative cardiac rehabilitation (CR) intervention that could improve cardiorespiratory fitness. Participants ( = 19, mean age 60.4 ± 9.6) of the 8-week intervention performed regular physical exercise at the target heart rate zone determined by calculations based on the 200 mFWT results. In our study, the participants were supervised using telerehabilitation. A total of 84% of participants completed the 8-week intervention. No adverse events were reported during telerehabilitation. The study participants noted a significant improvement ( < 0.001) in cardiorespiratory fitness expressed by an 8% reduction in the walking test time (Δ 8.8 ± 5.9 s). Home-based telerehabilitation based on 200 mFWT effectively increased the cardiorespiratory fitness in people with CHD with a low to moderate cardiovascular risk. This was a novel approach in CR during the COVID-19 pandemic. As research in this area is justified, this paper may serve as an alternative method of providing healthcare during the COVID-19 pandemic and as a basis for further upcoming randomized controlled trials.
本研究探讨了一种替代的家庭心脏远程康复模式,考虑到了针对冠心病(CHD)患者的 COVID-19 隔离建议。我们假设使用 200 米快走测试(200 mFWT)和远程康复将创建一种有效的替代心脏康复(CR)干预措施,可以提高心肺适能。在 8 周的干预中,参与者(n=19,平均年龄 60.4±9.6)按照基于 200 mFWT 结果计算得出的目标心率区进行常规体育锻炼。在我们的研究中,参与者通过远程康复进行监督。共有 84%的参与者完成了 8 周的干预。在远程康复期间没有报告不良事件。研究参与者注意到心肺适能有显著改善(<0.001),步行测试时间减少了 8%(Δ8.8±5.9 s)。基于 200 mFWT 的家庭远程康复有效提高了低至中度心血管风险的 CHD 患者的心肺适能。这是 COVID-19 大流行期间 CR 的一种新方法。由于该领域的研究是合理的,本文可以作为 COVID-19 大流行期间提供医疗保健的替代方法,并为即将进行的随机对照试验提供基础。