Mitropoulos A, Anifanti Μ, Koukouvou G, Ntovoli Α, Alexandris K, Kouidi Evangelia
Laboratory of Sport Medicine, Department of Physical Education and Sports Science, Aristotle University of Thessaloniki, Thermi, Thessaloniki, 57001, Greece.
Lifestyle, Exercise and Nutrition Improvement (LENI) Research Group, Department of Nursing and Midwifery, Sheffield Hallam University, Sheffield, UK.
BMC Sports Sci Med Rehabil. 2024 Sep 30;16(1):207. doi: 10.1186/s13102-024-00992-5.
Cardiac rehabilitation (CR) constitutes the recommended nonpharmacological approach for cardiac patients with cardiovascular disease such as people following a recent (i.e., < 4 week) myocardial infarction (MI). Recent evidence suggests that cardiac telerehabilitation may be as effective as traditional (i.e., in person) CR in people following a recent MI. Nevertheless, the feasibility, acceptability, and safety of such an exercise programme has yet to be examined.
Forty-four (11 women, 33 men) people following a recent MI were randomly allocated into two groups (online home-based and gym-based groups). The groups underwent a 24-week CR programme thrice per week. All patients performed the baseline, and 24 weeks follow up measurements where feasibility, acceptability, and safety were assessed.
Eligibility and recruitment rates were found to be 61.5% and 42%, respectively. Compliance to the thrice weekly, 24-week exercise programme for the online- and gym-based groups were 91.6% and 90.9%, respectively. There were no dropouts during the exercise programmes, however four participants, two from each group, were lost to follow up at 6 months. The average percentage of peak HR (% HR) for the online group was 66.6% ± 4.5 and for the gym-based group was 67.2% ± 5. The average RPE and affect during exercise was for both groups 12 ± 1 ("somewhat hard") and 3 ± 1 ("good"), respectively. During the 6-month exercise intervention period for both groups, the exercise-induced symptoms were minimal to none. The user suitability evaluation questionnaire revealed that the online real time telerehabilitation and tele coaching programme was enjoyable (4.85 ± 0.37) and did not induce general discomfort (1.20 ± 0.41).
Our cardiac telerehabilitation programme seems to be feasible, acceptable, safe, and enjoyable for people with a recent MI. Our participants had an overall positive experience and acceptability of the cardiac telerehabilitation and tele coaching using wearable devices.
ClinicalTrial.gov, ID NCT06071273, 10/02/2023, retrospectively registered.
心脏康复（CR）是针对患有心血管疾病的心脏病患者推荐的非药物治疗方法，例如近期（即<4周）发生心肌梗死（MI）的患者。最近的证据表明，对于近期发生心肌梗死的患者，心脏远程康复可能与传统（即面对面）CR一样有效。然而，这种运动计划的可行性、可接受性和安全性尚未得到检验。
44名（11名女性，33名男性）近期发生心肌梗死的患者被随机分为两组（在线居家组和健身房组）。两组患者每周进行三次为期24周的CR计划。所有患者均进行了基线测量，并在24周后进行随访测量，评估可行性、可接受性和安全性。
发现符合条件率和招募率分别为61.5%和42%。在线组和健身房组对每周三次、为期24周的运动计划的依从率分别为91.6%和90.9%。在运动计划期间没有退出者，然而，有4名参与者，每组2名，在6个月时失访。在线组的平均心率峰值百分比（%HR）为66.6%±4.5，健身房组为67.2%±5。两组运动期间的平均主观用力程度（RPE）和感受分别为12±1（“有点吃力”）和3±1（“良好”）。在两组为期6个月的运动干预期间，运动引起的症状微乎其微或没有。用户适用性评估问卷显示，在线实时远程康复和远程指导计划令人愉快（4.85±0.37），且不会引起一般不适（1.20±0.41）。
我们的心脏远程康复计划对于近期发生心肌梗死的患者似乎是可行、可接受、安全且令人愉快的。我们的参与者对使用可穿戴设备的心脏远程康复和远程指导总体上有积极的体验和接受度。
ClinicalTrial.gov，ID NCT06071273，2023年2月10日，追溯注册。
