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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
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Home-based training program in patients with chronic heart failure and reduced ejection fraction: a randomized pilot
Geisa Nascimento de Andrade1, Iracema Ioco Kikuchi Umeda2, Angela Rubia Cavalcanti Neves Fuchs2
1Departamento Fisioterapia, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, BR.
Clinics (Sao Paulo, Brazil)
|June 16, 2021
Summary
Home-based exercise is safe for chronic heart failure (CHF) patients, improving exercise capacity. However, center-based training offers superior gains in inspiratory muscle strength, quality of life, and daily physical activity.
Area of Science:
- Cardiology
- Exercise Physiology
- Rehabilitation Medicine
Background:
- Chronic heart failure (CHF) significantly impacts functional capacity and quality of life (QoL).
- Exercise training is a cornerstone of CHF management, but optimal delivery (home vs. center-based) requires further investigation.
Purpose of the Study:
- To compare the effects of 12-week home-based versus center-based exercise training programs in patients with CHF.
- To assess impacts on functional capacity, inspiratory muscle strength, daily physical activity, and QoL.
Main Methods:
- 23 CHF patients were randomized to home-based (walking + resistance) or center-based (cycling + resistance) programs.
- Training involved aerobic exercise (60%-70% heart rate reserve) and resistance training (50% 1RM) for 12 weeks.
- Assessments included cardiopulmonary tests, 6-minute walk distance (6 MWD), accelerometry (steps/day), and QoL questionnaires.
Main Results:
- Both programs showed similar improvements in peak oxygen uptake, maximal ventilation, and 6 MWD.
- Center-based training significantly improved maximal inspiratory pressure (p=0.042), daily steps (p=0.001), and QoL (p=0.039) compared to home-based.
- No adverse events were reported in either group.
Conclusions:
- Home-based exercise training is a safe alternative for improving exercise capacity in stable CHF patients.
- Center-based training demonstrated superiority in enhancing inspiratory muscle strength, QoL, and daily physical activity levels.
- Supervised, center-based programs may offer additional benefits for specific parameters in CHF rehabilitation.
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