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Use of Smartphone Apps for Improving Physical Function Capacity in Cardiac Patient Rehabilitation: Systematic Review
Katherine Tuttle1, Arpad Kelemen1, Yulan Liang2
1Department of Organizational Systems and Adult Health, University of Maryland, Baltimore, Baltimore, MD, United States.
Jmirx Med
|September 19, 2023
Summary
Smartphone apps in cardiac rehabilitation (CR) show inconsistent results for improving patient physical function. Apps with automatic data logging and real-time feedback show better outcomes than those requiring manual input.
Area of Science:
- Digital Health
- Cardiovascular Medicine
- Rehabilitation Science
Background:
- Cardiac rehabilitation (CR) is vital for secondary cardiac event prevention.
- Smartphone apps offer remote patient monitoring, real-time feedback, and home-based rehabilitation.
- The integration of mobile technology in CR holds significant potential for patient care.
Purpose of the Study:
- To critically examine and summarize existing research on smartphone applications in cardiac rehabilitation.
- To analyze patterns and significance of smartphone app use in CR for practice change.
Main Methods:
- A systematic review of randomized controlled trials (RCTs) adhering to PRISMA guidelines.
- Evaluated 6 studies from 2014-2020, focusing on cardiac outpatients using smartphone CR interventions.
- Measured improvements in 6-minute walk test (6MWT) and peak oxygen uptake (PVO2) at P<.05.
Main Results:
- Inconsistent findings regarding the significant positive effects of CR smartphone apps on patients' physical function (6MWT, PVO2).
Conclusions:
- Investigate reasons for non-homogeneous results in smartphone app-based CR.
- Apps with automatic data logging and real-time feedback yield better physical function outcomes than those with manual logging.
- Future trials should consider patient health status, sample size, CR components, and emphasize automated biosensing for real-time provider dashboards.
