Table 1.
Ref. | Design | TR group patients |
TR intervention |
Outcomes |
||
Remote monitoring | Exercise prescription | Feedback | I-primary II-secondary | |||
Avila et al[15], 2018 | RCT, 12-wk III-phase CR active CBCR | n = 30 age 59 I-II CVR | Post-exercise, chest strap HR monitor, internet connection | Target HR zone 70%-80% HRR, 150 min/wk | Phone call or email 1/wk | I-exercise capacity II-daily PA, strength CVR factors |
Bravo-Escobar et al[16], 2017 | RCT, 8-wk II-phase CR active CBCR | n = 14 age 56 II - CVR | Post-exercise, ECG, biometric vest, smartphone internet | Target HR zone 70%-80% HRR, 60 min > 2/wk | Supervised CR in center 1/wk | I-exercise capacity II-CVR factors, HRQL, adherence |
Fang et al[17], 2018 | RCT, 6-wk II-phase CR usual care CG | n = 40 age 60 I - CVR | Real-time belt strap sensor, smartphone internet connection | Physical activity booklet, walking 3/wk | Phone call 1/wk | Exercise capacity, anxiety, depression CVR factors |
Frederix et al[18], 2015 | RCT, 24-wk II-III phase CR usual care CG | n = 70 age 61 | Post-exercise accelerometer, webservice, internet | Target HR zone 1VT, 45-60 min 2/wk | Email or SMS 1/wk | I-exercise capacity II-daily PA, HRQL, CVR factors |
Hwang et al[24], 2017 | RCT, 12-wk HF-CR active CBCR | n = 24 age 68 | Real-time video platform via internet, educational lectures | Target RPE zone 9-13 RPE, 60 min 2/wk | 15 min real-time video feedback | I-walking distance II-balance, strength, HRQL |
Kraal et al[19], 2014 | RCT, 12-wk II-phase CR active CBCR | n = 25 age 59 I-II CVR | Post-exercise, chest strap HR monitor, internet platform | Target HR zone 70%-85% HRmax 45%-60% min > 2/wk | Weekly coaching via telephone | I-exercise capacity II-HRQL, training adherence |
Lee et al[20], 2013 | RCT, 12-wk II-phase CR usual care CG | n = 26 age 54 I-II CVR | Wearable ECG equipment via mobile phone | Target HR zone 40%-80% HRR, 50 min, 4-5/wk | Phone call 1/wk | I-exercise capacity II-HRQL |
Maddison et al[21], 2019 | RCT, 12-wk II-phase CR active CBCR | n = 82 age 61 | Chest-worn wearable ECG sensor, internet smartphone app, accelerometry | Target HR and RPE zone 40%-65% HRR, 11-13 RPE 30-60 min, 3/wk | Real-time audio service via earphones | I-exercise capacity II-daily PA, HRQL, CVR factors, costs |
Peng et al[25], 2018 | RCT, 8-wk HF-CR usual care CG | n = 49 age 66 | Real-time, HR monitor smartphone, internet platform | Target HR zone 40%-70% HRR 20 min, 3/wk | Text, audio service via webcam | I-HRQL II-walking distance, anxiety, depression |
Piotrowicz et al[26], 2014 | RCT, 8-wk HF-CR usual care CG | n = 77 age 54 | Real-time, ECG, BP and BW monitor, mobile phone | Target HR zone 40%-70% HRR 45-60 min 5/wk | Real-time telephone call | I-exercise capacity II-walking distance HRQL, adherence |
Skobel et al[22], 2017 | RCT, 24-wk III-phase CR usual care CG | n = 55 age 60 | Real-time, ECG sensor vest, smartphone, internet platform | Target RPE zone 11-13 RPE, 10-60 min 3/wk | Real-time via smartphone | I-exercise capacity II-HRQL, CVR factors, anxiety |
Varnfield et al[23], 2014 | RCT, 24-wk II-phase CR active CBCR | n = 53 age 56 | Post-exercise, step-counter, BP and BW monitor, web portal, internet | Target RPE zone 11-13 RPE, > 30 min most d/wk | Text message telephone consultation first 6 wk | I-uptake, adherence II-HRQL, CVR factors, functional capacity |
BP: Blood pressure; BW: Body weight; CBCR: Center-based cardiac rehabilitation; CG: Control group; CR: Cardiac rehabilitation; CVR: Cardiovascular risk; ECG: Electrocardiogram; HF: Heart failure; HR: Heart rate; HRQL: Health-related quality of life; HRR: Heart rate reserve; n: Number of participants; PA: Physical activity; RCT: Randomized controlled trial; RPE: Ratings of perceived exertion; SMS: Short message service; TR: Telerehabilitation.