Objective This study aimed to evaluate whether cardiac rehabilitation with a technology-assisted personalized exercise prescription is superior to traditional remote home-based rehabilitation in improving cardiorespir...Objective This study aimed to evaluate whether cardiac rehabilitation with a technology-assisted personalized exercise prescription is superior to traditional remote home-based rehabilitation in improving cardiorespiratory endurance and quality of life in postoperative patients.Methods From October 2022 to April 2024,62 patients who underwent percutaneous coronary intervention for coronary heart disease were recruited from a tertiary hospital in Beijing and randomly assigned to either an intervention group or a control group.After baseline assessments of cardiorespiratory endurance and exercise function,the intervention group received a digitalized personalized exercise prescription combined with remote monitoring rehabilitation.This included an exercise prescription delivered via a mobile application,weekly remote monitoring sessions with an exercise therapist to supervise prescription adherence,provide feedback based on real-time electrocardiographic data,and make personalized adjustments to the exercise prescription based on this information.The control group received an application-delivered exercise movement library and a wearable electrocardiogram device for self-monitoring of exercise intensity.Both groups underwent the 12-week intervention.Changes in maximal oxygen uptake and quality of life were evaluated at enrollment,as well as at 4 weeks,12 weeks,and 24 weeks after the intervention commenced.Results A total of 58 participants completed the study(the intervention group[n=30],the control group[n=28]).Twelve weeks after the interventions,the intervention group showed statistically improvements in VO2AT(Z=2.247,P=0.025),general health(Z=2.126,P=0.033)and social functioning(Z=3.349,P=0.001)compared to the control group.At 24 weeks of follow-up,the intervention group continued to exhibit statistically significant improvements in VO2AT(Z=2.017,P=0.044)and social functioning(Z=3.126,P=0.002).The exercise duration of patients in the intervention group during the exercise test was significantly prolonged at both 4 weeks(Z=−2.420,P=0.021),12 weeks(Z=−2.240,P=0.029)and 24weeks(Z=−2.300,P=0.025)showing statistically significant differences compared to the control group.Conclusions This study provides new evidence-based support for the practical effectiveness of nurses acting as supervisors of rehabilitation implementation and coordinators of multidisciplinary teams within a remote digital cardiac rehabilitation model,underscoring their significant value in the secondary prevention management system for cardiovascular diseases in the information era.展开更多
BACKGROUND Telerehabilitation can help overcome geographic barriers and expand access to physical rehabilitation for patients with chronic liver disease.AIM To evaluate the impact of adherence to a videoconference-sup...BACKGROUND Telerehabilitation can help overcome geographic barriers and expand access to physical rehabilitation for patients with chronic liver disease.AIM To evaluate the impact of adherence to a videoconference-supervised telerehabilitation programme on frailty,functional capacity,and quality of life in pre-frail or frail cirrhotic patients awaiting liver transplantation.METHODS We conducted a non-randomised controlled clinical trial involving patients listed for liver transplantation from January 2021 to May 2023.Frailty was assessed using the Liver Frailty Index(LFI).Participants were enrolled in a 12-week telerehabilitation programme and classified as adherent(≥50%sessions)or nonadherent.Functional capacity was measured using the 4-minute step test(4MST),and quality of life was evaluated with the 36-Item Short Form Health Survey(SF-36)questionnaire.RESULTS Fifty-seven pre-frail or frail patients were included in the study and enrolled in the telerehabilitation programme.Adherence was observed in 29.8%of participants.At baseline,non-adherent patients had higher mean LFI scores(4.24 vs 4.03,P<0.001).Over time,the LFI score increased by 0.11 in non-adherent patients,while adherent patients experienced a mean score reduction of 0.54(final mean LFI score:3.2).Adherent patients also demonstrated enhanced heart rate responses in the 4MST(P<0.001)and greater improvements in the physical functioning,vitality,and mental health domains of the SF-36.No serious adverse events were reported.CONCLUSION The videoconference-supervised telerehabilitation programme was safe and effective in reducing frailty and improving functional outcomes and quality of life in adherent cirrhotic patients on the liver transplant waitlist.展开更多
A prototype of the master slave telerehabilitation robotic system with force feedback is developed. This system contains a pair of robots with the master being operated by the therapist and the slave following the mas...A prototype of the master slave telerehabilitation robotic system with force feedback is developed. This system contains a pair of robots with the master being operated by the therapist and the slave following the master to guide the patients to exercise. A slave device with a slave controller is designed to stretch and mobilize the impaired elbow joints accurately and safely. A master device with a master controller is designed to control/monitor the procedure of treatment and assess the outcome of treatment remotely and accurately. By using the twoport network theory and the circuit equivalent impedance models, the position-force control scheme is designed to generate force feedback for the therapist who is to be informed of the interaction force between the subject and the robot arm during exercise. Experiments were conducted with a healthy male. Results show that the therapist can guide the patient to exercise by the master arm and can feel the interaction forces between the impaired arm and the robot. Compared with the traditional therapy, this system is more cost-efficient, more convenient and safer for both the stroke patients and the clinicians.展开更多
Cardiac rehabilitation through center-based programs is an effective multicomponent intervention for the secondary prevention of cardiovascular diseases.Despite the benefits it brings,patients’participation in rehabi...Cardiac rehabilitation through center-based programs is an effective multicomponent intervention for the secondary prevention of cardiovascular diseases.Despite the benefits it brings,patients’participation in rehabilitation programs remains low.In this work,the latest relevant literature regarding remotely monitored cardiac telerehabilitation(TR)was reviewed considering its efficiency and utilization.The main objective was to assess whether TR has the potential to be an appropriate alternative form of rehabilitation.A total of 105 publications on this topic were screened out of 747 full-text articles that were read and evaluated,of which 12 were considered suitable for inclusion in the final review.Feasibility,efficiency,and safety were assessed for each TR intervention.The results of our evaluation indicate that TR seems to be a usable,effective,and safe alternative rehabilitation for patients with heart disease.Most of the currently published articles have studied remotely monitored TR intervention offering a comprehensive approach,which indicates the significant development and steps forward in this field of study.Our research evidence supports the implementation of TR,which could positively influence barriers in participating in cardiac rehabilitation programs.展开更多
Diabetes has become an increasingly important health problem worldwide due to its prevalence.Although effective treatments for diabetes management have been developed,many patients have difficulty in achieving their t...Diabetes has become an increasingly important health problem worldwide due to its prevalence.Although effective treatments for diabetes management have been developed,many patients have difficulty in achieving their therapeutic goals.Regular exercise training is suggested to prevent or delay the symptoms and complications of type 2 diabetes along with other medical treatments.It has become necessary to develop new rehabilitation models and practices in order to cope with the changing needs of the population.Treatment models using technology can be effective in disease management.Telerehabilitation may be effective as part of the rehabilitation program in the home environment,especially for patients who are unable to participate in conventional center-based rehabilitation due to transport difficulties or work resumption.Telerehabilitation is defined as the delivery of rehabilitation services via telecommunication technology,including phone,internet,and videoconference communications between the patient and health care provider.It is possible that telerehabilitation may benefit people with type 2 diabetes in similar ways with telemonitoring and interactive health communication systems.Although the applicability of telehealth methods has been proven in previous studies,telerehabi-litation studies in type 2 diabetes are inadequate in the literature.With larger,multicentered randomized controlled studies,established clinical guidelines can be developed that will ultimately improve patient outcomes.展开更多
This study aimed to compare the impact of a cardiac telerehabilitation(CTR)protocol aimed at patients with cardiovascular diseases(CVDs)during the period of coronavirus disease 2019(COVID-19)associated with social iso...This study aimed to compare the impact of a cardiac telerehabilitation(CTR)protocol aimed at patients with cardiovascular diseases(CVDs)during the period of coronavirus disease 2019(COVID-19)associated with social isolation.This retrospective cohort study included 58 participants diagnosed with stable cardiovascular diseases(CVDs),which were divided into three groups:conventional cardiac rehabilitation(CCR)group(n=20),composed of patients undergoing conventional cardiac rehabilitation;cardiac telerehabilitation(CTR)group(n=18),composed of patients undergoing cardiac telerehabilitation and control group(n=20),composed of patients admitted for cardiac rehabilitation who had not started training programs.The results showed that body mass index was reduced(p=0.019)and quality of life was improved(e.g.,limitations due to physical aspects[p=0.021),vitality[p=0.045]and limitations due to emotional aspects[p=0.024])by CCR compared to baseline.These outcomes were not improved by CTR(p>0.05).However,this strategy prevented clinical deterioration in the investigated patients.Although CCR achieved a superior effect on clinical improvement and quality of life,CTR was relevant to stabilize the blood pressure and quality of life of patients with cardiovascular diseases during the period of COVID-19-associated social isolation.展开更多
Existing telerehabilitation systems require highly experienced personnel to interpret a patient’s muscle activity in a specialized lab,limiting the biofeedback available at the patient’s home.In addition,there is no...Existing telerehabilitation systems require highly experienced personnel to interpret a patient’s muscle activity in a specialized lab,limiting the biofeedback available at the patient’s home.In addition,there is no contact between physiotherapists and patients remotely.This study designed and implemented an interactive teleelectromyography(EMG)biofeedback device for facilitating patients’rehabilitation and giving the physiotherapist the ability to develop and monitor personalized treatment for each patient precisely and remotely.The device comprised a device that acquires EMG signals during muscular activity and two cell phone applications,one for the patient and the other for the physiotherapist;traced muscle activity;and enabled the physiotherapist to monitor and control the patients’sessions through a Google Firebase database.EMG signals were acquired from five subjects,and results were compared to a certified device.The evaluation process involved two metrics,correlation coefficient and root mean square value(RMSV).The proposed EMG biofeedback device is an integrated solution with numerous features,such as low cost,handheld size,patient-friendly interface,contributions to rapid healing,and secure communication.In addition,it provides raw EMG signals for applied research applications.展开更多
This commentary evaluates the case report by Mohammed et al on conservative management of ischiofemoral impingement through a multimodal physical therapy program integrating in-person sessions,telerehabilitation,dry n...This commentary evaluates the case report by Mohammed et al on conservative management of ischiofemoral impingement through a multimodal physical therapy program integrating in-person sessions,telerehabilitation,dry needling,and kinesiology taping.The study demonstrated significant pain reduction and functional improvement,highlighting the feasibility of hybrid care models.However,limitations include short-term follow-up,lack of post-treatment imaging,and single-case design restricting generalizability.Future research should prioritize longitudinal studies,anatomical correlation via imaging,and randomized trials to validate efficacy across diverse populations.While the framework offers promising clinical utility,further investigation is critical to optimize protocols and elucidate biomechanical mechanisms underlying symptom resolution.展开更多
Severe aortic stenosis has increased exponentially as a result of the aging of the population.Transcatheter aortic valve replacement(TAVR)procedures increase by 20%-30%per year in Spain.Referred patients are increasin...Severe aortic stenosis has increased exponentially as a result of the aging of the population.Transcatheter aortic valve replacement(TAVR)procedures increase by 20%-30%per year in Spain.Referred patients are increasingly older,have comorbidities,and frailty.TAVR cardiac rehabilitation(CR)programs significantly improve both functional capacity and quality of life of patients.However,there are no guidelines on how to carry out them and few elderly patients are referred to CR.Furthermore,mortality in women who undergo TAVR is higher than in men and even fewer are referred to CR programs.Multidisciplinary patient care,including comorbidities and frailty,is essential.It is necessary to ensure exquisite continuity of care during TAVR,CR,and the rest of the patient's life.Telerehabilitation could be an option in some lower-risk patients to include more patients in CR programs after TAVR,given the high demand.This article reviews the evidence on why CR should be performed in post-TAVR patients and proposes a practical and novel approach to the care process and the recommended aspects and components of the CR program.展开更多
Cardiovascular diseases are the most common causes of mortality worldwide.They are frequently the reasons for patient hospitalization,their incapability for work,and disability.These diseases represent a significant s...Cardiovascular diseases are the most common causes of mortality worldwide.They are frequently the reasons for patient hospitalization,their incapability for work,and disability.These diseases represent a significant socio-economic burden affecting the medical system as well as patients and their families.It has been demonstrated that the etiopathogenesis of cardiovascular diseases is significantly affected by lifestyle,and so modification of the latter is an essential component of both primary and secondary prevention.Cardiac rehabilitation(CR)represents an efficient secondary prevention model that is especially based on the positive effect of regular physical activity.This review presents an overview of basic information on CR with a focus on current trends,such as the issue of the various training modalities,utilization,and barriers to it or the use of telemedicine technologies.Appropriate attention should be devoted to these domains,as CR continues evolving as an effective and readily available intervention in the future.展开更多
BACKGROUND The prevalence of chronic obstructive pulmonary disease(COPD)is increasing worldwide,and at the same time it is associated with increased mortality and reduced quality of life.Efforts to build sustainable r...BACKGROUND The prevalence of chronic obstructive pulmonary disease(COPD)is increasing worldwide,and at the same time it is associated with increased mortality and reduced quality of life.Efforts to build sustainable rehabilitation approaches to COPD treatment and prevention are crucial.The system of long-term pulmonary rehabilitation care is insufficient.The main reasons for the absence of these outpatient programs are the lack of experience,the lack of interest of insurance companies in secondary prevention programs,and the lack of healthcare facilities in large geographical areas.The possibility of at-home pulmonary rehabilitation models(telemonitoring and telecoaching)could solve this problem.CASE SUMMARY A 71-year-old man with severe COPD,Global Initiative for Obstructive Lung Diseases stage 3 underwent an 8-wk remotely monitored inspiratory muscle training with a device based on the test of incremental respiratory endurance method.Spirometry,body plethysmography,test of incremental respiratory endurance examination,6-min walking test,body mass index,airflow obstruction,dyspnea,exercise capacity index,and subjective perception of dyspnea were performed as part of the initial and final examination.The patient performed training at home,and the physiotherapist monitored the patient remotely through a web application that allowed the physiotherapist to evaluate all training parameters in real-time and respond to any problems.After 8 wk of home training,there was a significant increase in all monitored values:maximal inspiratory pressure,a novel parameter sustained maximal inspiratory pressure,forced expiratory volume in 1 s,total lung capacity,forced vital capacity,peak expiratory flow,and inspiratory capacity.There was also an improvement in the perception of dyspnea according to the COPD Assessment Test and a modified Medical Research Council Breathlessness Scale,an increase in exercise tolerance according to the 6-min walking test,and a decrease in the exercise capacity index as a predictor of prognosis.CONCLUSION Respiratory telerehabilitation was greatly beneficial in a cooperative patient with COPD and may represent an alternative therapeutic approach to the increasing incidence of all lung diseases.展开更多
In the development of robotic limbs, the side of members is of importance to define the shape of artificial limbs and the range of movements. It is mainly significant tbr biomedical applications concerning patients su...In the development of robotic limbs, the side of members is of importance to define the shape of artificial limbs and the range of movements. It is mainly significant tbr biomedical applications concerning patients suffering arms or legs injuries, fn this paper, the concept of an ambidextrous design lbr robot hands is introduced. The fingers can curl in one xvay or another, to imitate either a right hand or a left hand. The advantages and inconveniences of different models have been investigated to optimise the range and the maximum force applied by fingers. Besides, a remote control interthce is integrated to the system, allowing both to send comrnands through internet and to display a video streaming of the ambidextrous hand as feedback. Therefore, a robotic prosthesis could be used for the first time in telerehabilitation. The main application areas targeted are physiotherapy alter strokes or management of phantom pains/br amputees by/earning to control the ambidextrous hand. A client application is also accessible on Facehook social network, making the robotic limb easily reachable for the patients. Additionally the ambidextrous hand can be used tbr robotics research as well as artistic performances.展开更多
Sincethecoronavirusdisease2019(COVID-19)outbreak has become a pandemic,medical staff and researchers have devotedly managed the disease in terms of pathogens,prevention,and treatment.Even so,the virus continues to wre...Sincethecoronavirusdisease2019(COVID-19)outbreak has become a pandemic,medical staff and researchers have devotedly managed the disease in terms of pathogens,prevention,and treatment.Even so,the virus continues to wreak havoc in people's lives.Recent evidence shows that patients with severe acute respiratory syndrome coronaviru.展开更多
文摘Objective This study aimed to evaluate whether cardiac rehabilitation with a technology-assisted personalized exercise prescription is superior to traditional remote home-based rehabilitation in improving cardiorespiratory endurance and quality of life in postoperative patients.Methods From October 2022 to April 2024,62 patients who underwent percutaneous coronary intervention for coronary heart disease were recruited from a tertiary hospital in Beijing and randomly assigned to either an intervention group or a control group.After baseline assessments of cardiorespiratory endurance and exercise function,the intervention group received a digitalized personalized exercise prescription combined with remote monitoring rehabilitation.This included an exercise prescription delivered via a mobile application,weekly remote monitoring sessions with an exercise therapist to supervise prescription adherence,provide feedback based on real-time electrocardiographic data,and make personalized adjustments to the exercise prescription based on this information.The control group received an application-delivered exercise movement library and a wearable electrocardiogram device for self-monitoring of exercise intensity.Both groups underwent the 12-week intervention.Changes in maximal oxygen uptake and quality of life were evaluated at enrollment,as well as at 4 weeks,12 weeks,and 24 weeks after the intervention commenced.Results A total of 58 participants completed the study(the intervention group[n=30],the control group[n=28]).Twelve weeks after the interventions,the intervention group showed statistically improvements in VO2AT(Z=2.247,P=0.025),general health(Z=2.126,P=0.033)and social functioning(Z=3.349,P=0.001)compared to the control group.At 24 weeks of follow-up,the intervention group continued to exhibit statistically significant improvements in VO2AT(Z=2.017,P=0.044)and social functioning(Z=3.126,P=0.002).The exercise duration of patients in the intervention group during the exercise test was significantly prolonged at both 4 weeks(Z=−2.420,P=0.021),12 weeks(Z=−2.240,P=0.029)and 24weeks(Z=−2.300,P=0.025)showing statistically significant differences compared to the control group.Conclusions This study provides new evidence-based support for the practical effectiveness of nurses acting as supervisors of rehabilitation implementation and coordinators of multidisciplinary teams within a remote digital cardiac rehabilitation model,underscoring their significant value in the secondary prevention management system for cardiovascular diseases in the information era.
文摘BACKGROUND Telerehabilitation can help overcome geographic barriers and expand access to physical rehabilitation for patients with chronic liver disease.AIM To evaluate the impact of adherence to a videoconference-supervised telerehabilitation programme on frailty,functional capacity,and quality of life in pre-frail or frail cirrhotic patients awaiting liver transplantation.METHODS We conducted a non-randomised controlled clinical trial involving patients listed for liver transplantation from January 2021 to May 2023.Frailty was assessed using the Liver Frailty Index(LFI).Participants were enrolled in a 12-week telerehabilitation programme and classified as adherent(≥50%sessions)or nonadherent.Functional capacity was measured using the 4-minute step test(4MST),and quality of life was evaluated with the 36-Item Short Form Health Survey(SF-36)questionnaire.RESULTS Fifty-seven pre-frail or frail patients were included in the study and enrolled in the telerehabilitation programme.Adherence was observed in 29.8%of participants.At baseline,non-adherent patients had higher mean LFI scores(4.24 vs 4.03,P<0.001).Over time,the LFI score increased by 0.11 in non-adherent patients,while adherent patients experienced a mean score reduction of 0.54(final mean LFI score:3.2).Adherent patients also demonstrated enhanced heart rate responses in the 4MST(P<0.001)and greater improvements in the physical functioning,vitality,and mental health domains of the SF-36.No serious adverse events were reported.CONCLUSION The videoconference-supervised telerehabilitation programme was safe and effective in reducing frailty and improving functional outcomes and quality of life in adherent cirrhotic patients on the liver transplant waitlist.
基金The National Natural Science Foundation of China(No.60475034).
文摘A prototype of the master slave telerehabilitation robotic system with force feedback is developed. This system contains a pair of robots with the master being operated by the therapist and the slave following the master to guide the patients to exercise. A slave device with a slave controller is designed to stretch and mobilize the impaired elbow joints accurately and safely. A master device with a master controller is designed to control/monitor the procedure of treatment and assess the outcome of treatment remotely and accurately. By using the twoport network theory and the circuit equivalent impedance models, the position-force control scheme is designed to generate force feedback for the therapist who is to be informed of the interaction force between the subject and the robot arm during exercise. Experiments were conducted with a healthy male. Results show that the therapist can guide the patient to exercise by the master arm and can feel the interaction forces between the impaired arm and the robot. Compared with the traditional therapy, this system is more cost-efficient, more convenient and safer for both the stroke patients and the clinicians.
基金Supported by Ministry of Health,Czech Republic-Conceptual Development of Research Organization FNBr,No.65269705.
文摘Cardiac rehabilitation through center-based programs is an effective multicomponent intervention for the secondary prevention of cardiovascular diseases.Despite the benefits it brings,patients’participation in rehabilitation programs remains low.In this work,the latest relevant literature regarding remotely monitored cardiac telerehabilitation(TR)was reviewed considering its efficiency and utilization.The main objective was to assess whether TR has the potential to be an appropriate alternative form of rehabilitation.A total of 105 publications on this topic were screened out of 747 full-text articles that were read and evaluated,of which 12 were considered suitable for inclusion in the final review.Feasibility,efficiency,and safety were assessed for each TR intervention.The results of our evaluation indicate that TR seems to be a usable,effective,and safe alternative rehabilitation for patients with heart disease.Most of the currently published articles have studied remotely monitored TR intervention offering a comprehensive approach,which indicates the significant development and steps forward in this field of study.Our research evidence supports the implementation of TR,which could positively influence barriers in participating in cardiac rehabilitation programs.
文摘Diabetes has become an increasingly important health problem worldwide due to its prevalence.Although effective treatments for diabetes management have been developed,many patients have difficulty in achieving their therapeutic goals.Regular exercise training is suggested to prevent or delay the symptoms and complications of type 2 diabetes along with other medical treatments.It has become necessary to develop new rehabilitation models and practices in order to cope with the changing needs of the population.Treatment models using technology can be effective in disease management.Telerehabilitation may be effective as part of the rehabilitation program in the home environment,especially for patients who are unable to participate in conventional center-based rehabilitation due to transport difficulties or work resumption.Telerehabilitation is defined as the delivery of rehabilitation services via telecommunication technology,including phone,internet,and videoconference communications between the patient and health care provider.It is possible that telerehabilitation may benefit people with type 2 diabetes in similar ways with telemonitoring and interactive health communication systems.Although the applicability of telehealth methods has been proven in previous studies,telerehabi-litation studies in type 2 diabetes are inadequate in the literature.With larger,multicentered randomized controlled studies,established clinical guidelines can be developed that will ultimately improve patient outcomes.
基金financed in part by the Coordenaçao de Aperfeiçoamento de Pessoal de Nível Superior-Brazil(CAPES)[Finance Code 001].
文摘This study aimed to compare the impact of a cardiac telerehabilitation(CTR)protocol aimed at patients with cardiovascular diseases(CVDs)during the period of coronavirus disease 2019(COVID-19)associated with social isolation.This retrospective cohort study included 58 participants diagnosed with stable cardiovascular diseases(CVDs),which were divided into three groups:conventional cardiac rehabilitation(CCR)group(n=20),composed of patients undergoing conventional cardiac rehabilitation;cardiac telerehabilitation(CTR)group(n=18),composed of patients undergoing cardiac telerehabilitation and control group(n=20),composed of patients admitted for cardiac rehabilitation who had not started training programs.The results showed that body mass index was reduced(p=0.019)and quality of life was improved(e.g.,limitations due to physical aspects[p=0.021),vitality[p=0.045]and limitations due to emotional aspects[p=0.024])by CCR compared to baseline.These outcomes were not improved by CTR(p>0.05).However,this strategy prevented clinical deterioration in the investigated patients.Although CCR achieved a superior effect on clinical improvement and quality of life,CTR was relevant to stabilize the blood pressure and quality of life of patients with cardiovascular diseases during the period of COVID-19-associated social isolation.
文摘Existing telerehabilitation systems require highly experienced personnel to interpret a patient’s muscle activity in a specialized lab,limiting the biofeedback available at the patient’s home.In addition,there is no contact between physiotherapists and patients remotely.This study designed and implemented an interactive teleelectromyography(EMG)biofeedback device for facilitating patients’rehabilitation and giving the physiotherapist the ability to develop and monitor personalized treatment for each patient precisely and remotely.The device comprised a device that acquires EMG signals during muscular activity and two cell phone applications,one for the patient and the other for the physiotherapist;traced muscle activity;and enabled the physiotherapist to monitor and control the patients’sessions through a Google Firebase database.EMG signals were acquired from five subjects,and results were compared to a certified device.The evaluation process involved two metrics,correlation coefficient and root mean square value(RMSV).The proposed EMG biofeedback device is an integrated solution with numerous features,such as low cost,handheld size,patient-friendly interface,contributions to rapid healing,and secure communication.In addition,it provides raw EMG signals for applied research applications.
文摘This commentary evaluates the case report by Mohammed et al on conservative management of ischiofemoral impingement through a multimodal physical therapy program integrating in-person sessions,telerehabilitation,dry needling,and kinesiology taping.The study demonstrated significant pain reduction and functional improvement,highlighting the feasibility of hybrid care models.However,limitations include short-term follow-up,lack of post-treatment imaging,and single-case design restricting generalizability.Future research should prioritize longitudinal studies,anatomical correlation via imaging,and randomized trials to validate efficacy across diverse populations.While the framework offers promising clinical utility,further investigation is critical to optimize protocols and elucidate biomechanical mechanisms underlying symptom resolution.
文摘Severe aortic stenosis has increased exponentially as a result of the aging of the population.Transcatheter aortic valve replacement(TAVR)procedures increase by 20%-30%per year in Spain.Referred patients are increasingly older,have comorbidities,and frailty.TAVR cardiac rehabilitation(CR)programs significantly improve both functional capacity and quality of life of patients.However,there are no guidelines on how to carry out them and few elderly patients are referred to CR.Furthermore,mortality in women who undergo TAVR is higher than in men and even fewer are referred to CR programs.Multidisciplinary patient care,including comorbidities and frailty,is essential.It is necessary to ensure exquisite continuity of care during TAVR,CR,and the rest of the patient's life.Telerehabilitation could be an option in some lower-risk patients to include more patients in CR programs after TAVR,given the high demand.This article reviews the evidence on why CR should be performed in post-TAVR patients and proposes a practical and novel approach to the care process and the recommended aspects and components of the CR program.
基金Masaryk University,No.MUNI/A/1294/2019Ministry of Health,Czech Republic–Conceptual Development of Research Organization,No.65269705.
文摘Cardiovascular diseases are the most common causes of mortality worldwide.They are frequently the reasons for patient hospitalization,their incapability for work,and disability.These diseases represent a significant socio-economic burden affecting the medical system as well as patients and their families.It has been demonstrated that the etiopathogenesis of cardiovascular diseases is significantly affected by lifestyle,and so modification of the latter is an essential component of both primary and secondary prevention.Cardiac rehabilitation(CR)represents an efficient secondary prevention model that is especially based on the positive effect of regular physical activity.This review presents an overview of basic information on CR with a focus on current trends,such as the issue of the various training modalities,utilization,and barriers to it or the use of telemedicine technologies.Appropriate attention should be devoted to these domains,as CR continues evolving as an effective and readily available intervention in the future.
基金Ministry of Health of the Czech Republic(University Hospital Brno,65269705),No.NU21J-09-00004.
文摘BACKGROUND The prevalence of chronic obstructive pulmonary disease(COPD)is increasing worldwide,and at the same time it is associated with increased mortality and reduced quality of life.Efforts to build sustainable rehabilitation approaches to COPD treatment and prevention are crucial.The system of long-term pulmonary rehabilitation care is insufficient.The main reasons for the absence of these outpatient programs are the lack of experience,the lack of interest of insurance companies in secondary prevention programs,and the lack of healthcare facilities in large geographical areas.The possibility of at-home pulmonary rehabilitation models(telemonitoring and telecoaching)could solve this problem.CASE SUMMARY A 71-year-old man with severe COPD,Global Initiative for Obstructive Lung Diseases stage 3 underwent an 8-wk remotely monitored inspiratory muscle training with a device based on the test of incremental respiratory endurance method.Spirometry,body plethysmography,test of incremental respiratory endurance examination,6-min walking test,body mass index,airflow obstruction,dyspnea,exercise capacity index,and subjective perception of dyspnea were performed as part of the initial and final examination.The patient performed training at home,and the physiotherapist monitored the patient remotely through a web application that allowed the physiotherapist to evaluate all training parameters in real-time and respond to any problems.After 8 wk of home training,there was a significant increase in all monitored values:maximal inspiratory pressure,a novel parameter sustained maximal inspiratory pressure,forced expiratory volume in 1 s,total lung capacity,forced vital capacity,peak expiratory flow,and inspiratory capacity.There was also an improvement in the perception of dyspnea according to the COPD Assessment Test and a modified Medical Research Council Breathlessness Scale,an increase in exercise tolerance according to the 6-min walking test,and a decrease in the exercise capacity index as a predictor of prognosis.CONCLUSION Respiratory telerehabilitation was greatly beneficial in a cooperative patient with COPD and may represent an alternative therapeutic approach to the increasing incidence of all lung diseases.
文摘In the development of robotic limbs, the side of members is of importance to define the shape of artificial limbs and the range of movements. It is mainly significant tbr biomedical applications concerning patients suffering arms or legs injuries, fn this paper, the concept of an ambidextrous design lbr robot hands is introduced. The fingers can curl in one xvay or another, to imitate either a right hand or a left hand. The advantages and inconveniences of different models have been investigated to optimise the range and the maximum force applied by fingers. Besides, a remote control interthce is integrated to the system, allowing both to send comrnands through internet and to display a video streaming of the ambidextrous hand as feedback. Therefore, a robotic prosthesis could be used for the first time in telerehabilitation. The main application areas targeted are physiotherapy alter strokes or management of phantom pains/br amputees by/earning to control the ambidextrous hand. A client application is also accessible on Facehook social network, making the robotic limb easily reachable for the patients. Additionally the ambidextrous hand can be used tbr robotics research as well as artistic performances.
基金CAMS Innovation Fund for Medical Science(CIFMS)(Grant/Award Number:2021-I2M-1-049)。
文摘Sincethecoronavirusdisease2019(COVID-19)outbreak has become a pandemic,medical staff and researchers have devotedly managed the disease in terms of pathogens,prevention,and treatment.Even so,the virus continues to wreak havoc in people's lives.Recent evidence shows that patients with severe acute respiratory syndrome coronaviru.
