Volume 19, Issue 4 (Paramedical Sciences and Military Health (winter 2024) 2024)                   Paramedical Sciences and Military Health 2024, 19(4): 0-0 | Back to browse issues page

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Granfar M, Mousavi A S, Mousavi Baigi S F. Investigating The Effect of Telerehabilitation in Improving the Physical Activity of Heart Patients: A Systematic Review of Randomized Controlled Trials. Paramedical Sciences and Military Health 2024; 19 (4)
URL: http://jps.ajaums.ac.ir/article-1-433-en.html
1- Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran
2- Department of Health Information Technology, School of Paramedical and Rehabilitation Sciences, Mashhad University of Medical Sciences, Mashhad, Iran
3- Department of Health Information Technology, School of Paramedical and Rehabilitation Sciences, Mashhad University of Medical Sciences, Mashhad, Iran & Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran , mousavibf3@mums.ac.ir
Abstract:   (111 Views)
Introduction: Telerehabilitation and physiotherapy can be helpful as a smart solution to achieve better and more control in cardiac patients. Therefore, the aim of this systematic review of randomized controlled trial studies was to investigate the effect of telerehabilitation in improving the physical activity of patients with heart disease.
Materials and Methods: This systematic review has been explored searching keywords in title and abstracts of studies in valid scientific databases including Embase, web of sciences, Scopus, and PubMed on January 20, 2024. Studies that met all the inclusion criteria were included in the study: 1) randomized controlled trial or randomized clinical trial studies that used telerehabilitation or telephysiotherapy to improve physical performance and physical activity in patients with heart failure. 2) The full text of the articles was available in English. The quality of the studies was assessed using the Joanna Briggs Institute (JBI) checklist. This study was conducted according to the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analysis.
Results: Among the 2142 extracted articles, 83 articles were identified after removing duplicates. After screening the full text of the articles, 15 studies met the inclusion criteria. The evaluated health outcomes were coronary heart disease (33%), heart failure (27%), peripheral artery disease (12%), congenital heart disease (7%), atrial defibrillation (7%) and cardiac rehabilitation (7%), myocardial infarction (7%). The duration of intervention in each study varied from 8 weeks to 9 months. The technologies used include a robot-based platform (13%), mobile application (27%), wearable technologies with phone calls (13%), SMS/email (7%) and telemonitoring (40%). About 60% of the studies of telerehabilitation interventions in the heart patients’ physical activity reported a significant improvement in the intervention group (telerehabilitation) compared to the control group (face-to-face intervention). However, there was not any significant difference between the control and intervention groups in (40%) of the studies.  
Conclusion: The results of the systematic review showed that the use of telerehabilitation improves physical activity and it improves the quality of life in heart patients. Therefore, telerehabilitation is considered as an important support tool in improving the physical activity of heart patients.
     
Type of Study: review | Subject: full articles
Received: 2024/09/14 | Accepted: 2024/10/26 | Published: 2024/12/30

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