Den potentielle anvendelse af kommercielt tilgængelige aktive videospil til hjerterehabilitering

Baggrund

Kommercielt tilgængelige aktive videospil (AVG’er) er for nylig blevet brugt til rehabilitering i nogle specifikke patientpopulationer, men sjældent hos dem med kardiovaskulær sygdom (CVD). Kommercielt tilgængelige AVG’er er designet til at øge motivationen for kontinuerlig leg, hvilket kunne være anvendeligt til den langsigtede hjerterehabiliteringsproces.

Formål

At vurdere effektiviteten af AVG-induceret fysisk træning, sikkerhed og patientengagement ved at anvende kommercielt tilgængelige AVG’er til hjerterehabilitering.

Metoder

Scoping review

Resultater

Blandt 120 gennemgåede artikler var 5 (4,2 %) berettigede til inklusion, hvoraf 3 (2,5 %) blev rapporteret af samme forskningsgruppe. De anvendte AVG-konsoller var Xbox Kinect og Nintendo Wii, og sportsrelaterede programmer blev brugt til interventionen. Der forekom ingen uønskede hjertehændelser i de identificerede undersøgelser, og frafaldsraten havde en tendens til at være lav.

Konklusioner

AVG’er ser ud til at være sikre og gennemførlige til at fremme en aktiv livsstil hos patienter med CVD. Effektiviteten af AVG’er alene som en terapeutisk øvelse til at forbedre fysisk funktion kan dog være begrænset.

Link til udgivelsen

Morimoto Y, Takahashi T, Sawa R, Saitoh M, Morisawa T, Kagiyama N, Kasai T, Dinesen B, Hollingdal M, Refsgaard J, Daida H
Web Portals for Patients With Chronic Diseases: Scoping Review of the Functional Features and Theoretical Frameworks of Telerehabilitation Platforms
J Med Internet Res 2022;24(1):e27759
doi: 10.2196/27759PMID: 35084355

Abstract

Background: The COVID-19 pandemic has required an increased need for rehabilitation activities applicable to patients with chronic diseases. Telerehabilitation has several advantages, including reducing clinic visits by patients vulnerable to infectious diseases. Digital platforms are often used to assist rehabilitation services for patients in remote settings. Although web portals for medical use have existed for years, the technology in telerehabilitation remains a novel method.

Objective: This scoping review investigated the functional features and theoretical approaches of web portals developed for telerehabilitation in patients with chronic diseases.

Methods: PubMed and Web of Science were reviewed to identify articles associated with telerehabilitation. Of the 477 nonduplicate articles reviewed, 35 involving 14 portals were retrieved for the scoping review. The functional features, targeted diseases, and theoretical approaches of these portals were studied.

Results: The 14 portals targeted patients with chronic obstructive pulmonary disease, cardiovascular, osteoarthritis, multiple sclerosis, cystic fibrosis diseases, and stroke and breast cancer survivors. Monitoring/data tracking and communication functions were the most common, followed by exercise instructions and diary/self-report features. Several theoretical approaches, behavior change techniques, and motivational techniques were found to be utilized.

Conclusions: The web portals could unify and display multiple types of data and effectively provide various types of information. Asynchronous correspondence was more favorable than synchronous, real-time interactions. Data acquisition often required assistance from other digital tools. Various functions with patient-centered principles, behavior change strategies, and motivational techniques were observed for better support shifting to a healthier lifestyle. These findings suggested that web portals for telerehabilitation not only provided entrance into rehabilitation programs but also reinforced participant-centered treatment, adherence to rehabilitation, and lifestyle changes over time.

Effects of Telerehabilitation Interventions on Heart Failure Management (2015-2020): Scoping Review by Schacksen et al 2021 in JMIR Rehabil Assist Technol 2021;8(4):e29714.

Objective

The aim of this scoping review was to assess the effects of telerehabilitation in the management of heart failure by systematically reviewing the available scientific literature within the period from January 1, 2015, to December 31, 2020.

Conclusions

It was found that there is a tendency toward improvement in patients’ quality of life and physical capacity when telerehabilitation was used in heart failure management. The outcome measures of depression, anxiety, and adherence to the intervention were found to be positive. Additional research is needed to determine more precise and robust effects of telerehabilitation.