Guided Physical Exercise of Cardiac Patients during Rehabilitation: Adherence and Changes in Physiological Variables

Hilkka Runtti; Dimitris Filos; Mark van Gils; Iovanna Chouvarda; Anita Honka; Juha Pärkkä

doi:10.1109/BIBE.2013.6701533

Guided Physical Exercise of Cardiac Patients during Rehabilitation: Adherence and Changes in Physiological Variables

Hilkka Runtti, Dimitris Filos, Mark van Gils, Iovanna Chouvarda, Anita Honka, Juha Pärkkä

Aristotle University of Thessaloniki

Research output: Chapter in Book/Report/Conference proceeding › Conference article in proceedings › Scientific › peer-review

1 Citation (Scopus)

Abstract

A system to provide cardiac patients with the possibility to perform safe and beneficial exercise during their rehabilitation was developed within the EU project Heartcycle. Within the system, algorithms use physiological signals from a wearable device (embedded in a shirt) to guide the patient through the exercise. After having been technically validated, the system was deployed for clinical evaluation with 63 patients in Germany (21), Great Britain (25) and Spain (17). The paper describes the first findings of this evaluation study with respect to: technical feasibility, adherence of the patients to the prescribed exercise protocol, and changes in physiological observables as the patients follow their exercise plan. Technically, the system functioned well, and overall the adherence of those patients that actually started using the system was stable, or even improving, in the vast majority of cases. An increase was especially seen in adherence to the protocol set for the warm-up phase of the exercise. This is an important finding for a group of patients that is known to have declining adherence to rehabilitation recommendations in the long term. The recovery analysis showed that especially the recovery of the heart rate as measured in the first minute after the exercise end showed improvement over time.

Original language	English
Title of host publication	13th IEEE International Conference on BioInformatics and BioEngineering (IEEE BIBE 2013). Chania, Greece, 10 - 13 Nov. 2013
Publisher	IEEE Institute of Electrical and Electronic Engineers
Pages	1-4
ISBN (Print)	978-1-4799-3163-7
DOIs	https://doi.org/10.1109/BIBE.2013.6701533
Publication status	Published - 2013
MoE publication type	A4 Article in a conference publication
Event	13th IEEE International Conference on BioInformatics and BioEngineering, BIBE 2013 - Chania, Greece Duration: 10 Nov 2013 → 13 Nov 2013

Conference

Conference	13th IEEE International Conference on BioInformatics and BioEngineering, BIBE 2013
Abbreviated title	IEEE BIBE 2013
Country/Territory	Greece
City	Chania
Period	10/11/13 → 13/11/13

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10.1109/BIBE.2013.6701533

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Runtti, H., Filos, D., van Gils, M., Chouvarda, I., Honka, A., & Pärkkä, J. (2013). Guided Physical Exercise of Cardiac Patients during Rehabilitation: Adherence and Changes in Physiological Variables. In 13th IEEE International Conference on BioInformatics and BioEngineering (IEEE BIBE 2013). Chania, Greece, 10 - 13 Nov. 2013 (pp. 1-4). IEEE Institute of Electrical and Electronic Engineers. https://doi.org/10.1109/BIBE.2013.6701533

Runtti, Hilkka ; Filos, Dimitris ; van Gils, Mark et al. / Guided Physical Exercise of Cardiac Patients during Rehabilitation : Adherence and Changes in Physiological Variables. 13th IEEE International Conference on BioInformatics and BioEngineering (IEEE BIBE 2013). Chania, Greece, 10 - 13 Nov. 2013. IEEE Institute of Electrical and Electronic Engineers, 2013. pp. 1-4

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title = "Guided Physical Exercise of Cardiac Patients during Rehabilitation: Adherence and Changes in Physiological Variables",

abstract = "A system to provide cardiac patients with the possibility to perform safe and beneficial exercise during their rehabilitation was developed within the EU project Heartcycle. Within the system, algorithms use physiological signals from a wearable device (embedded in a shirt) to guide the patient through the exercise. After having been technically validated, the system was deployed for clinical evaluation with 63 patients in Germany (21), Great Britain (25) and Spain (17). The paper describes the first findings of this evaluation study with respect to: technical feasibility, adherence of the patients to the prescribed exercise protocol, and changes in physiological observables as the patients follow their exercise plan. Technically, the system functioned well, and overall the adherence of those patients that actually started using the system was stable, or even improving, in the vast majority of cases. An increase was especially seen in adherence to the protocol set for the warm-up phase of the exercise. This is an important finding for a group of patients that is known to have declining adherence to rehabilitation recommendations in the long term. The recovery analysis showed that especially the recovery of the heart rate as measured in the first minute after the exercise end showed improvement over time.",

author = "Hilkka Runtti and Dimitris Filos and {van Gils}, Mark and Iovanna Chouvarda and Anita Honka and Juha P{\"a}rkk{\"a}",

note = "Project code: 18982; 13th IEEE International Conference on BioInformatics and BioEngineering, BIBE 2013, IEEE BIBE 2013 ; Conference date: 10-11-2013 Through 13-11-2013",

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Runtti, H, Filos, D, van Gils, M, Chouvarda, I, Honka, A & Pärkkä, J 2013, Guided Physical Exercise of Cardiac Patients during Rehabilitation: Adherence and Changes in Physiological Variables. in 13th IEEE International Conference on BioInformatics and BioEngineering (IEEE BIBE 2013). Chania, Greece, 10 - 13 Nov. 2013. IEEE Institute of Electrical and Electronic Engineers, pp. 1-4, 13th IEEE International Conference on BioInformatics and BioEngineering, BIBE 2013, Chania, Greece, 10/11/13. https://doi.org/10.1109/BIBE.2013.6701533

Guided Physical Exercise of Cardiac Patients during Rehabilitation: Adherence and Changes in Physiological Variables. / Runtti, Hilkka; Filos, Dimitris; van Gils, Mark et al.
13th IEEE International Conference on BioInformatics and BioEngineering (IEEE BIBE 2013). Chania, Greece, 10 - 13 Nov. 2013. IEEE Institute of Electrical and Electronic Engineers, 2013. p. 1-4.

Research output: Chapter in Book/Report/Conference proceeding › Conference article in proceedings › Scientific › peer-review

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T1 - Guided Physical Exercise of Cardiac Patients during Rehabilitation

T2 - 13th IEEE International Conference on BioInformatics and BioEngineering, BIBE 2013

AU - Runtti, Hilkka

AU - Filos, Dimitris

AU - van Gils, Mark

AU - Chouvarda, Iovanna

AU - Honka, Anita

AU - Pärkkä, Juha

N1 - Project code: 18982

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Y1 - 2013

N2 - A system to provide cardiac patients with the possibility to perform safe and beneficial exercise during their rehabilitation was developed within the EU project Heartcycle. Within the system, algorithms use physiological signals from a wearable device (embedded in a shirt) to guide the patient through the exercise. After having been technically validated, the system was deployed for clinical evaluation with 63 patients in Germany (21), Great Britain (25) and Spain (17). The paper describes the first findings of this evaluation study with respect to: technical feasibility, adherence of the patients to the prescribed exercise protocol, and changes in physiological observables as the patients follow their exercise plan. Technically, the system functioned well, and overall the adherence of those patients that actually started using the system was stable, or even improving, in the vast majority of cases. An increase was especially seen in adherence to the protocol set for the warm-up phase of the exercise. This is an important finding for a group of patients that is known to have declining adherence to rehabilitation recommendations in the long term. The recovery analysis showed that especially the recovery of the heart rate as measured in the first minute after the exercise end showed improvement over time.

AB - A system to provide cardiac patients with the possibility to perform safe and beneficial exercise during their rehabilitation was developed within the EU project Heartcycle. Within the system, algorithms use physiological signals from a wearable device (embedded in a shirt) to guide the patient through the exercise. After having been technically validated, the system was deployed for clinical evaluation with 63 patients in Germany (21), Great Britain (25) and Spain (17). The paper describes the first findings of this evaluation study with respect to: technical feasibility, adherence of the patients to the prescribed exercise protocol, and changes in physiological observables as the patients follow their exercise plan. Technically, the system functioned well, and overall the adherence of those patients that actually started using the system was stable, or even improving, in the vast majority of cases. An increase was especially seen in adherence to the protocol set for the warm-up phase of the exercise. This is an important finding for a group of patients that is known to have declining adherence to rehabilitation recommendations in the long term. The recovery analysis showed that especially the recovery of the heart rate as measured in the first minute after the exercise end showed improvement over time.

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BT - 13th IEEE International Conference on BioInformatics and BioEngineering (IEEE BIBE 2013). Chania, Greece, 10 - 13 Nov. 2013

PB - IEEE Institute of Electrical and Electronic Engineers

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ER -

Runtti H, Filos D, van Gils M, Chouvarda I, Honka A, Pärkkä J. Guided Physical Exercise of Cardiac Patients during Rehabilitation: Adherence and Changes in Physiological Variables. In 13th IEEE International Conference on BioInformatics and BioEngineering (IEEE BIBE 2013). Chania, Greece, 10 - 13 Nov. 2013. IEEE Institute of Electrical and Electronic Engineers. 2013. p. 1-4 doi: 10.1109/BIBE.2013.6701533

Guided Physical Exercise of Cardiac Patients during Rehabilitation: Adherence and Changes in Physiological Variables

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