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

Hilkka Runtti, D. Filos, Mark van Gils, I. Chouvarda, Anita Honka, Juha Pärkkä

Research output: Chapter in Book/Report/Conference proceedingConference article in proceedingsScientificpeer-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 languageEnglish
Title of host publicationProceedings of the13th IEEE International Conference on BioInformatics and BioEngineering (IEEE BIBE 2013). Chania, Greece, 10 - 13 Nov. 2013
PublisherIEEE Institute of Electrical and Electronic Engineers
Pages1-4
ISBN (Print)978-1-4799-3163-7
DOIs
Publication statusPublished - 2013
MoE publication typeA4 Article in a conference publication
Event13th IEEE International Conference on BioInformatics and BioEngineering, IEEE BIBE 2013 - Chania, Greece
Duration: 10 Nov 201313 Nov 2013

Conference

Conference13th IEEE International Conference on BioInformatics and BioEngineering, IEEE BIBE 2013
Abbreviated titleIEEE BIBE 2013
CountryGreece
CityChania
Period10/11/1313/11/13

Fingerprint

Rehabilitation
Exercise
Patient Compliance
Warm-Up Exercise
Spain
Germany
Heart Rate
Equipment and Supplies

Cite this

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 Proceedings of the13th 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, D. ; van Gils, Mark ; Chouvarda, I. ; Honka, Anita ; Pärkkä, Juha. / Guided Physical Exercise of Cardiac Patients during Rehabilitation: Adherence and Changes in Physiological Variables. Proceedings of the13th 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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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.",
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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 Proceedings of the13th 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, IEEE 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, D.; van Gils, Mark; Chouvarda, I.; Honka, Anita; Pärkkä, Juha.

Proceedings of the13th 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 proceedingConference article in proceedingsScientificpeer-review

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AU - Pärkkä, Juha

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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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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 Proceedings of the13th 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 https://doi.org/10.1109/BIBE.2013.6701533