Establishment of emerging practices and research priorities for telerehabilitation in solid organ transplantation: meeting report and narrative literature review

Frontiers in Rehabilitation Sciences, Год журнала: 2025, Номер 6

Опубликована: Март 28, 2025

Solid organ transplantation (SOT) is a life-saving procedure for those with end-stage dysfunction. The main goals of SOT are to improve quality life and daily function, which supported by pre- post-transplant rehabilitation. In-person rehabilitation programs have traditionally been the standard-of-care delivering patients. Many adopted virtual delivery model [telerehabilitation (TR)], an approach that has become increasingly used given restrictions in-person during COVID-19 pandemic. Presently, TR being both clinically in research variable practices. A 2-day meeting held February 2023 brought together over 30 Canadian adult pediatric researchers, clinicians, patient family partners across SOT. objectives were: (1) To facilitate knowledge exchange dialogue between partners, healthcare professionals, key stakeholders, (2) Identify gaps clinical practice TR. discussion focused on methods TR, digital tools, facilitators barriers effects physical mental health populations. This report incorporates narrative literature review articles last 20 years. Future directions highlighted leading development priorities targeted towards improved

Язык: Английский

Exploring the Promise of Telemedicine Exercise Interventions in Children and Adolescents With Congenital Heart Disease

Canadian Journal of Cardiology, Год журнала: 2023, Номер 39(11), С. S346 - S358

Опубликована: Авг. 31, 2023

Youth with congenital heart disease (CHD) have reduced exercise capacity via various physical and psychosocial mechanisms. In addition to limited physiologic capacity, these patients experience lower levels of activity, activity self-efficacy, health-related quality life, endothelial function. The study interventions cardiac rehabilitation programs in pediatric CHD populations remains limited, particularly home-based that incorporate real-time monitoring. Home-based provide improved access convenience patients. This is principally important for from geographically disperse regions who receive their care at centralized subspecialty centres, as the case Canadian care. These programs, however, traditionally not permitted supervision safety, technique, adherence are afforded by hospital/facility-based programs. As such, telemedicine an evolving area combines benefits traditional home facility-based rehabilitation. An additional key lacking surrounds types youth CHD. To date, often centred around moderate-intensity continuous exercise. High-intensity interval training might offer superior cardiorespiratory advantages but understudied population. this review, we highlight existing evidence basis CHD, explore promise incorporating solutions, knowledge gaps. address identified gaps, undertaking a 12-week randomized crossover trial high-intensity intervention repaired moderate-severe using video game-linked cycle ergometer (known MedBIKE; https://spaces.facsci.ualberta.ca/ahci/projects/medical-projects/remote-rehab-bike-projects).

Язык: Английский

Physical Activity Promotion Among Individuals With Tetralogy of Fallot

CJC Pediatric and Congenital Heart Disease, Год журнала: 2023, Номер 2(6), С. 322 - 334

Опубликована: Авг. 18, 2023

In the general population, most cited barriers to physical activity (PA) are time, energy, and motivation. Consequently, despite significant contribution of PA health well-being, many individuals insufficiently active. Physical inactivity sedentary lifestyles increase risk acquired cardiometabolic disease, a that may complicate is compounded by anatomic physiologic features inherent in patient with repaired tetralogy Fallot (ToF). Individuals ToF commonly present reduced exercise capacity levels. light historically restrictive management their heart known reductions among combined psychosocial participation, potentially establishing cycle further detraining, inactivity, disease progression/health decline. To this end, children young adults have self-efficacy towards PA, defined as confidence ability participate. review, we apply an overarching mediator participation explore trends determinants its subsequent impact on capacity, risk, health-related quality life. We outline rationale strategies aimed at improving highlight current knowledge gaps future directions promotion population ToF.

Язык: Английский