Implementation of a Home-based Exercise Program for Cardiopulmonary Rehabilitation Patients during the SARS-CoV-2 Pandemic

Abstract Background: In pandemic times, social isolation is of utmost importance to minimize the spread of the SARS-Cov-2 virus. At times like these, home fitness becomes extremely necessary to avoid sedentarism and decompensation in chronic disease patients. Objectives: Evaluate the engagement of rehabilitation patients to a tele- oriented exercise program at home (TOEP). Materials and Methods: 66 of 94 patients (63.8% males; 65.5±14 years old; 5.2±2.6 months in rehabilitation) agreed to take part. Subjects were grouped in three levels of functionality to guide the exercise prescription. Weekly Training Rates (WTR) were compared using the Friedman test and corrected by Dunn's test. A multivariate logistic model was designed to determine independent predictors in program engagement. Statistical significance was determined by a p<0.05. Results: TOEP provided WTR similar to the pre-quarantine values of 2.8/week (p>0.05), and 91.8% of patients took part until the end of those 5 weeks. The presence of diabetes was a predicted factor for low engagement to TOEP with relative risk of 0.41 (CI95%: 0.25 to 0.66). Conclusion: TOEP provided satisfactory engagement in rehabilitation patients. Most of them increased WTR during quarantine. Patients with diabetes displayed lower engagement to the minimum standard frequency.

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Bibliographic Details
Main Authors: Espinosa,Gabriel, Toledo,Leandro, Prado,Christiane, Moraes,Gabriel Otávio de Moura, Domecg,Fernanda, Facio,Marcelo Riccio, Silva,Fabricio Braga da
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Cardiologia 2021
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472021005011206
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