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Open AccessReview

Mobile Technologies to Promote Physical Activity during Cardiac Rehabilitation: A Scoping Review

1
Ludwig Boltzmann Institute for Digital Health and Prevention, 5020 Salzburg, Austria
2
Salzburg Research Forschungsgesellschaft mbH, 5020 Salzburg, Austria
3
Department of MultiMediaTechnology, Salzburg University of Applied Sciences, 5412 Puch/Salzburg, Austria
4
University Institute of Sports Medicine, Prevention and Rehabilitation and Research Institute of Molecular Sports Medicine and Rehabilitation, Paracelsus Medical University, 5020 Salzburg, Austria
5
Faculty of Health, Social Care and Education, Kingston University & St George’s, University of London, London SW17 0RE, UK
*
Author to whom correspondence should be addressed.
Sensors 2021, 21(1), 65; https://doi.org/10.3390/s21010065
Received: 4 December 2020 / Revised: 17 December 2020 / Accepted: 18 December 2020 / Published: 24 December 2020
(This article belongs to the Special Issue Wearable Sensors for Health and Physiological Monitoring)
Promoting regular physical activity (PA) and improving exercise capacity are the primary goals of cardiac rehabilitation (CR). Mobile technologies (mTechs) like smartphones, smartwatches, and fitness trackers might help patients in reaching these goals. This review aimed to scope current scientific literature on mTechs in CR to assess the impact on patients’ exercise capacity and to identify gaps and future directions for research. PubMed, CENTRAL, and CDSR were systematically searched for randomized controlled trials (RCTs). These RCTs had to utilize mTechs to objectively monitor and promote PA of patients during or following CR, aim at improvements in exercise capacity, and be published between December 2014 and December 2019. A total of 964 publications were identified, and 13 studies met all inclusion criteria. Home-based CR with mTechs vs. outpatient CR without mTechs and outpatient CR with mTechs vs. outpatient CR without mTechs did not lead to statistically significant differences in exercise capacity. In contrast, outpatient CR followed by home-based CR with mTechs led to significant improvement in exercise capacity as compared to outpatient CR without further formal CR. Supplying patients with mTechs may improve exercise capacity. To ensure that usage of and compliance with mTechs is optimal, a concentrated effort of CR staff has to be achieved. The COVID-19 pandemic has led to an unprecedented lack of patient support while away from institutional CR. Even though mTechs lend themselves as suitable assistants, evidence is lacking that they can fill this gap. View Full-Text
Keywords: cardiovascular diseases; telerehabilitation; telemedicine; therapeutics; exercise; smartphone cardiovascular diseases; telerehabilitation; telemedicine; therapeutics; exercise; smartphone
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MDPI and ACS Style

Meinhart, F.; Stütz, T.; Sareban, M.; Kulnik, S.T.; Niebauer, J. Mobile Technologies to Promote Physical Activity during Cardiac Rehabilitation: A Scoping Review. Sensors 2021, 21, 65. https://doi.org/10.3390/s21010065

AMA Style

Meinhart F, Stütz T, Sareban M, Kulnik ST, Niebauer J. Mobile Technologies to Promote Physical Activity during Cardiac Rehabilitation: A Scoping Review. Sensors. 2021; 21(1):65. https://doi.org/10.3390/s21010065

Chicago/Turabian Style

Meinhart, Florian; Stütz, Thomas; Sareban, Mahdi; Kulnik, Stefan T.; Niebauer, Josef. 2021. "Mobile Technologies to Promote Physical Activity during Cardiac Rehabilitation: A Scoping Review" Sensors 21, no. 1: 65. https://doi.org/10.3390/s21010065

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