1997 Fiscal Year Final Research Report Summary
Semi-superrsed home exerlise program based on computer-based telemetig system with a step machine in patients with myccarhal in fardic
| Project/Area Number |
07670803
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Circulatory organs internal medicine
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| Research Institution | IIWATE MEDICAL UNIVERSITY |
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Principal Investigator |
UESHIMA Kenji Iwate Medical University・Dpt of Medicine, 医学部, 助教授 (40213334)
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| Co-Investigator(Kenkyū-buntansha) |
KAMATA Hiroyuki Iwate Medical University・Dpt of Medicine, 医学部, 助手 (20265143)
KAMATA Hiroyuki Iwate Medical University・Dpt of Medicine (20265143)
KAMATA Hiroyuki Iwate Medical University・Dpt of Medicine (20265143)
KAMATE Hiroyuki Iwate Medical University・Dpt of Medicine (20265143)
KAMATA Hiroyuki Iwate Medical University・Dpt of Medicine (20265143)
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| Project Period (FY) |
1995 – 1997
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| Keywords | myocardial in farction / cardinc rehabilitation / home exercise program |
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| Research Abstract |
Home exercise programs for patients with myocardial infarction effectivly improve their exercise capacity as well as quality of life.However, there are no efficient methods for monitoring the patient's clinical status or conveying the physician's instructions to the home settin.To resolve these problems, we developed a computer-based, automated, telemetry system comprised of central and peripheral computers and telephone line. At first, we attempted to clarify wherthr a step machine is useful for exercise training in patients with myocardial infarction.Accordingly, some myocardial infarction patients were evaluated for peak oxygen uptake (peak VO2) and anaerobic threshold (AT) before hospital discharge.At home, the patients performed 10 or 15 minutes exercise using a step machine.Patient data including blood pressure, pulse rate, and electrocaediogram before and after exercise were stored in the peripheral computer, and the central comquter automatically retrieved the data through the phone line.If the current heart rate was less that the heart rate at AT,extreme changes in blood pressure were noted or dangerous arrhythmias appeared, appropriate instructions were indicated on the display of the peripheral comquter.Following these instructions, the patients continued home exercise programs for 6 months. Both peak VO2 and AT increased significantly in all patients.The computer-based automated telemetry system comdined with a step machine facilitated effective prescription and monitoring of exercise programs at home.
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