Literatura académica sobre el tema "Teleexercise"

An e-service-learning teleexercise program, 5% Healthier, provided a remote experiential learning opportunity for students and a supervised exercise program for participants during the COVID-19 pandemic. The present study retrospectively evaluated whether students achieved course learning outcomes and improved their ability to work in teleexercise and if the intervention was a successful exercise program for participants. Supervised by graduate students, undergraduate student coaches provided 10 weeks of personalized exercise coaching to participants. Pre- and postperformance assessments were collected on participants, and anonymous surveys were administered to students and participants. Twenty-two undergraduate students and nine graduate students participated. Students’ perceptions of the e-service-learning experience were generally positive, and almost all felt it allowed them to meet the course learning outcomes and improved their ability to work in teleexercise. Seventy-three participants completed the exercise program and showed improvements in all performance assessments (body composition (weight, BMI), shoulder and hamstring flexibility, upper and lower body muscular endurance, and overall function ( p < 0.01 )). Participants rated the program highly and agreed that 5% Healthier helped them gain fitness (93%). The 5% Healthier e-service-learning program is a successful model for experiential learning in exercise physiology, and the teleexercise program improved participants’ performance outcomes.

IntroductionFailed back surgery syndrome (FBSS) is defined as back pain which either persists after attempted surgical intervention or originates after a spine surgery. There is a high risk of perioperative morbidity and a high likelihood of extensive revision surgery in geriatric patients with FBSS or post-laminectomy foraminal stenosis.MethodsThere is a need for less invasive methodologies for the treatment of FBSS, such as patient-tailored exercise training, with attention to the cost and special needs of the geriatric patients with FBSS. This commentary will provide some background regarding teleexercise (utilizing an internet-based platform for the provision of exercise-related care) for FBSS and will propose three exercises which are easy to administer over online-based platforms and can be the subject of future investigation.ResultsGiven the documented benefits of regular rehabilitative exercises for patients with FBSS, the high cost of face-to-face services, and the need for infection mitigation in the wake of the COVID-19 Pandemic, teleexercise may be a practical and cost-beneficial method of exercise delivery, especially for geriatric patients with limitations in mobility and access to care. It should be noted that, prescription of these exercises should be done after face-to-face evaluation by the physician and careful evaluation for any “red flag” symptoms.ConclusionIn this commentary, we will suggest three practical exercise training methodologies and discuss the benefits of teleexercise for geriatric patients with FBSS. Future research should aim to assess the efficacy of these exercises, especially when administered through telehealth platforms.

Abstract Background Many people with spinal cord injury (SCI) have limited access to tailored, readily available exercise resources. As a result, exercise remains an underutilized treatment strategy for improving health and function in people with SCI. The purpose of this study is to test the effectiveness of two remotely delivered exercise programs for people with SCI. Methods The Spinal Cord Injury Program in Exercise (SCIPE) study is a three-arm adaptive randomized controlled trial examining two 8-week teleexercise interventions: Movement-to-Music (M2M) and Standard Exercise Training (SET), compared to Attention Control (AC) in 327 adults with SCI. The primary outcome is change in physical activity level at post 8-week intervention. The study contains two interim analyses. The first interim analysis will assess feasibility metrics of the protocol after 36 participants complete the 8-week intervention period. The second interim analysis will examine two effectiveness comparisons: SET vs. AC and M2M vs AC, after 165 participants complete the intervention period. Early termination of the intervention arm(s) will take place when non-significant findings are found in the corresponding intervention(s). Incorporation of such interim analysis enhances trial efficiency by dropping the intervention(s) that deemed ineffective. It provides ethical benefits and allows allocation of additional resources to explore the effective intervention(s). Discussion Delivery of teleexercise programs may be an effective strategy for addressing transportation barrier to exercise resources and increasing physical activity level and quality of life in people with SCI. Trial registration ClinicalTrials.gov Identifier NCT03925077. Registered trial name: Spinal Cord Injury Program in Exercise (SCIPE). Registered on April 23rd, 2019.

IntroductionThis study aimed to review the impact of tele-exercise on different adult populations, comparing synchronous and asynchronous interventions and their effects on outcomes such as quality of life, physical fitness, functional capacity, strength, and pain.MethodsRandomised clinical trials and quasi-experimental studies published between 2014 and 2024 were included, totalling 16 studies with 1,416 participants. The interventions varied between synchronous teleexercise (via videoconference) and asynchronous (via apps and recorded videos). The review followed the PRISMA guidelines, ensuring a systematic approach to study selection, data extraction, and bias assessment.ResultsThe results indicate that tele-exercise, especially synchronous, has the potential to primarily improve physical fitness, functional capacity, and pain perception, being effective for the elderly and individuals with specific conditions such as multiple sclerosis and obesity.DiscussionHowever, the methodological heterogeneity of the studies and the lack of consistent data limit the generalisation of the findings, highlighting the need for more high-quality research.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024563241, PROSPERO (CRD42024563241).

Abstract Background People with physical disabilities need exercise routines that are enjoyable, readily available in the home, adapted to their functional level, and eliminate common barriers to exercise participation related to transportation and time commitment. The purpose of the movement-to-music (M2M) study is to address these issues by establishing a remotely delivered, rhythmic exercise program for people with physical disabilities. Methods The study is a two-arm randomized controlled efficacy trial examining a 12-week remotely delivered M2M intervention (eM2M) in 108 people with physical disabilities. The primary outcomes are changes in cardiorespiratory fitness and muscle strength at post 12-week intervention. Discussion The eM2M study will enhance our understanding of an alternative intervention design and delivery mode that removes common barriers to exercise participation experienced by people with physical disabilities. The eM2M intervention may be an alternative option for people with physical disabilities to obtain regular exercise, especially during a pandemic when exercising in indoor facilities may be problematic. Trial registration ClinicalTrials.gov NCT03797378. Registered on January 9, 2019, with the trial name “Movement-to-Music: Lakeshore Examination of Activity, Disability, and Exercise Response Study (M2M LEADERS)”.

Des interventions axées sur l’exercice physique permettent de soutenir un vieillissement en meilleure santé. L'engagement des aînés à ces programmes reste pourtant assez faible en raison d'obstacles environnementaux et personnels, tels que l'accès limité aux infrastructures, les difficultés de mobilité ou le manque de motivation. Pour répondre à ces défis, les technologies, comme les robots mobiles de téléprésence (MRP) peuvent être utilisées. Leur intégration dans la pratique quotidienne est encore limitée, et il n'est pas certain qu’ils seront bien acceptés par les aînés ou qu’ils permettront la faisabilité des programmes d'exercices. L'acceptabilité, définie comme la volonté d'utiliser une technologie est essentielle pour la faisabilité et l’efficacité des interventions. Le but de cette thèse était d’évaluer l’acceptabilité du MRP Cutii® (CareClever) pour ensuite proposer un programme en téléexercice aux personnes âgées.Cette thèse a été réalisée en collaboration avec le Cirris (Université Laval, Québec) et l’unité de recherche HAVAE(Université de Limoges, France). Le projet a été approuvé par le comité d’éthique du Centre intégré et universitaire de santé et des services sociaux de la Capitale-Nationale (# 2022-2449, RIS) (Québec, Canada). Le MRP Cutii® utilisé dans ces études vise à rompre l’isolement social des personnes âgées. Conçu comme un support de visioconférence mobile, il permet de suivre à distance de manière synchrone des programmes d’exercices physiques.Trois études sont présentées dans cette thèse. En se basant sur la Théorie unifiée de l'acceptation et de l'utilisation des technologies-2 (UTAUT2), l’étude 1 a permis d’évaluer l'acceptabilité a priori du MRP. L’étude 2 a permis d’évaluer l'acceptation située du MRP dans le cadre d'une intervention à distance auprès de 2 groupes de personnes (autonome ou semi-autonome). Ces 2 études ont été menées au Québec auprès de personnes âgées de plus de 65 ans vivant en résidence privée pour ainés. Une 3ème étude prévue en France visait à évaluer l'équivalence de deux groupes concernant l'équilibre suite à la réalisation d’un programme d’entrainement de 8 semaines proposée i) de manière synchrone par un MRP, ii) en présentiel. La faillite de l’entreprise CareClever a empêché sa réalisation, seul son protocole est présenté.Les résultats de l’étude 1 (n=19) révèlent que bien que les participants ont bien accueilli leur première expérience, leur intention d'utiliser les MRP à l'avenir reste faible, soulignant une faible acceptabilité a priori. L’étude 2 (n=21) a confirmé ces résultats après une utilisation prolongée (4 à 6 semaines) indiquant une faible acceptation située des MRP. Des réserves sont émises sur l'adéquation des MRP avec les besoins des personnes âgées qui semblent privilégier une aide fonctionnelle plutôt que sociale. Les MRP semblent avoir des avantages limités par rapport à d’autres technologies. En utilisant les critères de Thabane et al. (2010) l’étude 2, a montré la faisabilité du programme en téléexercice, soulignant l’engagement des participants et la sécurité des exercices. Des réserves sur l’utilisabilité et la fiabilité des MRP demeurent.Ce projet de doctorat a permis d'évaluer l'acceptabilité a priori et l’acceptation située du MRP Cutii® chez des personnes âgées vivant en résidence pour ainés. Plusieurs freins à l’acceptabilité des MRP sont identifiés : l'inadéquation entre les objectifs des MRP et les besoins des résidents, une comparaison défavorable avec d'autres technologies. Néanmoins, des preuves soutiennent la faisabilité des programmes en téléexercice proposé via les MRP Cutii®. L'efficacité du programme d’exercices physiques sur la condition physique doit être évaluer. Des recherches futures avec des échantillons plus larges et diversifiés sont nécessaires pour réévaluer la technologie en constante évolution et pour mesurer l'engagement à long terme des personnes âgées aux programme d’exercices physiques proposés via les MRP
Interventions focused on physical exercise help promote healthier aging. However, older adults' engagement in these programs remains relatively low due to environmental and personal barriers, such as limited access to infrastructure, mobility difficulties, or lack of motivation. To address these challenges, technologies like mobile robotic telepresence (MRP) can be used. Their integration into daily practice is still limited, and it is uncertain whether they will be well accepted by older adults or enable the feasibility of exercise programs. Acceptability, defined as the willingness to use a technology, is essential for the feasibility and effectiveness of interventions. The goal of this thesis was to evaluate the acceptability of the MRP Cutii® (CareClever) and then propose a remote exercise program for older adults.This thesis was carried out in collaboration with Cirris (Université Laval, Québec) and the HAVAE research unit (Université de Limoges, France). The project was approved by the ethics committee of the Centre intégré et universitaire de santé et des services sociaux de la Capitale-Nationale (# 2022-2449, RIS) (Québec, Canada). The MRP Cutii® used in these studies aims to break the social isolation of older adults. Designed as a mobile videoconferencing support, it allows remote, synchronous participation in physical exercise programs.Three studies are presented in this thesis. Based on the Unified Theory of Acceptance and Use of Technology-2 (UTAUT2), Study 1 evaluated the a priori acceptability of the MRP. Study 2 evaluated the situated acceptance of the MRP within the context of a remote intervention among two groups of individuals (autonomous or semi-autonomous). These two studies were conducted in Québec with participants aged over 65 living in private senior residences. A third study planned in France aimed to evaluate the equivalence of two groups concerning balance after completing an eight-week training program offered i) synchronously via MRP, ii) face-to-face. The bankruptcy of the CareClever company prevented its completion, and only its protocol is presented.The results of Study 1 (n=19) reveal that although participants responded positively to their first experience, their intention to use the MRP in the future remains low, highlighting a low a priori acceptability. Study 2 (n=21) confirmed these results after prolonged use (4 to 6 weeks), indicating low situated acceptance of the MRP. Reservations were expressed about the fit of the MRP with the needs of older adults, who seemed to prioritize functional over social assistance. The MRP appears to have limited advantages compared to other technologies. Using Thabane et al.’s (2010) criteria, Study 2 demonstrated the feasibility of the remote exercise program, emphasizing participant engagement and exercise safety. However, concerns about the usability and reliability of the MRP remain.This doctoral project evaluated the a priori acceptability and situated acceptance of the MRP Cutii® among older adults living in senior residences. Several barriers to the acceptability of the MRP were identified: the mismatch between the MRP’s objectives and the residents' needs, and unfavorable comparisons with other technologies. Nevertheless, evidence supports the feasibility of remote exercise programs offered via the MRP Cutii®. The effectiveness of the exercise program on physical condition remains to be assessed. Future research with larger and more diverse samples is needed to re-evaluate the constantly evolving technology and to measure the long-term engagement of older adults in exercise programs offered via the MRP