Development of the Internet-Enabled System for Exercise Telerehabilitation and Cardiovascular Training.
OBJECTIVE
Sustained exercise training could significantly improve patient rehabilitation and management of noncommunicable diseases in the community. This study aimed to develop a universal telecare system for delivery of exercise rehabilitation and cardiovascular training services at home.


METHODS
An innovative bilateral leg training device was equipped with an electronic system for the ongoing measurement of training activities with the device. A single-item parameter reflecting the intensity of training was monitored using several modern telecommunication technologies. According to the application protocol, eight volunteers first tried the device for 30-60 min to determine their personal training capacity. Then, they were provided with equipment to use at home for 4 weeks. Adherence to daily training was assessed by the number of training days per week, training intensity, and duration of training sessions.


RESULTS
The system provided reliable recording of training activities with the device using (1) long-term data logging without an ongoing connection to the computer, (2) wireless monitoring and recording of training activities on a stand-alone computer, and (3) a secure cloud-based monitoring over the Internet connection using electronic devices, including smartphones. Overall analysis of recordings and phone feedbacks to participants took only approximately 5 h for the duration of study.


CONCLUSIONS
This study, although of a pilot nature, described the comprehensive exercise telerehabilitation system integrating mobile training equipment with personalized training protocols and remote monitoring. A single-item electronic parameter of the system usage facilitated time-effective data management. Wireless connection allowed various locations of device application and several monitoring arrangements ranging from real-time monitoring to long-term recording of exercise activities. A cloud-based software platform enabled management of multiple users at distance. Implementation of this model may facilitate both accessibility and availability of personalized exercise telerehabilitation services. Further studies would validate it in the clinical and healthcare environment.
1 MDXD Pty Ltd. , Sans Souci, New South Wales, Australia .
Vadim N
VN
Dedov
2 School of Medical Sciences, University of New South Wales , Sydney, New South Wales, Australia .
Irina V
IV
Dedova
D000328:Adult; D002319:Cardiovascular System; D005081:Exercise Therapy / Q000458:organization & administration*; D006801:Humans; D020407:Internet; D008875:Middle Aged; D016730:Program Development; D000069350:Telerehabilitation
information management; rehabilitation; sensor technology; technology; telemedicine