Monitoring and Evaluation of the Patients’ Motor Regimen Effectiveness in Rehabilitation and Health Resort Treatment: а Prospective Randomized Study

Abstract

INTRODUCTION. In medicine, remote monitoring (RM) is a clinical digital technology with software, sensors and equipment for transmitting signals from patients and analyzing them by a physician. Determination of the nature and volume of motor activity of patients is a key condition in medical rehabilitation programs. However, existing monitoring surveillance systems do not assess these parameters.
 AIM. To scientifically substantiate the development of an improved information methodology for remote monitoring of the volume and nature of patients motor activity in accordance with their physiological capabilities for rehabilitation in sanatoriums.
 MATERIALS AND METHODS. A hardware and software complex was used (certificate of state registration of a computer program No. 2022611766 dated 01.02.2022) with the function of registering motor intensity and heart rate indicators of users. The study involved 80 patients in a 24-hour hospital. 42 patients received a rehabilitation program for chronic coronary heart disease (CHD), myocardial infarction (I25.2 according to ICD-10); 38 patients for long COVID (U09.9 according to ICD-10).
 RESULTS AND DISCUSSION. When assessing motor activity, it was revealed that in patients suffering from chronic CHD with a history of myocardial infarction, the average number of steps per day was 8877,5, and in the U09.9 group 9430,3 steps per day. The total density of the motor load corresponded to 35-36 %. The ratio of daytime wakefulness to the time of active procedures in the groups corresponded to 27.6 % and 20,1 %. After the rehabilitation course, there was an improvement in vegetative regulation, according to the endurance ratio, the weakening of the cardiovascular system activity in both groups remained, despite some improvement in the indicators in group 1 from 18.50 0.80 to 16.50 0.15 (p 0.05), the level of hemodynamic load on the cardiovascular system improved only in group 2 from 95,1 5.1 to 80.1 2.5 ((p 0.01). The adaptive potential of the circulatory system remained reduced in both groups.
 CONCLUSION. The developed technology of remote monitoring of the motor regime of patients is intended for rehabilitation and sanatorium-resort organizations to evaluate medical rehabilitation programs according to the intensity of physical therapy, the training zone of the intensity of motor intensity according to heart rate and motor density of rehabilitation measures.