The Use of Samsung Health and ECG M-Trace Base II Applications for the Assessment of Exercise Tolerance in the Secondary Prevention in Patients after Ischemic Stroke.

Mateusz Lucki,Ewa Chlebuś,Przemysław Lisiński,Agnieszka Wareńczak

doi:10.3390/ijerph18115753

Abstract

Background and objectives: The aim of the study was to use the mobile application Samsung Health for the assessment of parameters of exercise tolerance and the ECG (electrocardiogram) M-Trace Base II for the assessment of cardiological parameters. Materials and Methods: The measurements were conducted during rest and after performing SMWT (Six Minute Walk Test) and SCT (Stair Climb Test) in 26 patients after ischemic stroke (IS) and 26 healthy individuals. Results: In the SMWT, the post-stroke group (SG) walked a shorter distance (p < 0.001), achieving lower mean gait velocity (p < 0.001) and lower maximum gait velocity (p = 0.002). In the SCT, SG achieved a lower mean gait velocity (p < 0.001) and lower maximum gait velocity (p < 0.001) when compared to the control group (CG). In SG, myocardial ischemia in ECG was noted in four patients after SMWT and in three patients following SCT. Both in SG and in CG the increase in SBP (systolic blood pressure) value measured after SMWT and SCT compared to at rest (p < 0.001) was observed. In SG, in the compared ratios rest to SMWT and SCT as well as SMWT to SCT, there was an increase in HR (heart rate) (p < 0.001). Conclusions: ECG M-Trace Base II and Samsung Health are mobile applications that can assess cardiological parameters and exercise tolerance parameters in patients after IS, so they can be used to plan the intensity of exercise in rehabilitation programs.

Highlights

Stroke is a significant social problem, because it remains one of the main causes of morbidity and long-term disability and the second most frequent cause of death [1,2,3].Currently, a significant increase in stroke prevalence is observed and approximately 31%of stroke events occur in people under 65 years of age [2,3]
Exercise Tolerance Parameters Measured with Samsung Health Application
Both during Six-Minute Walk Test (SMWT) and Stair Climb Test (SCT), in the post-stroke group of patients, significantly greater fatigue and dyspnoea according to the modified Borg scale were observed compared to the control group (p < 0.001)

Summary

Introduction

Stroke is a significant social problem, because it remains one of the main causes of morbidity and long-term disability and the second most frequent cause of death [1,2,3].Currently, a significant increase in stroke prevalence is observed and approximately 31%of stroke events occur in people under 65 years of age [2,3]. In the SCT, SG achieved a lower mean gait velocity (p < 0.001) and lower maximum gait velocity (p < 0.001) when compared to the control group (CG). In SG, myocardial ischemia in ECG was noted in four patients after SMWT and in three patients following SCT. Both in SG and in CG the increase in SBP (systolic blood pressure) value measured after SMWT and SCT compared to at rest (p < 0.001) was observed. Conclusions: ECG M-Trace Base II and Samsung Health are mobile applications that can assess cardiological parameters and exercise tolerance parameters in patients after IS, so they can be used to plan the intensity of exercise in rehabilitation programs

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Discussion

Conclusion