The Effectiveness of TV Rehabilitation as a Component of a Comprehensive Home Rehabilitation Program for Patients Diagnosed with Coronary Heart Disease (Angina Pectoris, Functional Class I) and Obesity of the First Degree

Introduction. Coronary heart disease (CHD) is one of the leading causes of disability and mortality. Telerehabilitation as an innovative approach provides remote monitoring and personalized support, increasing the accessibility and effectiveness of rehabilitation. The aim of the study. To determine the effectiveness of TV rehabilitation as a component of a comprehensive home rehabilitation program for patients diagnosed with coronary heart disease: angina pectoris, functional class I; obesity, degree I, analyzing its impact on the energy potential of their body, body weight and quality of life. Materials and methods. The study involved 61 patients (55-62 years old) with coronary artery disease: angina pectoris of the first class and obesity after inpatient treatment. Participants were randomized into 2 groups: group 1 received standard therapy, physical activity, and self-monitoring; group 2 received additional TV rehabilitation with the Active Arcade application. The effectiveness was assessed by Robinson's index (RI), Body Mass Index (BMI), and Seattle Angina Questionnaire (SAQ) for 3 months. Results. The initial indicators of DI in the groups were similar (group 1 - 99.1 units; group 2 - 99.6 units). After three months, the RI in group 1 decreased to 94.8 units (moderate effect without statistical significance), in group 2 - to 77.4 units (p < 0.05). BMI decreased in the 1st group from 32.03 to 30.49 kg/m², in the 2nd group - from 31.91 to 26.88 kg/m². According to the SAQ, the 2nd group, which used TV rehabilitation through Active Arcade, showed a significantly pronounced improvement, emphasizing its effectiveness. Conclusions. The results of the study confirm the effectiveness of the TV rehabilitation program using the Active Arcade application, which indicates the feasibility of introducing innovative rehabilitation methods into medical practice.