{
    "abstract": "Individuals with chronic neurological impairments often face significant barriers to regular exercise such as limited access to facilities, transportation challenges, and safety concerns. Tele-exercise has emerged as a potential solution to these challenges, particularly in the context of the COVID-19 pandemic. This study aimed to investigate the effects of a seated home-based tele-exercise regimen on cardiovascular function in adults with chronic neurological impairments.\nIn this virtual randomized controlled trial, 63 participants with Chronic Neurological Impairments were randomized into either a synchronous group that attended live online exercise sessions via Zoom, or an asynchronous group that accessed pre-recorded exercise sessions. Both groups completed three 45\u2005min sessions per week focused on moderate to high-intensity seated exercises over 12 weeks. Primary outcomes including Heart Rate (HR) Recovery (HRR), HR at Rest (HR Rest) and HR at peak exercise (HR Max) were averaged across three sessions at baseline, mid-study, and end of study. Secondary outcomes, including satisfaction with the equipment and virtual format were assessed using custom-designed surveys, while exercise motivation, enjoyment, and quality of life were measured using standardized instruments.\nThe analysis of HRR across the pre (\nWhile no significant cardiovascular improvements were observed, the study highlights the feasibility of a virtual, seated exercise program for individuals with chronic neurological impairments. The higher reported exercise motivation in the synchronous group suggests that live, interactive sessions may be more engaging for participants. These findings underscore the potential of tele-exercise programs to provide accessible, home-based interventions, though further research is necessary to assess their long-term impact on cardiovascular health and overall well-being.\nidentifier (NCT04564495).",
    "authors": [
        {
            "affiliation": "Clinical Laboratory for Early Brain Injury Recovery, Burke Neurological Institute, White Plains, NY, United States.\nPhysical Therapy Department, University of Rhode Island, Kingston, RI, United States.",
            "firstname": "Devina S",
            "initials": "DS",
            "lastname": "Kumar"
        },
        {
            "affiliation": "Clinical Laboratory for Early Brain Injury Recovery, Burke Neurological Institute, White Plains, NY, United States.",
            "firstname": "Amy",
            "initials": "A",
            "lastname": "Bialek"
        },
        {
            "affiliation": "Department of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York, NY, United States.",
            "firstname": "Ayushi A",
            "initials": "AA",
            "lastname": "Divecha"
        },
        {
            "affiliation": "Clinical Laboratory for Early Brain Injury Recovery, Burke Neurological Institute, White Plains, NY, United States.",
            "firstname": "Rachel M",
            "initials": "RM",
            "lastname": "Garn"
        },
        {
            "affiliation": "Clinical Laboratory for Early Brain Injury Recovery, Burke Neurological Institute, White Plains, NY, United States.",
            "firstname": "Lydia E J",
            "initials": "LEJ",
            "lastname": "Currie"
        },
        {
            "affiliation": "Clinical Laboratory for Early Brain Injury Recovery, Burke Neurological Institute, White Plains, NY, United States.\nBrain and Mind Research Institute, Weill Cornell Medicine, New York, NY, United States.",
            "firstname": "Kathleen M",
            "initials": "KM",
            "lastname": "Friel"
        }
    ],
    "conclusions": "While no significant cardiovascular improvements were observed, the study highlights the feasibility of a virtual, seated exercise program for individuals with chronic neurological impairments. The higher reported exercise motivation in the synchronous group suggests that live, interactive sessions may be more engaging for participants. These findings underscore the potential of tele-exercise programs to provide accessible, home-based interventions, though further research is necessary to assess their long-term impact on cardiovascular health and overall well-being.",
    "copyrights": "\u00a9 2025 Kumar, Bialek, Divecha, Garn, Currie and Friel.",
    "doi": "10.3389/fresc.2025.1477969\n10.1111/dmcn.14176\n10.1001/jamaneurol.2020.0664\n10.1038/sj.sc.3102161\n10.1001/jama.2018.14854\n10.1016/j.physio.2016.10.336\n10.3390/ijerph18147341\n10.3390/brainsci13091296\n10.1161/STR.0000000000000022\n10.1186/s12883-022-02700-7\n10.3390/ijerph18179148\n10.1056/NEJM199910283411804\n10.1007/s10286-018-0558-3\n10.2165/00007256-200838080-00002\n10.7326/M20-2665\n10.2196/42157\n10.1016/j.jaip.2020.04.039\n10.1016/j.jocn.2022.03.006\n10.2147/AMEP.S116071\n10.3233/978-1-60750-018-6-231\n10.5600/mmrr.003.04.a04\n10.3390/healthcare9060654\n10.1016/j.pop.2022.04.002\n10.1097/MD.0000000000037214\n10.1055/s-0038-1634378\n10.1016/j.nurpra.2020.09.013\n10.2196/rehab.7511\n10.1136/bmjopen-2022-065032\n10.1371/journal.pone.0217288\n10.1007/BF00290156\n10.1136/bmj.305.6846.160\n10.4278/0890-1171-11.3.208\n10.1123/jsep.13.1.50\n10.1093/bja/aen103\n10.1249/00005768-198205000-00012\n10.1111/ajag.12603\n10.3233/NRE-130938\n10.1016/j.msard.2020.101960\n10.1155/2021/9202716\n10.1186/s11556-018-0206-x\n10.1093/geroni/igy002\n10.2196/20359",
    "journal": "Frontiers in rehabilitation sciences",
    "keywords": [
        "cardiovascular function",
        "chronic neurological impairments",
        "rehabilitation",
        "tele-exercise",
        "virtual"
    ],
    "methods": null,
    "publication_date": "2025-04-10",
    "pubmed_id": "40207026\n30727025\n32364569\n18180789\n30418471\n29958016\n34299792\n37759897\n24846875\n35562707\n34501739\n10536127\n30141031\n18620464\n32598162\n36269870\n32360185\n35286972\n28721113\n19592797\n24834368\n34072939\n36357058\n38428904\n14654886\n33106751\n28733271\n36693691\n31120968\n1285753\n10165100\n18487245\n7154893\n30548900\n24603938\n23949040\n32032843\n34616849\n30564291\n30480129\n32784177",
    "results": "The analysis of HRR across the pre (",
    "title": "A seated virtual exercise program to improve cardiovascular function in adults with chronic neurological impairments: a randomized controlled trial.",
    "xml": "<Element 'PubmedArticle' at 0x788506d01120>"
}