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<p>Peripheral arterial occlusive disease (PAOD) is the third most frequent cardiovascular disease and is associated with high morbidity, mortality and a substantial impairment of the quality of life. Rehabilitation improves outcomes but is still insufficiently utilized. In Germany, despite more than 2.3&#xa0;million affected adults and rising hospitalization rates, the utilization of rehabilitation measures is below 2% of all cardiovascular cases, reflecting a&#xa0;mismatch between evidence-based guideline recommendations and the clinical practice. Telerehabilitation has emerged as a&#xa0;promising strategy to bridge this gap. Experiences from cardiological rehabilitation demonstrate that home-based digitally supported programs are safe, effective and cost-efficient. In PAOD digitally augmented structured home-based exercise programs have shown improvements in walking distance, functional capacity, adherence and cardiovascular protection. Pilot studies, real-world analyses and systematic reviews support the feasibility and safety, while ongoing randomized trials are generating additional evidence. Barriers to widespread implementation include low health literacy, limited digital acceptance among older patients, safety concerns and a lack of reimbursement models. Policy initiatives, such as the EU plan for cardiovascular health and the German pAVK-TeGeCoach project, emphasize digital solutions but integration into routine care is still pending. Telerehabilitation represents a&#xa0;scalable and potentially cost-neutral approach to address the imbalance between PAOD burden and rehabilitation capacity.</p>

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Rehabilitation bei peripherer arterieller Verschlusskrankheit: Bedeutung und Perspektiven der Telerehabilitation in Deutschland

  • 期刊论文

  • 发表日期：

    2026年1月7日

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  • Oana Bartos,
  • Johannes Hatzl,
  • Benedikt Reutersberg,
  • Grischa Hoffmann,
  • Christian Behrendt,
  • Christian Uhl,
  • Jörg Heckenkamp,
  • Bernhard Dorweiler

摘要

Peripheral arterial occlusive disease (PAOD) is the third most frequent cardiovascular disease and is associated with high morbidity, mortality and a substantial impairment of the quality of life. Rehabilitation improves outcomes but is still insufficiently utilized. In Germany, despite more than 2.3 million affected adults and rising hospitalization rates, the utilization of rehabilitation measures is below 2% of all cardiovascular cases, reflecting a mismatch between evidence-based guideline recommendations and the clinical practice. Telerehabilitation has emerged as a promising strategy to bridge this gap. Experiences from cardiological rehabilitation demonstrate that home-based digitally supported programs are safe, effective and cost-efficient. In PAOD digitally augmented structured home-based exercise programs have shown improvements in walking distance, functional capacity, adherence and cardiovascular protection. Pilot studies, real-world analyses and systematic reviews support the feasibility and safety, while ongoing randomized trials are generating additional evidence. Barriers to widespread implementation include low health literacy, limited digital acceptance among older patients, safety concerns and a lack of reimbursement models. Policy initiatives, such as the EU plan for cardiovascular health and the German pAVK-TeGeCoach project, emphasize digital solutions but integration into routine care is still pending. Telerehabilitation represents a scalable and potentially cost-neutral approach to address the imbalance between PAOD burden and rehabilitation capacity.