Telerehabilitation Programme as a Maintenance Strategy for COPD Patients: A 12-Month Randomized Clinical Trial

Gáldiz, Juan B.; Gómez, Alba; Rodríguez, Diego A.; Güell, Rosa; Cebollero, Pilar; Hueto, Javier; Cejudo, Pilar; Ortega, Francisco; Sayago, Itxaso; Chic, Susana; Urrutia, Marta Íscar; Diago, Carlos Antonio Amado; Trigo, Gemma Rodríguez; Cosío, Borja G.; Bustamante, Vı́ctor; Pijoan, Josèc) Ignacio

doi:10.1016/j.arbres.2020.03.034

Cited by 28 publications

(102 citation statements)

References 34 publications

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“…Out of them, five articles were removed because of not meeting the inclusion criteria. Thirteen studies were retained for the final analysis [ 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 ].…”

Section: Resultsmentioning

confidence: 99%

Telerehabilitation as a Form of Pulmonary Rehabilitation in Chronic Lung Disease: A Systematic Review

et al. 2022

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Introduction: Tele-rehabilitation is increasingly used to deliver pulmonary rehabilitation. The aim of this systematic review was to compare the effect between tele-pulmonary rehabilitation and classical supervised pulmonary rehabilitation. Method: Three databases were analysed (PubMed, PEDro, Scopus). The selection and evaluation of studies followed the PRISMA guidelines. The risk of bias was evaluated using the PEDro Scale. Results: From the initial selection (n = 245), ten studies were retrieved, including from 10 to 67 patients. All but two (IPF) included patients with COPD. Based on the FEV1, patients with COPD were mainly categorised as moderate and severe. The teleactivities were heterogenous in terms of proposed exercises and way of settings and often not in agreement with the guidelines about pulmonary rehabilitation. Despite this, the effects of the interventions were globally positive on functional exercise capacity, quality of life, anxiety and depression, and impact of COPD on personal life but not on dyspnoea. The PEDro scores varied from 4 to 8. The adherence was higher than 80% when supervision during the exercise was included. Conclusion: This review demonstrated that the telerehabilitation is safe and well accepted by the patients, and could be considered as one option of classical pulmonary rehabilitation to improve the functional exercise capacity, quality of life, anxiety and depression, and the impact of COPD on personal’s life. This conclusion cannot be extrapolated to the other chronic lung diseases due to the lack of data.

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Section: Resultsmentioning

confidence: 99%

Telerehabilitation as a Form of Pulmonary Rehabilitation in Chronic Lung Disease: A Systematic Review

et al. 2022

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“…This model showed a high degree of acceptability and adherence, as well as improvements in participants' self-management abilities, but no significant improvement in dyspnoea. Galdiz et al [43] conducted a 12-month RCT comparing unsupervised tele-rehab program as a maintenance strategy to usual care (no intervention), and found that significant improvements were observed in psychological domains (SF-36, CRDQ-emotion score) but not exercise capacity.…”

Section: Unsupervised Tele-pulmonary Rehabilitationmentioning

confidence: 99%

Pulmonary rehabilitation in a postcoronavirus disease 2019 world: feasibility, challenges, and solutions

Wen

Milne

Sin

2021

Current Opinion in Pulmonary Medicine

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Purpose of reviewPulmonary rehabilitation improves clinical outcomes in patients with chronic obstructive pulmonary disease (COPD). Traditional centre-based (in-person) pulmonary rehabilitation was largely shut down in response to the COVID-19 pandemic, forcing many centres to rapidly shift to remote home-based programs in the form of telerehabilitation (tele-pulmonary rehabilitation). This review summarizes the recent evidence for the feasibility and effectiveness of remote pulmonary rehabilitation programs, and their implications for the delivery of pulmonary rehabilitation in a postpandemic world. Recent findingsA number of innovative adaptations to pulmonary rehabilitation in response to COVID-19 have been reported, and the evidence supports tele-pulmonary rehabilitation as a viable alternative to traditional centre-based pulmonary rehabilitation. However, these studies also highlight the challenges that must be surmounted in order to see its widespread adoption.

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“…Patients were provided with dumbbells and a stationary bike, and an app that guided them through aerobic and resistance exercises. While there were improvements in exercise capacity (mean 6MWD change = 19.9 m) and HRQL (measured with the CRQ), these improvements were not significant [25].…”

Section: Ehealth and Mhealthmentioning

confidence: 75%

“…The authors hypothesized that perhaps both the exercises prescribed and the technology used were not sufficiently motivating or stimulating for at-home exercise and suggested that future work should incorporate motivational strategies (e.g., gaming technologies) and exercise variation to improve motivation [24]. A recent RCT evaluated whether use of an app after conventional PR was effective in maintaining the benefits achieved during PR [25]. Patients were provided with dumbbells and a stationary bike, and an app that guided them through aerobic and resistance exercises.…”

Section: Ehealth and Mhealthmentioning

confidence: 99%

Promoting Exercise Training Remotely

Robinson

Moy

2022

Life

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There has been increased incentivization to develop remote exercise training programs for those living with chronic respiratory diseases, such as chronic obstructive pulmonary disease (COPD). Remote programs offer patients an opportunity to overcome barriers to accessing traditional in-person programs, such as pulmonary rehabilitation (PR). Methods to deliver exercise training remotely range in complexity and types of technological modalities, including phone calls, real-time video conferencing, web- and app-based platforms, video games, and virtual reality (VR). There are a number of studies demonstrating the effectiveness of these programs on exercise capacity, dyspnea, and health-related quality of life (HRQL). However, there is great variation in these programs, making it difficult to assess findings across studies. Other aspects that contribute to the effectiveness of these programs include stakeholder perceptions, such as motivation and willingness to engage, and adherence. Finally, while the intent of these remote programs is to overcome barriers to access, they may inadvertently exacerbate access disparities. Future program development efforts should focus on standardizing how remote exercise training is delivered, engaging stakeholders early on to develop patient-centered programs that patients will want to use, and understanding the heterogeneous preferences and needs of those living with chronic respiratory disease in order to facilitate engagement with these programs.

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Telerehabilitation Programme as a Maintenance Strategy for COPD Patients: A 12-Month Randomized Clinical Trial

Cited by 28 publications

References 34 publications

Telerehabilitation as a Form of Pulmonary Rehabilitation in Chronic Lung Disease: A Systematic Review

Telerehabilitation as a Form of Pulmonary Rehabilitation in Chronic Lung Disease: A Systematic Review

Pulmonary rehabilitation in a postcoronavirus disease 2019 world: feasibility, challenges, and solutions

Promoting Exercise Training Remotely

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