Telerehabilitation Using Fitness Application in Patients with Severe Cystic Fibrosis Awaiting Lung Transplant: A Pilot Study

Layton, Aimee M.; Irwin, Andrew; Mihalik, Erin C; Fleisch, Emily; Keating, Claire; DiMango, Emily; Shah, Lori; Arcasoy, Selim M.

doi:10.1155/2021/6641853

Cited by 17 publications

(30 citation statements)

References 32 publications

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“…The group still exists, and they reported to meet daily during the weekdays for about 30 minutes to perform endurance type and strengthening exercises together (personal communication to first author). Telehealth interventions and virtual exercise classes to deliver and promote physical activity among pwCF appear feasible [ 28 – 30 ]; such tools could be further developed by healthcare professionals in collaboration with pwCF and upscaled offering supervised home-based exercise training to pwCF during periods when training facilities are closed. Moreover, virtual exercise groups offer an elegant opportunity for pwCF to exercise with their peers, that is usually not possible and not recommended due to risk of cross infection.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 pandemic restrictions continuously impact on physical activity in adults with cystic fibrosis

et al. 2021

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Background We have recently reported reduced physical activity (PA) in people with cystic fibrosis (pwCF) with and without lung transplantation (LTX) during a 6-week stringent lockdown in Switzerland. This follow-up study explores the impact of coronavirus-2019 disease (COVID-19) related pandemic restrictions on individuals’ therapy regimens and health-related aspects in pwCF. Methods We conducted a cross-sectional web-based national survey in Spring 2021. The survey included questions on daily PA, airway clearance and inhalation therapy, questions on COVID-19-compatible symptoms, diagnostic tests and vaccination status, and enquired health-related aspects covering the pandemic period between March 2020 to April 2021. Results 193 individuals with CF (53% female; 25% LTX recipients) participated. Among pwCF, 10 reported COVID-19 (n = 2 LTX recipients), two subjects were hospitalized, no invasive ventilation required, no deaths. The clinical course was generally mild. Overall, 46% reported less PA during the pandemic, mostly due to closed fitness facilities (85%), lack of motivation (34%), and changes in daily structures (21%). In contrast, 32/193 (17%) pwCF were able to increase their PA levels: 12 (38%) and 11 (34%) reported undertaking home-based training and outdoor activities more frequently; 6 (19%) reported an increase in routine PA, and another 3 (9%) started new activities. Among pwCF without LTX, 5% and 4% reported to undertake less airway clearance and inhalation therapy, respectively. Conclusions Our study reveals unfavorable consequences of COVID-19 pandemic restrictions on PA of pwCF with unknown long-term consequences for their overall physical fitness and lung health. Strategies to overcome this undesirable situation are needed; increased uptake of telehealth PA programs and virtual exercise classes to promote PA participation might be one promising approach along with vaccination of pwCF and their close contacts.

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Section: Discussionmentioning

confidence: 99%

COVID-19 pandemic restrictions continuously impact on physical activity in adults with cystic fibrosis

et al. 2021

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“…Patients and physicians showed a high level of satisfaction with teleconsultation. Authors in [ 94 ] assessed a home-based pulmonary rehabilitation program using telemedicine in lung transplant candidates with cystic fibrosis. The tele-rehabilitation program was based on a combination of self-selected activity and a fitness application.…”

Section: Taxonomymentioning

confidence: 99%

Telehealth utilization during the Covid-19 pandemic: A systematic review

Garfan¹,

Alamoodi²,

Zaidan

et al. 2021

Computers in Biology and Medicine

272

147

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During the coronavirus disease (COVID-19) pandemic, different technologies, including telehealth, are maximised to mitigate the risks and consequences of the disease. Telehealth has been widely utilised because of its usability and safety in providing healthcare services during the COVID-19 pandemic. However, a systematic literature review which provides extensive evidence on the impact of COVID-19 through telehealth and which covers multiple directions in a large-scale research remains lacking. This study aims to review telehealth literature comprehensively since the pandemic started. It also aims to map the research landscape into a coherent taxonomy and characterise this emerging field in terms of motivations, open challenges and recommendations. Articles related to telehealth during the COVID-19 pandemic were systematically searched in the WOS, IEEE, Science Direct, Springer and Scopus databases. The final set included (n=86) articles discussing telehealth applications with respect to (i) control (n=25), (ii) technology (n=14) and (iii) medical procedure (n=47). Since the beginning of the pandemic, telehealth has been presented in diverse cases. However, it still warrants further attention. Regardless of category, the articles focused on the challenges which hinder the maximisation of telehealth in such times and how to address them. With the rapid increase in the utilization of telehealth in different specialised hospitals and clinics, a potential framework which reflects the authors’ implications of the future application and opportunities of telehealth has been established. This article improves our understanding and reveals the full potential of telehealth during these difficult times and beyond.

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“…Out of the total 26 studies conducted between 2011 and 2021; 15 (58%) were cohort studies, 10 (38%) were RCTs and one (4%) was a case series (Table 1). Twenty-one (81%) of the studies included participants with COPD [16][17][18][19][20][21][22][23][24][25][26][29][30][31][32][33][34][35][36]39,40], four (15%) with COVID-19 [27,28,37,38] and one (4%) with cystic fibrosis [15].…”

Section: Resultsmentioning

confidence: 99%

“…Eleven studies compared tele-rehabilitation to conventional clinic-based PR (Table 2), seven of which were RCTs [16][17][18][19][20][21][22] and 4 were cohort studies [15,[23][24][25]. The RCTs included a total of n = 979 study participants with n = 477 participants receiving traditional PR while 502 received a tele-rehabilitation-based intervention.…”

Section: Tele-rehabilitation Vs Conventional Pulmonary Rehabmentioning

confidence: 99%

“…These were standardized group sessions with durations varying from 30 min [16], to 60 min [23] and to 2 h [25]. Others used an online platform with pre-recorded sessions [20][21][22]24] or a smartphone-based application [15]. The sessions were individualized and were performed at the patients' convenience.…”

Section: Tele-rehabilitation Vs Conventional Pulmonary Rehabmentioning

confidence: 99%

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Will Remotely Based Pulmonary Rehabilitation Water Down Its Effectiveness?

Rawal

Cornelison

Flynn

et al. 2021

Life

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Despite numerous benefits, traditional Pulmonary Rehabilitation (PR) as a resource remains underutilized in chronic lung disease. Less than 3% of eligible candidates for PR attend one or more sessions after hospitalization due to many barriers, including the ongoing COVID-19 pandemic. Emerging alternative models of PR delivery such as home-based PR, tele-rehabilitation, web-based PR, or hybrid models could help address these barriers. Numerous studies have tested the feasibility, safety, and efficacy of these methods, but there is wide variability across studies and methods. We conducted a literature review to help determine if these alternative delivery methods watered down the effectiveness of PR. To evaluate the effectiveness of remotely based PR, the authors performed a literature search for randomized controlled trials (RCTs), cohort studies, and case series using PubMed, CINAHL, and Medline to identify relevant articles through 1 May 2021. Twenty-six applicable studies were found in which 11 compared tele-rehabilitation to conventional clinic-based PR; 11 evaluated tele-rehabilitation using the patient’s baseline status as control; and four compared tele-rehabilitation to no rehabilitation. Despite the different technologies used across studies, tele-rehabilitation was found to be both a feasible and an efficacious option for select patients with lung disease. Outcomes across these studies demonstrated similar benefits to traditional PR programs. Thus the existing data does not show that remotely based PR waters down the effectiveness of conventional PR. Use of remotely based PR is a feasible and effective option to deliver PR, especially for patients with significant barriers to conventional clinic-based PR. Additional, well-conducted RCTs are needed to answer the questions regarding its efficacy, safety, cost-effectiveness and who, among patients with COPD and other lung diseases, will derive the maximum benefit.

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Telerehabilitation Using Fitness Application in Patients with Severe Cystic Fibrosis Awaiting Lung Transplant: A Pilot Study

Cited by 17 publications

References 32 publications

COVID-19 pandemic restrictions continuously impact on physical activity in adults with cystic fibrosis

COVID-19 pandemic restrictions continuously impact on physical activity in adults with cystic fibrosis

Telehealth utilization during the Covid-19 pandemic: A systematic review

Will Remotely Based Pulmonary Rehabilitation Water Down Its Effectiveness?

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