J Telemed Telecare - Telerehabilitation for people with chronic obstructive pulmonary disease: feasibility of a simple, real time model of supervised exercise training.


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We evaluated the safety and feasibility of home telerehabilitation for people with chronic obstructive pulmonary disease (COPD). Eight patients with mean age of 66 years and moderately impaired lung function took part. The telerehabilitation equipment in the participant's home included an exercise bicycle, a tablet computer with webcam for low bandwidth videoconferencing, and a pulse oximeter positioned so that the display was visible while videoconferencing. Participants undertook supervised aerobic training twice a week for eight weeks, with two participants and a physiotherapist attending each class via videoconferencing from separate locations. Primary outcomes were adverse events, sessions attended and system usability. Secondary outcomes were the 6-minute walk distance (6MWD) and Chronic Respiratory Questionnaire (CRQ). No significant adverse events occurred during the study. Participants attended 76% of possible sessions. System usability ratings were excellent when sessions were delivered via the university network (mean 94 out of 100) but lower when using the hospital network (mean 59 out of 100), with 67% of technical problems related to data network capability. Five participants completed the programme, with clinically significant improvements in 6MWD (mean 27 m, SD 40) and CRQ dyspnoea (4 units, SD 4). Simple home-based telerehabilitation using readily available equipment is safe and feasible for people with COPD. Effective delivery of telerehabilitation requires an adequate data network.

Resumo Limpo

evalu safeti feasibl home telerehabilit peopl chronic obstruct pulmonari diseas copd eight patient mean age year moder impair lung function took part telerehabilit equip particip home includ exercis bicycl tablet comput webcam low bandwidth videoconferenc puls oximet posit display visibl videoconferenc particip undertook supervis aerob train twice week eight week two particip physiotherapist attend class via videoconferenc separ locat primari outcom advers event session attend system usabl secondari outcom minut walk distanc mwd chronic respiratori questionnair crq signific advers event occur studi particip attend possibl session system usabl rate excel session deliv via univers network mean lower use hospit network mean technic problem relat data network capabl five particip complet programm clinic signific improv mwd mean m sd crq dyspnoea unit sd simpl homebas telerehabilit use readili avail equip safe feasibl peopl copd effect deliveri telerehabilit requir adequ data network

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