Telerehabilitation in Chronic Obstructive Pulmonary Disease (COPD) Management: Exploring Experiences and Effectiveness
DOI:
https://doi.org/10.31584/jhsmr.20241057Keywords:
chronic obstructive pulmonary disease (COPD), interdisciplinary collaboration, patient-centered care, rehabilitation outcomes, remote healthcare, telerehabilitationAbstract
Telerehabilitation has emerged as a promising approach to address the challenges posed by chronic obstructive pulmonary disease (COPD) management. This article provides a comprehensive review of telerehabilitation’s characteristics,components, efficacy, patient experiences, and the implications for COPD patients. Telerehabilitation involves the use of telecommunication technologies to remotely deliver rehabilitation services, including exercise training, education, and monitoring, to individuals with COPD. It addresses barriers such as geographical distance and limited access to specialized facilities, making rehabilitation accessible from home. Telerehabilitation encompasses various approaches, including telemonitoring, teleconsultation, and tele-education. Several studies have indicated positive outcomes in exercise capacity, dyspnea, and quality of life when comparing telerehabilitation interventions to standard care or traditional rehabilitation programs. However, challenges related to technology access, digital literacy, and privacy need to be addressed for equitable implementation. Interdisciplinary collaboration among healthcare professionals is essential for the successful delivery of telerehabilitation. Future research should focus on refining the interventions, standardizing the protocols, and evaluating the long-term maintenance effects. By integrating patient-centered approaches and leveraging advancements in digital technologies, telerehabilitation can revolutionize COPD management strategies, enhancing patient outcomes in the modern healthcare landscape.
References
Godtfredsen N, Frølich A, Bieler T, Beyer N, Kallemose T, Wilcke T, et al. 12-months follow-up of pulmonary telerehabilitation versus standard pulmonary rehabilitation: a multicentre randomised clinical trial in patients with severe COPD. Respir Med 2020;172:106129.
Bonnevie T, Smondack P, Elkins M, Gouel B, Medrinal C, Combret Y, et al. Advanced telehealth technology improves home-based exercise therapy for people with stable chronic obstructive pulmonary disease: a systematic review. J Physiother 2021;67:27-40.
Jørgensen BB, Gregersen M, Pallesen SH, Damsgaard EM. A group-based real-time videoconferencing telerehabilitation programme in recently discharged geriatric patients: a feasibility study. Eur Geriatr Med 2021;12:801-8.
Velayati F, Ayatollahi H, Hemmat M. A systematic review of the effectiveness of telerehabilitation interventions for therapeutic purposes in the elderly. Methods Inf Med 2020;59:104-9.
Barbosa MT, Sousa CS, Morais-Almeida M, Simões MJ, Mendes P. Telemedicine in COPD: an overview by topics. COPD 2020;17:601-17.
Satar S, Şahin ME, Karamanlı H, Demir N, Ergün P. Telepulmonary rehabilitation with face to face in COVID-19 pandemic: a hybrid modeling. COVID-19 pandemisinde telepulmoner rehabilitasyon; yüz yüze ile hibrit model. Tuberk Toraks 2023;71:58-66.
Cerdán-de-Las-Heras J, Balbino F, Løkke A, Catalán-Matamoros D, Hilberg O, Bendstrup E. Effect of a new telerehabilitation program versus standard rehabilitation in patients with chronic obstructive pulmonary disease. J Clin Med 2021;11:11.
Sanchez-Ramirez DC, Pol M, Loewen H, Choukou MA. Effect of telemonitoring and telerehabilitation on physical activity, exercise capacity, health-related quality of life and healthcare use in patients with chronic lung diseases or COVID-19: a scoping review. J Telemed Telecare 2022;1357633X221122124.
Ora J, Prendi E, Attinà ML, Cazzola M, Calzetta L, Rogliani P. Efficacy of respiratory telerehabilitation in COPD patients: systematic review and meta-analysis. Monaldi Arch Chest Dis 2022;92. doi: 10.4081/monaldi.2022.2105.
Vinolo-Gil MJ, Herrera-Sánchez C, Martin-Vega FJ, Martín-Valero R, Gonzalez-Medina G, Pérez-Cabezas V. Efficacy of tele-rehabilitation in patients with chronic obstructive pulmonary disease: a systematic review. An Sist Sanit Navar 2022;45:e0999.
Isernia S, Pagliari C, Bianchi LNC, Banfi PI, Rossetto F, Borgnis F, et al. Characteristics, components, and efficacy of telerehabilitation approaches for people with chronic obstructive pulmonary disease: a systematic review and meta-analysis. Int J Environ Res Public Health 2022;19:15165.
Rochester CL, Alison JA, Carlin B, Jenkins AR, Cox NS, Bauldoff G, et al. Pulmonary rehabilitation for adults with chronic respiratory disease: an official american thoracic society clinical practice guideline. Am J Respir Crit Care Med 2023;208:e7-26.
Cerdán de Las Heras J, Tulppo M, Kiviniemi AM, Hilberg O, Løkke A, Ekholm S, et al. Augmented reality glasses as a new tele-rehabilitation tool for home use: patients’ perception and expectations. Disabil Rehabil Assist Technol 2022;17:480-6.
Zanaboni P, Dinesen B, Hoaas H, Wootton R, Burge AT, Philp R, et al. Long-term telerehabilitation or unsupervised training at home for patients with chronic obstructive pulmonary disease: a randomized controlled trial. Am J Respir Crit Care Med 2023;207:865-75.
Galdiz JB, Gómez A, Rodriguez D, Guell R, Cebollero P, Hueto J, et al. Telerehabilitation programme as a maintenance strategy for COPD patients: a 12-month randomized clinical trial. Arch Bronconeumol (Engl Ed) 2021;57:195-204.
Li Y, Qian H, Yu K, Huang Y. The long-term maintenance effect of remote pulmonary rehabilitation via social media in COPD: a randomized controlled trial. Int J Chron Obstruct Pulmon Dis 2022;17:1131-42.
Simonÿ C, Andersen IC, Bodtger U, Nyberg M, Birkelund R. Raised illness mastering - a phenomenological hermeneutic study of chronic obstructive pulmonary disease patients’ experiences while participating in a long-term telerehabilitation programme. Disabil Rehabil Assist Technol 2022;17:594-601.
Reychler G, Piraux E, Beaumont M, Caty G, Liistro G. Telerehabilitation as a form of pulmonary rehabilitation in chronic lung disease: a systematic review. Healthcare (Basel) 2022;10:1795.
Gabriel AS, Parvanova I, Finkelstein J. Patient perspectives on long-term use of a pulmonary telerehabilitation platform: a qualitative analysis. Stud Health Technol Inform 2023;302:982-6.
Simonÿ C, Neerup Andersen M, Hansen RG, Schrøder L, Jensen TG, Bodtger U, et al. Shaping better rehabilitation to chronic obstructive pulmonary disease patients: experiences of nurses and colleagues with an interdisciplinary telerehabilitation intervention. Glob Qual Nurs Res 2022;9:23333936221109890.
Fekete M, Fazekas-Pongor V, Balazs P, Tarantini S, Nemeth AN, Varga JT. Role of new digital technologies and telemedicine in pulmonary rehabilitation: smart devices in the treatment of chronic respiratory diseases. Wien Klin Wochenschr 2021;133:1201-7.
Rossetto F, Borgnis F, Isernia S, Foglia E, Garagiola E, Realdon O, et al. System integrated digital empowering and teleRehabilitation to promote patient activation and well-being in chronic disabilities: a usability and acceptability study. Front Public Health 2023;11:1154481.
Skibdal KM, Emme C, Hansen H. Listen to Me! - A Mixedmethods study of thoughts and attitudes towards participation in pulmonary telerehabilitation among people with severe and very severe COPD who declined participation in pulmonary rehabilitation. Patient Prefer Adherence 2022;16:2781-98.
Tsutsui M, Gerayeli F, Sin DD. Pulmonary rehabilitation in a post-COVID-19 world: telerehabilitation as a new standard in patients with COPD. Int J Chron Obstruct Pulmon Dis 2021;16:379-91.
Cox NS, Khor YH. Telerehabilitation in pulmonary diseases. Curr Opin Pulm Med 2023;29:313-21.
Zhang L, Maitinuer A, Lian Z, Li Y, Ding W, Wang W, et al. Home based pulmonary Telerehabilitation under telemedicine system for COPD: a cohort study. BMC Pulm Med 2022;22:284.
Cox NS, Dal Corso S, Hansen H, McDonald CF, Hill CJ, Zanaboni P, et al. Telerehabilitation for chronic respiratory disease. Cochrane Database Syst Rev 2021;1:CD013040.
Taito S, Yamauchi K, Kataoka Y. Telerehabilitation in subjects with respiratory disease: a scoping review. Respir Care 2021;66:686-98.
Cordani C, Young VM, Arienti C, Lazzarini SG, Del Furia MJ, Negrini S, et al. Cognitive impairment, anxiety and depression: a map of Cochrane evidence relevant to rehabilitation for people with post COVID-19 condition. Eur J Phys Rehabil Med 2022;58:880-7.
Rutkowski S. Management challenges in chronic obstructive pulmonary disease in the COVID-19 pandemic: telehealth and virtual reality. J Clin Med 2021;10:1261.
Malik S, Dua R, Krishnan AS, Kumar S, Kumar S, Neyaz O, et al. Exercise capacity in patients with chronic obstructive pulmonary disease treated with tele-yoga versus telepulmonary rehabilitation: a pilot validation study. Cureus 2022;14:e30994.
Simonÿ C, Riber C, Bodtger U, Birkelund R. Striving for confidence and satisfaction in everyday life with chronic obstructive pulmonary disease: rationale and content of the telerehabilitation programme >C☺PD-Life>>. Int J Environ Res Public Health 2019;16:3320.
Donner CF, ZuWallack R, Nici L. The role of telemedicine in extending and enhancing medical management of the patient with chronic obstructive pulmonary disease. Medicina (Kaunas) 2021;57:726.
Bairapareddy KC, Chandrasekaran B, Agarwal U. Telerehabilitation for chronic obstructive pulmonary disease patients: an underrecognized management in tertiary care. Indian J Palliat Care 2018;24:529-33.
Uche-Okoye D, Ajemba MN, Amy B, Arene EC, Ugo CH, Eze NP, et al. Is telerehabilitation an effective maintenance strategy for patients with chronic obstructive pulmonary diseases: a systematic review. Bull Natl Res Cent 2023;47:13.
Madawala S, Quach A, Lim JY, Varatharaj S, Perera B, Osadnik C, et al. Healthcare experience of adults with COPD during the COVID-19 pandemic: a rapid review of international literature. BMJ Open Respir Res 2023;10:e001514.
Cox NS, Lee JYT, McDonald CF, Mahal A, Alison JA, Wootton R, et al. Perceived autonomy support in telerehabilitation by people with chronic respiratory disease: a mixed methods study. Chest 2023;163:1410-24.
Hansen H, Bieler T, Beyer N, Kallemose T, Wilcke JT, Østergaard LM, et al. Supervised pulmonary telerehabilitation versus pulmonary rehabilitation in severe COPD: a randomised multicentre trial. Thorax 2020;75:413-21.
Santos CD, Rodrigues F, Caneiras C, Bárbara C. From inception to implementation: strategies for setting up pulmonary telerehabilitation. Front Rehabil Sci 2022;3:830115.
Alqahtani JS, Alghamdi SM, Aldhahir AM, Althobiani M, Oyelade T. Key toolkits of non-pharmacological management in COPD: during and beyond COVID-19. Front Biosci (Landmark Ed) 2021;26:246-52.
Hansen H, Torre A, Kallemose T, Ulrik CS, Godtfredsen NS. Pulmonary telerehabilitation vs. conventional pulmonary rehabilitation - a secondary responder analysis. Thorax 2023;thorax-2023-220065.
Barbosa MT, Sousa CS, Morais-Almeida M. Telemedicine in the management of chronic obstructive respiratory diseases: an overview. In: Linwood SL, ed. Digital Health. Brisbane (AU): Exon Publications; 2022.
Cox NS, McDonald CF, Mahal A, Alison JA, Wootton R, Hill CJ, et al. Telerehabilitation for chronic respiratory disease: a randomised controlled equivalence trial. Thorax 2022;77:643-51.
Wickerson L, Helm D, Gottesman C, Rozenberg D, Singer LG, Keshavjee S, et al. Telerehabilitation for lung transplant candidates and recipients during the COVID-19 pandemic: program evaluation. JMIR Mhealth Uhealth 2021;9:e28708.
Liu S, Zhao Q, Li W, Zhao X, Li K. The cost-effectiveness of pulmonary rehabilitation for COPD in different settings: a systematic review. Appl Health Econ Health Policy 2021;19:313-24.
Leslie S, Tan J, McRae PJ, O’leary SP, Adsett JA. The effectiveness of exercise interventions supported by telerehabilitation for recently hospitalized adult medical patients: a systematic review. Int J Telerehabil 2021;13:e6356.
Bairapareddy KC, Alaparthi GK, Jitendra RS, Prathiksha Rao PP, Shetty V, Chandrasekaran B. “We are so close; yet too far”: perceived barriers to smartphone-based telerehabilitation among healthcare providers and patients with chronic obstructive pulmonary disease in India. Heliyon 2021;7:e07857.
Morimoto Y, Takahashi T, Sawa R, Saitoh M, Morisawa T, Kagiyama N, et al. Web portals for patients with chronic diseases: scoping review of the functional features and theoretical frameworks of telerehabilitation platforms. J Med Internet Res 2022;24:e27759.
Rawal H, Cornelison SD, Flynn SM, Ohar JA. Will remotely based pulmonary rehabilitation water down its effectiveness?. Life (Basel) 2021;11:1270.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.