Effects of Home-Based Training with Internet Telehealth Guidance in COPD Patients Entering Pulmonary Rehabilitation: A Systematic Review

Authors

HARTMAN M. MINARIKOVA J. BAŤALÍK Ladislav PEPERA G. SU JJ FORMIGA MF CAHALIN L. DOSBABA Filip

Year of publication 2023
Type Article in Periodical
Magazine / Source INTERNATIONAL JOURNAL OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.dovepress.com/effects-of-home-based-training-with-internet-telehealth-guidance-in-co-peer-reviewed-fulltext-article-COPD
Doi http://dx.doi.org/10.2147/COPD.S425218
Keywords telehealth; telerehabilitation; pulmonary rehabilitation; pulmonary disease; exercise
Description Objective: Chronic obstructive pulmonary disease (COPD) is one of the leading causes of death worldwide. Telehealth rehabilitation may offer new opportunities in patient therapy. This systematic review aimed to evaluate the effects of internet-mediated telerehabilitation and compare them with the outcomes of conventional pulmonary rehabilitation in COPD patients.Methods: Electronic databases PubMed, Prospero, Scopus, and Cochrane were searched for randomized controlled trials from January 2005 to December 2021. Two investigators reviewed studies for relevance and extracted study population, methods, and results data.Results: Ten studies were eligible for systematic review from the initial selection (n = 1492). There was considerable heterogeneity in telerehabilitation approaches. Functional exercise capacity and quality of life were assessed in all studies. None of the results were inferior to conventional care. High adherence and high levels of safety were observed.Conclusion: Telerehabilitation in COPD patients is a safe therapy approach that increases and maintains functional exercise capacity and quality of life, making it an equivalent option to conventional outpatient rehabilitation. However, there is currently a lack of a unified approach to the composition of therapy and the use of technology, which needs to be addressed in the future.

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