Telerehabilitation in people with chronic obstructive pulmonary disease (COPD): A randomised controlled trial

Zoe McKeough (Sydney, Australia), Ling Ling Tsai, Renae McNamara, Chloe Moddel, David McKenzie, Jennifer Alison, Zoe McKeough

Source: International Congress 2016 – Best abstracts in physical activity and telemedicine
Session: Best abstracts in physical activity and telemedicine
Session type: Poster Discussion
Number: 2065
Disease area: Airway diseases

Congress or journal article abstractE-poster

Abstract

Background: Home-based telerehabilitation (delivery of rehabilitation via desktop videoconferencing) has the potential to overcome the barriers that exist in accessing centre-based pulmonary rehabilitation programs. Aim: To determine the effectiveness of telerehabilitation on exercise capacity, self-efficacy and quality of life in people with COPD compared to no pulmonary rehabilitation. Methods: People with COPD were randomised to either a supervised home-based telerehabilitation group that received exercise training including cycling, walking and lower limb strengthening exercises, three times a week for eight weeks, or a control group that received usual medical care and did not participate in pulmonary rehabilitation. Exercise capacity was measured by the endurance shuttle walk test (ESWT), self-efficacy by the Pulmonary Rehabilitation Adapted Index of Self-Efficacy (PRAISE) tool and quality of life by the Chronic Respiratory Disease Questionnaire (CRDQ) at baseline and immediately post-intervention. Results: Thirty-six out of 37 participants (mean ± SD age 74 ± 8 years, FEV₁ 64 ± 21% predicted) completed the study. Compared to the control group, the telerehabilitation group significantly increased in the ESWT time (mean difference 340 seconds (95% CI 153 to 526, p<0.001)), PRAISE score (mean difference 8 points (95% CI 2 to 14, p<0.007)) and showed a trend towards a significant increase in the total score of the CRDQ (mean difference 8 points (95% CI -1 to 16, p=0.07)). Conclusion: Telerehabilitation is an effective therapy to improve endurance exercise capacity and self-efficacy in people with COPD.


Rating: 0
You must login to grade this presentation.

Share or cite this content

Citations should be made in the following way:
Zoe McKeough (Sydney, Australia), Ling Ling Tsai, Renae McNamara, Chloe Moddel, David McKenzie, Jennifer Alison, Zoe McKeough. Telerehabilitation in people with chronic obstructive pulmonary disease (COPD): A randomised controlled trial. Eur Respir J 2016; 48: Suppl. 60, 2065

You must login to share this Presentation/Article on Twitter, Facebook, LinkedIn or by email.

Member's Comments

No comment yet.
You must Login to comment this presentation.


Related content which might interest you:
Comprehensive care programme for patients with chronic obstructive pulmonary disease (COPD) --- A randomized controlled trial (RCT)
Source: International Congress 2015 – Best abstracts in pulmonary rehabilitation and chronic care
Year: 2015

A randomised controlled trial of individualised, progressed early exercise in patients hospitalised with an acute exacerbation of chronic obstructive pulmonary disease (AECOPD)
Source: International Congress 2015 – Latest insights in pulmonary rehabilitation and functional capacity
Year: 2015


Comprehensive self management and routine monitoring in chronic obstructive pulmonary disease patients in general practice: Randomised controlled trial
Source: Annual Congress 2013 –The best posters in chronic care
Year: 2013


COPD collaborative self-management in primary care: A randomized controlled trial
Source: International Congress 2016 – Management of asthma and COPD in primary care
Year: 2016


LATE-BREAKING ABSTRACT: A cluster randomised controlled trial evaluating the effectiveness of a structured pulmonary rehabilitation education programme in a primary care setting for people with chronic obstructive pulmonary disease (COPD): The PRINCE Study.
Source: Annual Congress 2013 –Management of respiratory diseases in primary care
Year: 2013

Effects of additional manual therapy over inspiratory muscle training in patients with chronic obstructive pulmonary disease: A randomized controlled trial
Source: International Congress 2015 – Latest insights in pulmonary rehabilitation and functional capacity
Year: 2015


The utility of tiotropium among patients with chronic obstructive pulmonary disease (COPD): An updated meta-analysis of randomized controlled trials
Source: Annual Congress 2013 –Quality of diagnosis and assessment in primary care
Year: 2013


Telehealthcare in COPD – A feasibility trial
Source: International Congress 2016 – Non-inflammatory assessment of airway disorders
Year: 2016


Inspiratory muscle training for patients with chronic obstructive pulmonary disease (IMTCO study): A multicentre randomised controlled trial
Source: International Congress 2016 – Best abstracts on the role of exercise and physical activity in chronic respiratory disease
Year: 2016


Edu-Care®, a randomised, multicentre study on education and quality of life in patients with chronic obstructive pulmonary disease (COPD)
Source: Eur Respir J 2002; 20: Suppl. 38, 211s
Year: 2002

Effects of phasic electrical stimulation during expiration in elderly patients with chronic obstructive pulmonary disease: A randomised control trial
Source: Annual Congress 2013 –The latest insights in pulmonary rehabilitation (part 1)
Year: 2013


Interval exercise for patients with severe COPD – randomised trial [SRCTN11611768]
Source: Annual Congress 2006 - Organisation and programmes in pulmonary rehabilitation
Year: 2006


A pilot study to assess the efficacy of breathlessness plans for patients with chronic obstructive pulmonary disease (COPD)
Source: International Congress 2016 – COPD diagnosis and management
Year: 2016

Effects of a comprehensive self-management programme in patients with chronic obstructive pulmonary disease
Source: Eur Respir J 2003; 22: 815-820
Year: 2003



Effectiveness of a home-based pulmonary rehabilitation program compared to a hospital-based pulmonary rehabiltation program in COPD patients. A Spanish multicenter randomized trial
Source: Annual Congress 2006 - Organisation and programmes in pulmonary rehabilitation
Year: 2006


Determinants of anxiety and depression among Filipino patients with chronic obstructive pulmonary disease: A multi-center study
Source: Annual Congress 2013 –Monitoring respiratory diseases: role of comorbidities and lung involvement
Year: 2013

Comorbidities in chronic obstructive pulmonary disease - Results of a national multicenter research project
Source: International Congress 2015 – COPD: chronic disease and comorbidities
Year: 2015

How to increase the value of randomised trials in COPD research
Source: Eur Respir J 2009; 34: 552
Year: 2009



Can roflumilast improve clinical outcomes in moderate-to-severe chronic obstructive pulmonary disease? A meta-analysis
Source: International Congress 2016 – COPD diagnosis and management
Year: 2016

Short-term telemonitoring program after hospital discharge for COPD exacerbation: Greek pilot of the renewing health multicenter randomized trial
Source: International Congress 2015 – Tele-rehabilitation in chronic lung diseases
Year: 2015