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Effectiveness of home tele-rehabilitation on functional capacity and daily physical activity in COPD patients

Maroula Vasilopoulou, Andriana I. Papaioannou, Nikolaos Chynkiamis, Theodora Vasilogiannakopoulou, Stavroula Spetsioti, Zafeiris Louvaris, Eleni Kortianou, Otilia Kocsis, Athanasios Tsopanoglou, Chrysoula Feridou, Eustathia Plataniti, Alexia Thomopoulou, Georgios Kaltsakas, Nikolaos G. Koulouris, Ioannis Vogiatzis
European Respiratory Journal 2015 46: OA273; DOI: 10.1183/13993003.congress-2015.OA273
Maroula Vasilopoulou
1Faculty of Physical Education and Sport Sciences, National and Kapodistrian University of Athens, Athens, Greece
21st Department of Respiratory Medicine, National and Kapodistrian University of Athens, Athens, Greece
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Andriana I. Papaioannou
3Filoktitis, Center for Recovery & Rehabilitation, Athens, Greece
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Nikolaos Chynkiamis
1Faculty of Physical Education and Sport Sciences, National and Kapodistrian University of Athens, Athens, Greece
21st Department of Respiratory Medicine, National and Kapodistrian University of Athens, Athens, Greece
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Theodora Vasilogiannakopoulou
1Faculty of Physical Education and Sport Sciences, National and Kapodistrian University of Athens, Athens, Greece
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Stavroula Spetsioti
4Santair S.A., Santair S.A., Athens, Greece
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Zafeiris Louvaris
4Santair S.A., Santair S.A., Athens, Greece
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Eleni Kortianou
21st Department of Respiratory Medicine, National and Kapodistrian University of Athens, Athens, Greece
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Otilia Kocsis
5SingularLogic, SingularLogic, Athens, Greece
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Athanasios Tsopanoglou
5SingularLogic, SingularLogic, Athens, Greece
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Chrysoula Feridou
3Filoktitis, Center for Recovery & Rehabilitation, Athens, Greece
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Eustathia Plataniti
3Filoktitis, Center for Recovery & Rehabilitation, Athens, Greece
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Alexia Thomopoulou
3Filoktitis, Center for Recovery & Rehabilitation, Athens, Greece
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Georgios Kaltsakas
21st Department of Respiratory Medicine, National and Kapodistrian University of Athens, Athens, Greece
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Nikolaos G. Koulouris
21st Department of Respiratory Medicine, National and Kapodistrian University of Athens, Athens, Greece
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Ioannis Vogiatzis
1Faculty of Physical Education and Sport Sciences, National and Kapodistrian University of Athens, Athens, Greece
21st Department of Respiratory Medicine, National and Kapodistrian University of Athens, Athens, Greece
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Abstract

Aim: To compare the benefits of home tele-rehabilitation to those of hospital-based maintenance rehabilitation in COPD patients, following a 2-month course of supervised pulmonary rehabilitation.

Methods: 95 COPD patients were assigned to home tele-rehabilitation (n=47, FEV1%: 50±22predicted), or twice weekly hospital-based rehabilitation (n=48, FEV1%: 52±17predicted). Tele-rehabilitation included home exercise training, self-management techniques, dietary and psychological advice. Patients were provided with tablets and wireless devices to record and transmit data regarding symptoms, lung function and vital signs to a tele-health platform.

Results: The initial two months of supervised exercise training significantly improved 6 minute walking distance, daily physical activity (DPA), chronic dyspnea and quadriceps muscle strength in all patients. Six months later home tele-rehabilitation was equally effective to hospital-based rehabilitation in terms of maintaining the initial significant improvement in 6 minute walking distance (2-months: 417±134 versus 8-months: 415±132m), DPA (2-months: 3931±2774 versus 8-months: 3749±2441 steps), mMRC (2-months: 1.7±1.0 versus 8-months: 1.6±0.9) and quadriceps muscle strength (2-months: 32±10 versus 8-months: 33±12 Kg).

Conclusion: Home tele-rehabilitation is equally effective to hospital-based maintenance rehabilitation in preserving long-term the initial benefits acquired during pulmonary rehabilitation.

This work was funded by the Greek General Secretariat for Research and Technology (Telecare: 11SYN_10_1438).

  • Telemedicine
  • Physical activity
  • Rehabilitation
  • Copyright ©ERS 2015
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Effectiveness of home tele-rehabilitation on functional capacity and daily physical activity in COPD patients
Maroula Vasilopoulou, Andriana I. Papaioannou, Nikolaos Chynkiamis, Theodora Vasilogiannakopoulou, Stavroula Spetsioti, Zafeiris Louvaris, Eleni Kortianou, Otilia Kocsis, Athanasios Tsopanoglou, Chrysoula Feridou, Eustathia Plataniti, Alexia Thomopoulou, Georgios Kaltsakas, Nikolaos G. Koulouris, Ioannis Vogiatzis
European Respiratory Journal Sep 2015, 46 (suppl 59) OA273; DOI: 10.1183/13993003.congress-2015.OA273

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Effectiveness of home tele-rehabilitation on functional capacity and daily physical activity in COPD patients
Maroula Vasilopoulou, Andriana I. Papaioannou, Nikolaos Chynkiamis, Theodora Vasilogiannakopoulou, Stavroula Spetsioti, Zafeiris Louvaris, Eleni Kortianou, Otilia Kocsis, Athanasios Tsopanoglou, Chrysoula Feridou, Eustathia Plataniti, Alexia Thomopoulou, Georgios Kaltsakas, Nikolaos G. Koulouris, Ioannis Vogiatzis
European Respiratory Journal Sep 2015, 46 (suppl 59) OA273; DOI: 10.1183/13993003.congress-2015.OA273
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