RT Journal Article
SR Electronic
T1 Effectiveness of home tele-rehabilitation on functional capacity and daily physical activity in COPD patients
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP OA273
DO 10.1183/13993003.congress-2015.OA273
VO 46
IS suppl 59
A1 Vasilopoulou, Maroula
A1 Papaioannou, Andriana I.
A1 Chynkiamis, Nikolaos
A1 Vasilogiannakopoulou, Theodora
A1 Spetsioti, Stavroula
A1 Louvaris, Zafeiris
A1 Kortianou, Eleni
A1 Kocsis, Otilia
A1 Tsopanoglou, Athanasios
A1 Feridou, Chrysoula
A1 Plataniti, Eustathia
A1 Thomopoulou, Alexia
A1 Kaltsakas, Georgios
A1 Koulouris, Nikolaos G.
A1 Vogiatzis, Ioannis
YR 2015
UL http://erj.ersjournals.com/content/46/suppl_59/OA273.abstract
AB 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).