https://doi.org/10.4081/monaldi.2022.2105
Efficacy of respiratory tele-rehabilitation in COPD patients: Systematic review and meta-analysis
Submitted: September 27, 2021
Accepted: December 27, 2021
Published: January 27, 2022
Accepted: December 27, 2021
Abstract Views: 3416
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Pulmonary rehabilitation (PR) is a proven and effective intervention for chronic obstructive pulmonary disease (COPD). The recent pandemic has raised interest on new services, such as telerehabilitation (Tele-R). The aim of this study was to systematically review the effects of Tele-R in COPD on: 1) exercise capacity evaluated by the 6-minute walk test (6MWT); 2) dyspnea (modified Medical Research Council – mMRC); 3) COPD control (the COPD assessment test - CAT). The analysis compared Tele-R versus no rehabilitation and Tele-R versus center-based rehabilitation. This meta-analysis was undertaken according to PRISMA recommendations. This pair-wise meta-analysis included data obtained from studies that enrolled 758 COPD patients. The tele-R compared to no rehabilitation improved the 6MWT distance of 48 m (CI: 24, 72; p<0.001) and the mMRC of -1.02U (CI: -1.49, -0.59; p<0.001), and the CAT of -5.74U (CI: -7.42, -0.407; p<0.001). The tele-R compared to center-based rehabilitation showed no difference on 6MWT distance (p=0.563), mMRC (p=0.911), and CAT (p=0.85). In COPD patients, Tele-R is effective in improving exercise tolerance and patient-reported outcomes and it seems to be a valid alternative to center-based rehabilitation, but more studies are needed to better understand how to select the right patients and which kind of Tele-R is more appropriate.
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How to Cite
Ora, Josuel, Emanuela Prendi, Maria Laura Attinà, Mario Cazzola, Luigino Calzetta, and Paola Rogliani. 2022. “Efficacy of Respiratory Tele-Rehabilitation in COPD Patients: Systematic Review and Meta-Analysis”. Monaldi Archives for Chest Disease 92 (4). https://doi.org/10.4081/monaldi.2022.2105.
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