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Are improvements maintained after in-home pulmonary telerehabilitation for patients with chronic obstructive pulmonary disease?

Marquis N, Larivée P, Dubois MF, Tousignant M - Int J Telerehabil (2015)

Bottom Line: Over 8 weeks, they had access to self-learning capsules on self-management, received 15 in-home teletreatment sessions and were encouraged to gradually engage in unsupervised sessions.Participants were assessed before the intervention (T1), immediately after the intervention (T2), and 6 months later (T3).Although there were significant improvements after 8 weeks of pulmonary telerehabilitation on the 6MWT, CET and three of four CRQ domains, none of these improvements were maintained after 6 months and scores returned to their baseline values (all p values > 0.05 when comparing T3 with T1).

View Article: PubMed Central - PubMed

Affiliation: RESEARCH CENTRE ON AGING, UNIVERSITY INSTITUTE OF GERIATRICS OF SHERBROOKE, UNIVERSITÉ DE SHERBROOKE, SHERBROOKE, QUEBEC, CANADA.

ABSTRACT
This study investigated if improvements can be maintained over 24 weeks when in-home pulmonary telerehabilitation is combined with asynchronous self-management education for Chronic Obstructive Pulmonary Disease (COPD). Twenty-three community-living elders with moderate to very severe COPD participated in a pre/post-intervention study. Over 8 weeks, they had access to self-learning capsules on self-management, received 15 in-home teletreatment sessions and were encouraged to gradually engage in unsupervised sessions. Participants were assessed before the intervention (T1), immediately after the intervention (T2), and 6 months later (T3). Outcome measures were (1) exercise tolerance (6-minute walk test [6MWT]), Cycle Endurance Test [CET]), and (2) quality of life (Chronic Respiratory Questionnaire [CRQ]). Although there were significant improvements after 8 weeks of pulmonary telerehabilitation on the 6MWT, CET and three of four CRQ domains, none of these improvements were maintained after 6 months and scores returned to their baseline values (all p values > 0.05 when comparing T3 with T1). While pulmonary telerehabilitation is possible and has a positive impact on patients with moderate to very severe COPD, improvements were not maintained in the long-term even when physical therapy was accompanied by self-management education.

No MeSH data available.


Related in: MedlinePlus

Changes in A. 6MWT, walking distance and B. CET, endurance time immediately after a pulmonary telerehabilitation intervention and 6 months later (gray lines inside the boxes are means, black lines are medians).
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f2-6156-24375-1-pb: Changes in A. 6MWT, walking distance and B. CET, endurance time immediately after a pulmonary telerehabilitation intervention and 6 months later (gray lines inside the boxes are means, black lines are medians).

Mentions: As can be seen in Figure 2, immediately after the PR intervention (T2-T1), participants had improved their walking distance and length of time on the stationary bicycle (Marquis et al., 2015). These differences were clinically and statistically significant at the 0.05 level. However, with respect to maintenance of improvements, exercise tolerance decreased significantly after 24 weeks (T3) for the 6MWT (mean (SD): − 28.0 (35.0) m; p < 0.001) as well as for the CET (median (EQI): − 33.0 (−91.5; 0.0) s; p = 0.003). Comparing T3 to T1 showed that values returned to near baseline measures (p= 0.618 for the 6MWT and p= 0.609 for the CET).


Are improvements maintained after in-home pulmonary telerehabilitation for patients with chronic obstructive pulmonary disease?

Marquis N, Larivée P, Dubois MF, Tousignant M - Int J Telerehabil (2015)

Changes in A. 6MWT, walking distance and B. CET, endurance time immediately after a pulmonary telerehabilitation intervention and 6 months later (gray lines inside the boxes are means, black lines are medians).
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4353006&req=5

f2-6156-24375-1-pb: Changes in A. 6MWT, walking distance and B. CET, endurance time immediately after a pulmonary telerehabilitation intervention and 6 months later (gray lines inside the boxes are means, black lines are medians).
Mentions: As can be seen in Figure 2, immediately after the PR intervention (T2-T1), participants had improved their walking distance and length of time on the stationary bicycle (Marquis et al., 2015). These differences were clinically and statistically significant at the 0.05 level. However, with respect to maintenance of improvements, exercise tolerance decreased significantly after 24 weeks (T3) for the 6MWT (mean (SD): − 28.0 (35.0) m; p < 0.001) as well as for the CET (median (EQI): − 33.0 (−91.5; 0.0) s; p = 0.003). Comparing T3 to T1 showed that values returned to near baseline measures (p= 0.618 for the 6MWT and p= 0.609 for the CET).

Bottom Line: Over 8 weeks, they had access to self-learning capsules on self-management, received 15 in-home teletreatment sessions and were encouraged to gradually engage in unsupervised sessions.Participants were assessed before the intervention (T1), immediately after the intervention (T2), and 6 months later (T3).Although there were significant improvements after 8 weeks of pulmonary telerehabilitation on the 6MWT, CET and three of four CRQ domains, none of these improvements were maintained after 6 months and scores returned to their baseline values (all p values > 0.05 when comparing T3 with T1).

View Article: PubMed Central - PubMed

Affiliation: RESEARCH CENTRE ON AGING, UNIVERSITY INSTITUTE OF GERIATRICS OF SHERBROOKE, UNIVERSITÉ DE SHERBROOKE, SHERBROOKE, QUEBEC, CANADA.

ABSTRACT
This study investigated if improvements can be maintained over 24 weeks when in-home pulmonary telerehabilitation is combined with asynchronous self-management education for Chronic Obstructive Pulmonary Disease (COPD). Twenty-three community-living elders with moderate to very severe COPD participated in a pre/post-intervention study. Over 8 weeks, they had access to self-learning capsules on self-management, received 15 in-home teletreatment sessions and were encouraged to gradually engage in unsupervised sessions. Participants were assessed before the intervention (T1), immediately after the intervention (T2), and 6 months later (T3). Outcome measures were (1) exercise tolerance (6-minute walk test [6MWT]), Cycle Endurance Test [CET]), and (2) quality of life (Chronic Respiratory Questionnaire [CRQ]). Although there were significant improvements after 8 weeks of pulmonary telerehabilitation on the 6MWT, CET and three of four CRQ domains, none of these improvements were maintained after 6 months and scores returned to their baseline values (all p values > 0.05 when comparing T3 with T1). While pulmonary telerehabilitation is possible and has a positive impact on patients with moderate to very severe COPD, improvements were not maintained in the long-term even when physical therapy was accompanied by self-management education.

No MeSH data available.


Related in: MedlinePlus