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Characteristics, Components, and Efficacy of Telerehabilitation Approaches for People with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis

Author

Listed:
  • Sara Isernia

    (IRCCS Fondazione Don Carlo Gnocchi ONLUS, 20148 Milan, Italy)

  • Chiara Pagliari

    (IRCCS Fondazione Don Carlo Gnocchi ONLUS, 20148 Milan, Italy)

  • Luca Nicola Cesare Bianchi

    (IRCCS Fondazione Don Carlo Gnocchi ONLUS, 20148 Milan, Italy)

  • Paolo Innocente Banfi

    (IRCCS Fondazione Don Carlo Gnocchi ONLUS, 20148 Milan, Italy)

  • Federica Rossetto

    (IRCCS Fondazione Don Carlo Gnocchi ONLUS, 20148 Milan, Italy)

  • Francesca Borgnis

    (IRCCS Fondazione Don Carlo Gnocchi ONLUS, 20148 Milan, Italy)

  • Monica Tavanelli

    (IRCCS Fondazione Don Carlo Gnocchi ONLUS, 20148 Milan, Italy)

  • Lorenzo Brambilla

    (IRCCS Fondazione Don Carlo Gnocchi ONLUS, 50143 Firenze, Italy)

  • Francesca Baglio

    (IRCCS Fondazione Don Carlo Gnocchi ONLUS, 20148 Milan, Italy
    Collaborators of the CPTM Group are indicated in the Acknowledgment section.)

Abstract

Introduction: Chronic obstructive pulmonary disease (COPD) is at the top of the list of non-communicable diseases with related rehabilitation needs. Digital medicine may provide continuative integrated intervention, overcoming accessibility and cost barriers. Methods: We systematically searched for randomized controlled trials on telerehabilitation (TR) in people with COPD to profile the adopted TR strategies, focusing on TR models and the main rehabilitation actions: monitoring and assessment, decision, and feedback. Additionally, a meta-analysis was run to test the TR effect on functional capacity, dyspnea, and quality of life compared to no intervention (NI) and conventional intervention (CI). Results: Out of the 6041 studies identified, 22 were eligible for the systematic review, and 14 were included in the meta-analyses. Results showed a heterogeneous scenario in terms of the TR features. Furthermore, only a small group of trials presented a comprehensive technological kit. The meta-analysis highlighted a significant effect of TR, especially with the asynchronous model, on all outcomes compared to NI. Moreover, a non-inferiority effect of TR on functional capacity and quality of life, and a superiority effect on dyspnea compared to CI were observed. Finally, the studies suggested a high rate of TR adherence and high safety level. Conclusions: TR is an effective strategy to increase and maintain functional capacity, breath, and quality of life in people with COPD. However, a consensus on the essential elements and features of this approach needs to be defined, and the effect of long-term maintenance merits further investigation.

Suggested Citation

  • Sara Isernia & Chiara Pagliari & Luca Nicola Cesare Bianchi & Paolo Innocente Banfi & Federica Rossetto & Francesca Borgnis & Monica Tavanelli & Lorenzo Brambilla & Francesca Baglio, 2022. "Characteristics, Components, and Efficacy of Telerehabilitation Approaches for People with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(22), pages 1-18, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15165-:d:975506
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    References listed on IDEAS

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    1. Anoma Santiworakul & Nitita Piya-amornphan & Netchanok Jianramas, 2021. "A Home-Based Multimedia Pulmonary Rehabilitation Program Improves Clinical Symptoms and Physical Performance of Patients with Chronic Obstructive Pulmonary Disease," IJERPH, MDPI, vol. 18(21), pages 1-11, October.
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    Cited by:

    1. Foglia, Emanuela & Garagiola, Elisabetta & Bellavia, Daniele & Rossetto, Federica & Baglio, Francesca, 2024. "Digital technology and COVID-19 pandemic: Feasibility and acceptance of an innovative telemedicine platform," Technovation, Elsevier, vol. 130(C).

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