Role of telerehabilitation in the care of patients with COPD
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Abstract
Introduction: Chronic obstructive pulmonary disease (COPD) is a systemic disease, characterized by chronic limitation of pulmonary airflow, caused by the destruction of its lung parenchyma and alvea, with consequent decrease in lung function and functional limitation. Telerehabilitation is a current tool that provides assistance remotely, through videoconferences or recorded videos. Objective: To summarize, through a literature review, the available evidence regarding the benefits, clinical applications and limitations of pulmonary rehabilitation by telerehabilitation. Methodology: This study is a narrative review. Searches for scientific articles were carried out in the PEDro, PubMed, ScienceDirect and SciELO databases. The descriptors used were: COPD, physiotherapy, telerehabilitation, rehabilitation and their correspondences in English. Articles published between 2007 and 2022 were included and those with a review design were excluded. Results: 22 articles were included that contained comparative analyzes between telerehabilitation and face-to-face rehabilitation, using the Six-Minute Walk Test and assessment of physical exertion using the Borg scale. Resulting in non-inferiority between the two types of rehabilitation. Conclusion: Telerehabilitation was presented as an innovative care technique as it provides the opportunity to carry out the treatment virtually, with positive results in improving functional performance in the short and long term.
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References
2022 GOLD Reports [Internet]. Global Initiative for Chronic Obstructive Lung Disease - GOLD. [citado 22 de abril de 2022]. Disponível em: https://goldcopd.org/2022-gold-reports-2/
Bourne S, DeVos R, North M, Chauhan A, Green B, Brown T, et al. Online versus face-to-face pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: randomised controlled trial. BMJ Open. 1o de julho de 2017;7(7):e014580.
Barker RE, Jones SE, Banya W, Fleming S, Kon SSC, Clarke SF, et al. The Effects of a Video Intervention on Posthospitalization Pulmonary Rehabilitation Uptake. A Randomized Controlled Trial. Am J Respir Crit Care Med. 15 de junho de 2020;201(12):1517–24.
Bohn Júnior I, Cinara da Costa C, Machado de Souza R, Huber dos Santos Á, José Zimermann Teixeira P. Influence of pulmonary rehabilitation in patients with COPD exacerbator phenotype. J Bras Pneumol. 2020;46(6):e20190309–e20190309.
Rutkowski S, Szczegielniak J, Szczepańska-Gieracha J. Evaluation of the Efficacy of Immersive Virtual Reality Therapy as a Method Supporting Pulmonary Rehabilitation: A Randomized Controlled Trial. J Clin Med. janeiro de 2021;10(2):352.
Sistema Coffito/Crefito reúne-se em Brasília [Internet]. [citado 22 de abril de 2022]. Disponível em: https://www.coffito.gov.br/nsite/?p=1525.%20Acessado%20em%2022%20de%20abril%20de%202022
Rutkowski S, Rutkowska A, Kiper P, Jastrzebski D, Racheniuk H, Turolla A, et al.
Virtual Reality Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial
. Int J Chron Obstruct Pulmon Dis. 13 de janeiro de 2020; 15:117–24.Cruz J, Brooks D, Marques A. Home telemonitoring effectiveness in COPD: a systematic review. Int J Clin Pract. 2014;68(3):369–78.
Mendes de Oliveira JC, Studart Leitão Filho FS, Malosa Sampaio LM, Negrinho de Oliveira AC, Hirata RP, Costa D, et al. Outpatient vs. home-based pulmonary rehabilitation in COPD: a randomized controlled trial. Multidiscip Respir Med. 20 de dezembro de 2010;5(6):401.
Barnes PJ, Celli BR. Systemic manifestations and comorbidities of COPD. Eur Respir J. maio de 2009;33(5):1165–85.
Han MK, Agusti A, Calverley PM, Celli BR, Criner G, Curtis JL, et al. Chronic obstructive pulmonary disease phenotypes: the future of COPD. Am J Respir Crit Care Med. 1o de setembro de 2010;182(5):598–604.
Rabe KF, Hurd S, Anzueto A, Barnes PJ, Buist SA, Calverley P, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit Care Med. 15 de setembro de 2007;176(6):532–55.
Leao MS, Lisboa S, Salviano LD da S, Junior SC dos SG, Malafaia AL, Sias SM de A. Estratégias interpretativas para diagnóstico de obstrução pulmonar através da espirometria, segundo os consensos ATS/ERS, SBPT e GINA, em asmáticos pediátricos. 28(1):1–6.
Garvey C, Bayles MP, Hamm LF, Hill K, Holland A, Limberg TM, et al. Pulmonary Rehabilitation Exercise Prescription in Chronic Obstructive Pulmonary Disease: Review of Selected Guidelines: An official statment from the american association of cardiovascular and pulmonary rehabilitation. J Cardiopulm Rehabil Prev. abril de 2016;36(2):75–83.
Zanaboni P, Dinesen B, Hjalmarsen A, Hoaas H, Holland AE, Oliveira CC, et al. Long-term integrated telerehabilitation of COPD Patients: a multicentre randomised controlled trial (iTrain). BMC Pulm Med. 22 de agosto de 2016;16(1):126.
Hansen H, Bieler T, Beyer N, Kallemose T, Wilcke JT, Østergaard LM, et al. Supervised pulmonary tele-rehabilitation versus pulmonary rehabilitation in severe COPD: a randomised multicentre trial. Thorax. 1o de maio de 2020;75(5):413–21.
Cox NS, McDonald CF, Mahal A, Alison JA, Wootton R, Hill CJ, et al. Telerehabilitation for chronic respiratory disease: a randomised controlled equivalence trial. Thorax. julho de 2022;77(7):643–51.
Tsai LLY, McNamara RJ, Moddel C, Alison JA, McKenzie DK, McKeough ZJ. Home-based telerehabilitation via real-time videoconferencing improves endurance exercise capacity in patients with COPD: The randomized controlled TeleR Study. Respirol Carlton Vic. maio de 2017;22(4):699–707.
Damhus CS, Emme C, Hansen H. Barriers and enablers of COPD telerehabilitation – a frontline staff perspective. Int J Chron Obstruct Pulmon Dis. 17 de agosto de 2018; 13:2473–82.
Press VG, Arora VM, Kelly CA, Carey KA, White SR, Wan W. Effectiveness of Virtual vs In-Person Inhaler Education for Hospitalized Patients With Obstructive Lung Disease: A Randomized Clinical Trial. JAMA Netw Open. 3 de janeiro de 2020;3(1):e1918205.