Eficacia de la tele-rehabilitación en pacientes con enfermedad pulmonar obstructiva crónicauna revisión sistemática

  1. Vinolo-Gil, M.J. 1
  2. Herrera-Sánchez, C. 1
  3. Martin-Vega, F.J. 1
  4. Martín-Valero, R. 2
  5. Gonzalez-Medina, G. 1
  6. Pérez-Cabezas, V. 1
  1. 1 Departamento de Enfermería y Fisioterapia, Facultad de Enfermería y Fisioterapia. Universidad de Cádiz. España.
  2. 2 Departamento de Fisioterapia, Facultad de Ciencias de la Salud, Universidad de Málaga. España
Journal:
Anales del sistema sanitario de Navarra

ISSN: 1137-6627

Year of publication: 2022

Volume: 45

Issue: 2

Pages: 3-3

Type: Article

DOI: 10.23938/ASSN.0999 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Anales del sistema sanitario de Navarra

Abstract

The COVID-19 pandemic has required the use of new technologies to carry out rehabilitation sessions for COP D remotely. The aim of this systematic review was to analyse the available evidence on the efficacy of telerehabilitation in COPD patients. PubMed, WOS, PEDro and Cochrane databases were consulted. The systematic review included nine clinical trials, 55.5% of which display good methodological quality.  The most commonly used rehabilitation methods were applications or software for real-time video-calls, visualisation of exercises and recording progress. TR was as effective as outpatient pulmonary rehabilitation, with greater benefits in functional capacity, self-efficacy, mental health, exacerbations and emergency care visits, offering a cost-effective option with high patient satisfaction. The small number of studies and the variety of rehabilitation methods examined limit the value of the evidence obtained.

Bibliographic References

  • Citas COX NS, MCDONALD CF, ALISON JA, MAHAL A, WOOTTON R, HILL CJ et al. Telerehabilitation versus traditional centre-based pulmonary rehabilitation for people with chronic respiratory disease: Protocol for a randomised controlled trial. BMC Pulm Med 2018; 18: 1-9. https://doi.org/10.1186/s12890-018-0646-0
  • DAMHUS CS, EMME C, HANSEN H. BARRIERS and enablers of COPD telerehabilitation - a frontline staff perspective. Int J Chron Obstruct Pulmon Dis 2018; 13: 2473-2482. https://doi.org/10.2147/COPD.S167501
  • SORIANO ORTIZ JB, ALMAGRO P, ROIG JS. Causas de mortalidad en la EPOC. Arch Bronconeumol 2009; 45: 8-13. https://doi.org/10.1016/S0300-2896(09)72857-1
  • RAMÍREZ VÉLEZ R. Calidad de vida y enfermedad pulmonar obstructiva crónica. Rev Cienc Salud Bogota (Colombia) 2007; 5: 90-100.
  • GÁLDIZ ITURRI JB, GOROSTIZA MANTEROLA A, MARINA MALANDA N. Telerrehabilitación, ¿una estrategia eficaz en programas de rehabilitación respiratoria? Arch Bronconeumol 2018; 54: 547–548. https://doi.org/10.1016/j.arbres.2018.05.015
  • SERPA-ANAYA DC, HOYOS-QUINTERO AM, HERNANDEZ NL. La adherencia a los tratamientos de rehabilitación pulmonar: revisión exploratoria. Rehabilitacion 2021; 55: 138-152. https://doi.org/10.1016/j.rh.2020.09.007
  • AVELLANET M, BOADA-PLADELLORENS A, PAGES-BOLIBAR E. Rehabilitación en época de confinamiento. Rehabilitacion 2020; 54: 269-275. https://doi.org/10.1016/j.rh.2020.05.003
  • ALMONACID C, Plaza V. Guía SEPAR para la Teleconsulta de Pacientes Respiratorios. Sociedad Española de Neumología y Cirugía Torácica (SEPAR). Madrid: Editorial Respira, 2020. https://issuu.com/separ/docs/guia_teleconsulta_web__1_?fr=sZDE5MzE2NjczNg
  • VÁZQUEZ MARTÍNEZ JL, PÉREZ-CABALLERO MACARRÓN C, COCA PÉREZ A, FOLGADO TOLEDO D, SÁNCHEZ PORRAS M, TAPIA MORENO R. La unidad de cuidados intensivos pediátricos en el Hospital Universitario Ramón y Cajal en el año 2015. Rev Esp Pediatr 2016; 72: 84-89.
  • ZAMITH M, CARDOSO T, MATIAS I, GOMES MJM. Home telemonitoring of severe chronic respiratory insufficient and asthmatic patients. Rev Port Pneumol 2009; 15: 385-417. https://doi.org/10.1016/S0873-2159(15)30142-2
  • MARQUIS N, LARIVÉE P, SAEY D, DUBOIS MF, TOUSIGNANT M. In-home pulmonary telerehabilitation for patients with chronic obstructive pulmonary disease: A pre-experimental study on effectiveness, satisfaction, and adherence. Telemed e-Health 2015; 21: 870-879. https://doi.org/10.1089/tmj.2014.0198
  • HOLLAND AE. Telephysiotherapy: time to get online. J Physiother 2017; 63: 193-195. https://doi.org/10.1016/j.jphys.2017.08.001
  • BLÁNQUEZ MORENO C, COLUNGO FRANCIA C, ALVIRA BALADA MC, KOSTOV B, GONZÁLEZ-DE PAZ L, SISÓ-ALMIRALL A. Efectividad de un programa educativo de rehabilitación respiratoria en atención primaria para mejorar la calidad de vida, la sintomatología y el riesgo clínico de los pacientes con enfermedad pulmonar obstructiva crónica. Aten Primaria 2018; 50: 539-546. https://doi.org/10.1016/j.aprim.2017.03.019
  • COX NS, DAL CORSO S, HANSEN H, MCDONALD CF, HILL CJ, ZANABONI P et al. Telerehabilitation for chronic respiratory disease. Cochrane Database Syst Rev 2021; CD013040. https://doi.org/10.1002/14651858.CD013040.pub2
  • RYBAK MJ, LEONARD SN, ROSSI KL, CHEUNG CM, SADAR HS, JONES RN. Characterization of vancomycin-heteroresistant Staphylococcus aureus from the metropolitan area of Detroit, Michigan, over a 22-year period (1986 to 2007). J Clin Microbiol 2008; 46: 2950-2954. https://doi.org/10.1128/JCM.00582-08
  • BRENNAN SE, CUMPSTON MS, MCKENZIE JE, THOMAS J. The use of ‘PICO for synthesis’ and methods for synthesis without meta-analysis: protocol for a survey of current practice in systematic reviews of health interventions. F1000Research 2021; 9: 678. https://doi.org/10.12688/f1000research.24469.2
  • VERHAGEN AP, DE VET HCW, DE BIE RA, KESSELS AGH, BOERS M, BOUTER LM et al. The Delphi list: A criteria list for quality assessment of randomized clinical trials for conducting systematic reviews developed by Delphi consensus. J Clin Epidemiol 1998; 51: 1235-1241. https://doi.org/10.1016/S0895-4356(98)00131-0
  • FOLEY NC, BHOGAL SK, TEASELL RW, BUREAU Y, SPEECHLEY MR. Estimates of quality and reliability with the physiotherapy evidence-based database scale to assess the methodology of randomized controlled trials of pharmacological and nonpharmacological interventions. Phys Ther 2006; 86: 817-824. https://doi.org/10.1093/ptj/86.6.817
  • DINESEN B, ANDERSEN SK, HEJLESEN O, TOFT E. Interaction between COPD patients and healthcare professionals in a cross-sector tele-rehabilitation programme. Stud Health Technol Inform 2011; 169: 28-32.
  • HAESUM LKE, SOERENSEN N, DINESEN B, NIELSEN C, GRANN O, HEJLESEN O et al. Cost-utility analysis of a telerehabilitation program: A case study of COPD patients. Telemed e-Health 2012; 18: 688-692. https://doi.org/10.1089/tmj.2011.0250
  • DINESEN B, HAESUM LK, SOERENSEN N, NIELSEN C, GRANN O, HEJLESEN O et al. Using preventive home monitoring to reduce hospital admission rates and reduce costs: A case study of telehealth among chronic obstructive pulmonary disease patients. J Telemed Telecare 2012; 18: 221-225. https://doi.org/10.1258/jtt.2012.110704
  • TABAK M, VOLLENBROEK-HUTTEN MMR, VAN DER VALK PDLPM, VAN DER PALEN J, HERMENS HJ. A telerehabilitation intervention for patients with chronic obstructive pulmonary disease: a randomized controlled pilot trial. Clin Rehabil 2014; 28: 582-591. https://doi.org/10.1177/0269215513512495
  • PANERONI M, COLOMBO F, PAPALIA A, COLITTA A, BORGHI G, SALERI M et al. Is telerehabilitation a safe and viable option for patients with COPD? A feasibility study. COPD J Chronic Obstr Pulm Dis 2015; 12: 217-225. https://doi.org/10.3109/15412555.2014.933794
  • 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. Respirology 2017; 22: 699-707. https://doi.org/10.1111/resp.12966
  • VASILOPOULOU M, PAPAIOANNOU AI, KALTSAKAS G, LOUVARIS Z, CHYNKIAMIS N, SPETSIOTI S et al. Home-based maintenance telerehabilitation reduces the risk for acute exacerbations of COPD, hospitalisations and emergency department visits. Eur Respir J 2017; 49: 1602129. https://doi.org/10.1183/13993003.02129-2016
  • 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 2017; 7. https://doi.org/10.1136/bmjopen-2016-014580
  • 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 2020; 75: 413-421. https://doi.org/10.1136/thoraxjnl-2019-214246
  • DENNETT EJ, JANJUA S, STOVOLD E, HARRISON SL, MCDONNELL MJ, HOLLAND AE. Tailored or adapted interventions for adults with chronic obstructive pulmonary disease and at least one other long-term condition: a mixed methods review. Cochrane Database Syst Rev 2021; CD013384. https://doi.org/10.1002/14651858.CD013384.pub2
  • LIU F, JIANG Y, XU G, DING Z. Effectiveness of telemedicine intervention for chronic obstructive pulmonary disease in China: a systematic review and meta-analysis. https://home.liebertpub.com/tmj 2020; 26: 1075-1092. https://doi.org/10.1089/tmj.2019.0215
  • JANJUA S, BANCHOFF E, THREAPLETON CJD, PRIGMORE S, FLETCHER J, DISLER RT. Digital interventions for the management of chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2021; CD013246. https://doi.org/10.1002/14651858.CD013246.pub2
  • SPRUIT MA, SINGH SJ, GARVEY C, ZU WALLACK R, NICI L, ROCHESTER C et al. An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med 2013; 188. https://doi.org/10.1164/rccm.201309-1634ST
  • Grupo de Trabajo de GesEPOC. Guía de Práctica Clínica para el diagnóstico y tratamiento de pacientes con enfermedad pulmonar obstructiva crónica (EPOC) - Guía Española de la EPOC (GesEPOC). Arch Bronconeumol 2012; 48 (Suppl 1): 2-58. https://doi.org/10.1016/S0300-2896(12)70035-2
  • BEAUCHAMP MK, JANAUDIS-FERREIRA T, GOLDSTEIN RS, BROOKS D. Optimal duration of pulmonary rehabilitation for individuals with chronic obstructive pulmonary disease - A systematic review. Chron Respir Dis 2011; 8: 129-140. https://doi.org/10.1177/1479972311404256
  • NICI L, DONNER C, WOUTERS E, ZUWALLACK R, AMBROSINO N, BOURBEAU J. American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation. Am J Respir Crit Care Med 2006; 173: 1390-1413. https://doi.org/10.1164/rccm.200508-1211ST
  • RIEGER-REYES C, GARCÍA-TIRADO FJ, RUBIO-GALÁN FJ, MARÍN-TRIGO JM. Clasificación de la gravedad de la enfermedad pulmonar obstructiva crónica según la nueva guía iniciativa global para la enfermedad obstructiva crónica 2011: COPD Assessment Test versus modified Medical Research Council Assessment. Arch Bronconeumol 2014; 50: 129-134. https://doi.org/10.1016/j.arbres.2013.09.014
  • BURGE AT, COX NS, ABRAMSON MJ, HOLLAND AE. Interventions for promoting physical activity in people with chronic obstructive pulmonary disease (COPD). Cochrane Database Syst Rev 2020; CD012626. https://doi.org/10.1002/14651858.CD012626.pub2
  • REDELMEIER DA, BAYOUMI AM, GOLDSTEIN RS, GUYATT GH. Interpreting small differences in functional status: the six minute walk test in chronic lung disease patients. Am J Respir Crit Care Med 1997; 155: 1278-1282. https://doi.org/10.1164/ajrccm.155.4.9105067
  • PUHAN MA, CHANDRA D, MOSENIFAR Z, RIES A, MAKE B, HANSEL NN et al. The minimal important difference of exercise tests in severe COPD. Eur Respir J 2011; 37: 784-790. https://doi.org/10.1183/09031936.00063810
  • HOLLAND AE, NICI L. The return of the minimum clinically important difference for 6-minute-walk distance in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2013; 187: 335-336. https://doi.org/10.1164/rccm.201212-2191ED
  • RIES AL, KAPLAN RM, MYERS R, PREWITT LM. Maintenance after pulmonary rehabilitation in chronic lung disease: A randomized trial. Am J Respir Crit Care Med 2003; 167: 880-888. https://doi.org/10.1164/rccm.200204-318OC
  • MCCARTHY B, CASEY D, DEVANE D, MURPHY K, MURPHY E, LACASSE Y. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2015; CD003793. https://doi.org/10.1002/14651858.CD003793.pub3
  • GALEA MDF. Telemedicine in rehabilitation. Phys Med Rehab Clin N Am 2019; 30: 473-483. https://doi.org/10.1016/j.pmr.2018.12.002
  • MALAGUTI C, DAL CORSO S, JANJUA S, HOLLAND AE. Supervised maintenance programs following pulmonary rehabilitation compared to usual care for chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2021; CD013569. https://doi.org/10.1002/14651858.CD013569
  • MCLEAN S, NURMATOV U, LIU JLY, PAGLIARI C, CAR J, SHEIKHT A et al. Telehealthcare for chronic obstructive pulmonary disease: Cochrane review and meta-analysis. Br J Gen Pract 2012; 62: e739-e749. https://doi.org/10.3399/bjgp12X658269
  • BARBOSA MT, SOUSA CS, MORAIS-ALMEIDA M, SIMOES MJ, MENDES P. Telemedicine in COPD: an overview by topics. COPD 2020; 17: 601-617. https://doi.org/10.1080/15412555.2020.1815182
  • LUNDELL S, HOLMNER Å, REHN B, NYBERG A, WADELL K. Telehealthcare in COPD: a systematic review and meta-analysis on physical outcomes and dyspnea. Respir Med 2015; 109: 11-26. https://doi.org/10.1016/j.rmed.2014.10.008
  • BONNEVIE T, SMONDACK P, ELKINS M, GOUEL B, MEDRINAL C, COMBRET Y et al. Advanced telehealth technology improves home-based exercise therapy for people with stable chronic obstructive pulmonary disease: a systematic review. J Physiother 2021; 67: 27-40. https://doi.org/10.1016/j.jphys.2020.12.006
  • LOPEZ-CAMPOS JL, CALLE M, G. COSÍO BG, GONZÁLEZ VILLAESCUSA C, GARCÍA RIVERO JL, FERNANDEZ VILLAR A et al. Telephone support for COPD patients during COVID-19. Open Respir Arch 2020; 2: 179-185. https://doi.org/10.1016/j.opresp.2020.05.009
  • ROCHESTER CL, VOGIATZIS I, HOLLAND AE, LAREAU SC, MARCINIUK DD, PUHAN MA,et al. An official American Thoracic Society/European Respiratory Society policy statement: Enhancing implementation, use, and delivery of pulmonary rehabilitation. Am J Respir Crit Care Med 2015; 192: 1373-1386. https://doi.org/10.1164/rccm.201510-1966ST
Data source: Dialnet