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J Cardiopulm Rehabil Prev. 2015 Nov-Dec;35(6):380-9. doi: 10.1097/HCR.0000000000000121.

A Systematic Review of the Effects of Telerehabilitation in Patients With Cardiopulmonary Diseases.

Author information

1
Department of Physiotherapy, Princess Alexandra Hospital, Metro South Health, Brisbane, Queensland, Australia (Ms Hwang); Department of Physiotherapy, Heart Failure Support Service, The Prince Charles Hospital, Brisbane, Queensland, Australia (Mr Bruning); The Menzies Health Institute Queensland and The School of Allied Health Sciences, Griffith University, Gold Coast, Queensland, Australia (Dr Morris); and Physiotherapy, School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia (Drs Mandrusiak and Russell and Ms Hwang).

Abstract

PURPOSE:

To examine the effects of telerehabilitation compared with other delivery models for improving physical or functional outcomes in patients with cardiopulmonary diseases.

METHODS:

A search was completed for English language publications from 1990 to August 2013 across 4 electronic databases and gray literature. Inclusion criteria were: (1) home-based telerehabilitation as a core component; (2) at least 2 exercise sessions; (3) randomized controlled trials; and (4) reporting of physical or functional outcome measures in adult patients with coronary heart disease, chronic heart failure, and chronic respiratory disease. Studies were independently screened by 2 reviewers and graded by a reviewer according to the Downs and Black checklist. A narrative synthesis of the included studies was undertaken.

RESULTS:

Eleven studies were analyzed. It appears that telerehabilitation is no different to other delivery models for patients with cardiopulmonary diseases, in terms of exercise capacity expressed as distance on the 6-minute walk test and peak oxygen consumption and quality of life. Telerehabilitation appears to have higher adherence rates compared with center-based exercise. There has been similar or no adverse events reported in telerehabilitation compared with center-based exercise.

CONCLUSIONS:

Although telerehabilitation shows promise in patients with cardiopulmonary diseases, compelling evidence is still limited. There is a need for more detailed, high-quality studies and for studies on the use of video-based telerehabilitation.

PMID:
26034937
DOI:
10.1097/HCR.0000000000000121
[Indexed for MEDLINE]

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