PMID- 23666438
OWN - NLM
STAT- MEDLINE
DCOM- 20140528
LR  - 20170214
IS  - 1758-1109 (Electronic)
IS  - 1357-633X (Linking)
VI  - 19
IP  - 4
DP  - 2013 Jun
TI  - Telerehabilitation for people with chronic obstructive pulmonary disease: 
      feasibility of a simple, real time model of supervised exercise training.
PG  - 222-6
AB  - We evaluated the safety and feasibility of home telerehabilitation for people 
      with chronic obstructive pulmonary disease (COPD). Eight patients with mean age 
      of 66 years and moderately impaired lung function took part. The 
      telerehabilitation equipment in the participant's home included an exercise 
      bicycle, a tablet computer with webcam for low bandwidth videoconferencing, and a 
      pulse oximeter positioned so that the display was visible while 
      videoconferencing. Participants undertook supervised aerobic training twice a 
      week for eight weeks, with two participants and a physiotherapist attending each 
      class via videoconferencing from separate locations. Primary outcomes were 
      adverse events, sessions attended and system usability. Secondary outcomes were 
      the 6-minute walk distance (6MWD) and Chronic Respiratory Questionnaire (CRQ). No 
      significant adverse events occurred during the study. Participants attended 76% 
      of possible sessions. System usability ratings were excellent when sessions were 
      delivered via the university network (mean 94 out of 100) but lower when using 
      the hospital network (mean 59 out of 100), with 67% of technical problems related 
      to data network capability. Five participants completed the programme, with 
      clinically significant improvements in 6MWD (mean 27 m, SD 40) and CRQ dyspnoea 
      (4 units, SD 4). Simple home-based telerehabilitation using readily available 
      equipment is safe and feasible for people with COPD. Effective delivery of 
      telerehabilitation requires an adequate data network.
FAU - Holland, Anne E
AU  - Holland AE
AD  - Alfred Health, Melbourne, Victoria, Australia.
FAU - Hill, Catherine J
AU  - Hill CJ
FAU - Rochford, Peter
AU  - Rochford P
FAU - Fiore, Julio
AU  - Fiore J
FAU - Berlowitz, David J
AU  - Berlowitz DJ
FAU - McDonald, Christine F
AU  - McDonald CF
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20130523
PL  - England
TA  - J Telemed Telecare
JT  - Journal of telemedicine and telecare
JID - 9506702
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Dyspnea
MH  - Exercise Therapy/*methods
MH  - Feasibility Studies
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Education as Topic
MH  - Pilot Projects
MH  - Pulmonary Disease, Chronic Obstructive/*rehabilitation
MH  - Telemedicine/*methods
MH  - Videoconferencing
EDAT- 2013/05/15 06:00
MHDA- 2014/05/29 06:00
CRDT- 2013/05/14 06:00
PHST- 2013/05/14 06:00 [entrez]
PHST- 2013/05/15 06:00 [pubmed]
PHST- 2014/05/29 06:00 [medline]
AID - 1357633X13487100 [pii]
AID - 10.1177/1357633x13487100 [doi]
PST - ppublish
SO  - J Telemed Telecare. 2013 Jun;19(4):222-6. doi: 10.1177/1357633x13487100. Epub 
      2013 May 23.