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Is telerehabilitation an effective maintenance strategy for patients with chronic obstructive pulmonary diseases: a systematic review

Demelum, Uche-Okoye, Michael Nnaemeka, Ajemba, Bendall, Amy ORCID:, Ebube Chinwe, Arene, Chinemerem Henry, Ugo, Ngozi Perpetua, Eze, Ikenna Kelechi, Anyadike, Uju Maryanne, Onuorah and Chijioke Michael, Chiwenite 2023. Is telerehabilitation an effective maintenance strategy for patients with chronic obstructive pulmonary diseases: a systematic review. Bulletin of the National Research Centre 47 (1) , 13. 10.1186/s42269-023-00980-8

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Background: Pulmonary rehabilitation (PR) has proven to improve the physical and psychosocial function in patients with chronic obstructive pulmonary disease (COPD). However, the gains achieved during pulmonary rehabilitation diminish over time without an effective maintenance strategy. With several factors affecting access to pulmonary rehabilitation, calls for innovative models were made, which saw the emergence of studies exploring telerehabilitation (TR) as an alternative to traditional pulmonary rehabilitation models. Although there are current reviews exploring the effectiveness of telerehabilitation as an alternative for conventional PR, no review has considered telerehabilitation effectiveness in the long term. Hence, this review aims at examining the effectiveness of telerehabilitation following to pulmonary rehabilitation in patients with chronic obstructive pulmonary disease. Main body: A systematic review of the literature using CINAHL, MEDLINE, SCOPUS, Web of science PEDRO, AMED and EMBASE databases was conducted to assess the effectiveness of telerehabilitation following PR in patients with COPD. Health-related quality of life (HRQoL) and exercise capacity was maintained within 6–12 months of a TR maintenance programme. However, there was no significant increase in HRQoL and exercise capacity between the intervention and control groups in 6–12 months. Conclusions: This review suggests that a TR maintenance strategy effectively maintains benefits gained and may improve HRQoL and exercise capacity within 6–12 months for patients with COPD. Nonetheless, it is impossible to extrapolate the findings to the general population due to the paucity of included studies. Further high quality randomised controlled trials examining TR in the long-term is required in the future.

Item Type: Article
Date Type: Published Online
Status: Published
Schools: Healthcare Sciences
Additional Information: License information from Publisher: LICENSE 1: URL:, Type: open-access
Publisher: SpringerOpen
Date of First Compliant Deposit: 3 February 2023
Date of Acceptance: 5 January 2023
Last Modified: 03 May 2023 07:54

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