Application status of telerehabilitation for chronic obstructive pulmonary disease under the epidemic of coronavirus disease 2019_West China Medical Journal

Authors：

ZHANG Haijun , AN Kang , SU Qiaoli ,  LI Shuangqing

Department of General Practice, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LI Shuangqing, Email: 1259594471@qq.com

Keywords：

Coronavirus disease 2019; chronic obstructive pulmonary disease; telemedicine; pulmonary rehabilitation

DOI：

10.7507/1002-0179.202202135

Video：

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Abstract Full text Figures/Tables Video References Cited by

Due to the coronavirus disease 2019 pandemic, the traditional outpatient and medical center pulmonary rehabilitation models for chronic obstructive pulmonary disease have been limited, while pulmonary rehabilitation technology has always been the focus of clinical and scientific research in rehabilitation. This article reviews the application status of remote pulmonary rehabilitation for chronic obstructive pulmonary disease under the coronavirus disease 2019 epidemic in recent years. From the selection and method of remote pulmonary rehabilitation equipment before the epidemic, to the development of rehabilitation forms and equipment innovation after the epidemic, the current status and problems of remote pulmonary rehabilitation are clarified. Establishing a remote pulmonary rehabilitation model in line with China’s national conditions is the direction and goal of future development.

Citation： ZHANG Haijun, AN Kang, SU Qiaoli, LI Shuangqing. Application status of telerehabilitation for chronic obstructive pulmonary disease under the epidemic of coronavirus disease 2019. West China Medical Journal, 2022, 37(8): 1140-1144. doi: 10.7507/1002-0179.202202135 Copy

1.	中华医学会呼吸病学分会慢性阻塞性肺疾病学组, 中国医师协会呼吸医师分会慢性阻塞性肺疾病工作委员会. 慢性阻塞性肺疾病诊治指南(2021 年修订版). 中华结核和呼吸杂志, 2021, 44(3): 170-205.
2.	Spruit MA, Singh SJ, Garvey 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(8): e13-e64.
3.	McCarthy B, Casey D, Devane D, et al. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database Syst Rev, 2015(2): CD003793.
4.	Wadell K, Janaudis Ferreira T, et al. Hospital-based pulmonary rehabilitation in patients with COPD in Sweden-a national survey. Respir Med, 2013, 107(8): 1195-1200.
5.	Tsutsui M, Gerayeli F, Sin DD. Pulmonary rehabilitation in a post-COVID-19 world: telerehabilitation as a new standard in patients with COPD. Int J Chron Obstruct Pulmon Dis, 2021, 16: 379-391.
6.	Galea MD. Telemedicine in rehabilitation. Phys Med Rehabil Clin N Am, 2019, 30(2): 473-483.
7.	Kairy D, Lehoux P, Vincent C, et al. A systematic review of clinical outcomes, clinical process, healthcare utilization and costs associated with telerehabilitation. Disabil Rehabil, 2009, 31(6): 427-447.
8.	Prvu Bettger J, Resnik LJ. Telerehabilitation in the age of COVID-19: an opportunity for learning health system research. Phys Ther, 2020, 100(11): 1913-1916.
9.	Peretti A, Amenta F, Tayebati SK, et al. Telerehabilitation: review of the state-of-the-art and areas of application. JMIR Rehabil Assist Technol, 2017, 4(2): e7.
10.	Seidman Z, McNamara R, Wootton S, et al. People attending pulmonary rehabilitation demonstrate a substantial engagement with technology and willingness to use telerehabilitation: a survey. J Physiother, 2017, 63(3): 175-181.
11.	Hwang R, Bruning J, Morris N, et al. A systematic review of the effects of telerehabilitation in patients with cardiopulmonary diseases. J Cardiopulm Rehabil Prev, 2015, 35(6): 380-389.
12.	Cox NS, Dal Corso S, Hansen H, et al. Telerehabilitation for chronic respiratory disease. Cochrane Database Syst Rev, 2021, 1(1): CD013040.
13.	中国医师协会呼吸医师分会, 中华医学会呼吸病学分会, 中国康复医学会呼吸康复专业委员会, 等. 中国慢性呼吸道疾病呼吸康复管理指南(2021 年). 中华健康管理学杂志, 2021, 15(6): 521-538.
14.	Ding H, Karunanithi M, Kanagasingam Y, et al. A pilot study of a mobile-phone-based home monitoring system to assist in remote interventions in cases of acute exacerbation of COPD. J Telemed Telecare, 2014, 20(3): 128-134.
15.	Zanaboni P, Lien LA, Hjalmarsen A, et al. Long-term telerehabilitation of COPD patients in their homes: interim results from a pilot study in Northern Norway. J Telemed Telecare, 2013, 19(7): 425-429.
16.	Bernocchi P, Vitacca M, La Rovere MT, et al. Home-based telerehabilitation in older patients with chronic obstructive pulmonary disease and heart failure: a randomised controlled trial. Age Ageing, 2018, 47(1): 82-88.
17.	Zanaboni P, Hoaas H, Aarøen Lien L, et al. Long-term exercise maintenance in COPD via telerehabilitation: a two-year pilot study. J Telemed Telecare, 2017, 23(1): 74-82.
18.	Tsai LL, McNamara RJ, Moddel C, et al. Home-based telerehabilitation via real-time videoconferencing improves endurance exercise capacity in patients with COPD: the randomized controlled TeleR Study. Respirology, 2017, 22(4): 699-707.
19.	Benzo R, Vickers K, Novotny PJ, et al. Health coaching and chronic obstructive pulmonary disease rehospitalization. A randomized study. Am J Respir Crit Care Med, 2016, 194(6): 672-680.
20.	Benzo R, McEvoy C. Effect of health coaching delivered by a respiratory therapist or nurse on self-management abilities in severe COPD: analysis of a large randomized study. Respir Care, 2019, 64(9): 1065-1072.
21.	Bourbeau J, Julien M, Maltais F, et al. Reduction of hospital utilization in patients with chronic obstructive pulmonary disease: a disease-specific self-management intervention. Arch Intern Med, 2003, 163(5): 585-591.
22.	Rice KL, Dewan N, Bloomfield HE, et al. Disease management program for chronic obstructive pulmonary disease: a randomized controlled trial. Am J Respir Crit Care Med, 2010, 182(7): 890-896.
23.	Rutkowski S. Management challenges in chronic obstructive pulmonary disease in the COVID-19 pandemic: telehealth and virtual reality. J Clin Med, 2021, 10(6): 1261.
24.	American Physical Therapy Association. Impact of COVID-19 on the physical therapy profession. (2021-05-25)[2022-07-30]. https://www.apta.org/apta-and-you/news-publications/2021/impact-of-covid-19-on-the-physical-therapy-profession.
25.	Bohil CJ, Alicea B, Biocca FA. Virtual reality in neuroscience research and therapy. Nat Rev Neurosci, 2011, 12(12): 752-762.
26.	Jacobson L. On the cutting edge of technology. Carmel:Sams Publishing, 1993: 69-79.
27.	Mazurek J, Kiper P, Cieślik B, et al. Virtual reality in medicine: a brief overview and future research directions. Hum Movement, 2019, 20(3): 16-22.
28.	Rutkowski S, Kiper P, Cacciante L, et al. Use of virtual reality-based training in different fields of rehabilitation: a systematic review and meta-analysis. J Rehabil Med, 2020, 52(11): jrm00121.
29.	Matsangidou M, Ang CS, Mauger AR, et al. Is your virtual self as sensational as your real? Virtual reality: the effect of body consciousness on the experience of exercise sensations. Psychol Sport Exerc, 2019, 41: 218-224.
30.	Palazzo C, Klinger E, Dorner V, et al. Barriers to home-based exercise program adherence with chronic low back pain: patient expectations regarding new technologies. Ann Phys Rehabil Med, 2016, 59(2): 107-113.
31.	Condon C, Lam WT, Mosley C, et al. A systematic review and meta-analysis of the effectiveness of virtual reality as an exercise intervention for individuals with a respiratory condition. Adv Simul (Lond), 2020, 5(1): 33.
32.	Colombo V, Aliverti A, Sacco M. Virtual reality for COPD rehabilitation: a technological perspective. Pulmonology, 2022, 28(2): 119-133.
33.	Fekete M, Fazekas-Pongor V, Balazs P, et al. Role of new digital technologies and telemedicine in pulmonary rehabilitation: smart devices in the treatment of chronic respiratory diseases. Wien Klin Wochenschr, 2021, 133(21/22): 1201-1207.
34.	Garvey C, Singer JP, Bruun AM, et al. Moving pulmonary rehabilitation into the home: a clinical review. J Cardiopulm Rehabil Prev, 2018, 38(1): 8-16.
35.	Hansen H, Bieler T, Beyer N, et al. Supervised pulmonary tele-rehabilitation versus pulmonary rehabilitation in severe COPD: a randomised multicentre trial. Thorax, 2020, 75(5): 413-421.
36.	Ambrosino N, Fracchia C. The role of tele-medicine in patients with respiratory diseases. Expert Rev Respir Med, 2017, 11(11): 893-900.
37.	Wang C, Xu J, Yang L, et al. Prevalence and risk factors of chronic obstructive pulmonary disease in China (the China Pulmonary Health study): a national cross-sectional study. Lancet, 2018, 391(10131): 1706-1717.

1. 中华医学会呼吸病学分会慢性阻塞性肺疾病学组, 中国医师协会呼吸医师分会慢性阻塞性肺疾病工作委员会. 慢性阻塞性肺疾病诊治指南(2021 年修订版). 中华结核和呼吸杂志, 2021, 44(3): 170-205.
2. Spruit MA, Singh SJ, Garvey 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(8): e13-e64.
3. McCarthy B, Casey D, Devane D, et al. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database Syst Rev, 2015(2): CD003793.
4. Wadell K, Janaudis Ferreira T, et al. Hospital-based pulmonary rehabilitation in patients with COPD in Sweden-a national survey. Respir Med, 2013, 107(8): 1195-1200.
5. Tsutsui M, Gerayeli F, Sin DD. Pulmonary rehabilitation in a post-COVID-19 world: telerehabilitation as a new standard in patients with COPD. Int J Chron Obstruct Pulmon Dis, 2021, 16: 379-391.
6. Galea MD. Telemedicine in rehabilitation. Phys Med Rehabil Clin N Am, 2019, 30(2): 473-483.
7. Kairy D, Lehoux P, Vincent C, et al. A systematic review of clinical outcomes, clinical process, healthcare utilization and costs associated with telerehabilitation. Disabil Rehabil, 2009, 31(6): 427-447.
8. Prvu Bettger J, Resnik LJ. Telerehabilitation in the age of COVID-19: an opportunity for learning health system research. Phys Ther, 2020, 100(11): 1913-1916.
9. Peretti A, Amenta F, Tayebati SK, et al. Telerehabilitation: review of the state-of-the-art and areas of application. JMIR Rehabil Assist Technol, 2017, 4(2): e7.
10. Seidman Z, McNamara R, Wootton S, et al. People attending pulmonary rehabilitation demonstrate a substantial engagement with technology and willingness to use telerehabilitation: a survey. J Physiother, 2017, 63(3): 175-181.
11. Hwang R, Bruning J, Morris N, et al. A systematic review of the effects of telerehabilitation in patients with cardiopulmonary diseases. J Cardiopulm Rehabil Prev, 2015, 35(6): 380-389.
12. Cox NS, Dal Corso S, Hansen H, et al. Telerehabilitation for chronic respiratory disease. Cochrane Database Syst Rev, 2021, 1(1): CD013040.
13. 中国医师协会呼吸医师分会, 中华医学会呼吸病学分会, 中国康复医学会呼吸康复专业委员会, 等. 中国慢性呼吸道疾病呼吸康复管理指南(2021 年). 中华健康管理学杂志, 2021, 15(6): 521-538.
14. Ding H, Karunanithi M, Kanagasingam Y, et al. A pilot study of a mobile-phone-based home monitoring system to assist in remote interventions in cases of acute exacerbation of COPD. J Telemed Telecare, 2014, 20(3): 128-134.
15. Zanaboni P, Lien LA, Hjalmarsen A, et al. Long-term telerehabilitation of COPD patients in their homes: interim results from a pilot study in Northern Norway. J Telemed Telecare, 2013, 19(7): 425-429.
16. Bernocchi P, Vitacca M, La Rovere MT, et al. Home-based telerehabilitation in older patients with chronic obstructive pulmonary disease and heart failure: a randomised controlled trial. Age Ageing, 2018, 47(1): 82-88.
17. Zanaboni P, Hoaas H, Aarøen Lien L, et al. Long-term exercise maintenance in COPD via telerehabilitation: a two-year pilot study. J Telemed Telecare, 2017, 23(1): 74-82.
18. Tsai LL, McNamara RJ, Moddel C, et al. Home-based telerehabilitation via real-time videoconferencing improves endurance exercise capacity in patients with COPD: the randomized controlled TeleR Study. Respirology, 2017, 22(4): 699-707.
19. Benzo R, Vickers K, Novotny PJ, et al. Health coaching and chronic obstructive pulmonary disease rehospitalization. A randomized study. Am J Respir Crit Care Med, 2016, 194(6): 672-680.
20. Benzo R, McEvoy C. Effect of health coaching delivered by a respiratory therapist or nurse on self-management abilities in severe COPD: analysis of a large randomized study. Respir Care, 2019, 64(9): 1065-1072.
21. Bourbeau J, Julien M, Maltais F, et al. Reduction of hospital utilization in patients with chronic obstructive pulmonary disease: a disease-specific self-management intervention. Arch Intern Med, 2003, 163(5): 585-591.
22. Rice KL, Dewan N, Bloomfield HE, et al. Disease management program for chronic obstructive pulmonary disease: a randomized controlled trial. Am J Respir Crit Care Med, 2010, 182(7): 890-896.
23. Rutkowski S. Management challenges in chronic obstructive pulmonary disease in the COVID-19 pandemic: telehealth and virtual reality. J Clin Med, 2021, 10(6): 1261.
24. American Physical Therapy Association. Impact of COVID-19 on the physical therapy profession. (2021-05-25)[2022-07-30]. https://www.apta.org/apta-and-you/news-publications/2021/impact-of-covid-19-on-the-physical-therapy-profession.
25. Bohil CJ, Alicea B, Biocca FA. Virtual reality in neuroscience research and therapy. Nat Rev Neurosci, 2011, 12(12): 752-762.
26. Jacobson L. On the cutting edge of technology. Carmel:Sams Publishing, 1993: 69-79.
27. Mazurek J, Kiper P, Cieślik B, et al. Virtual reality in medicine: a brief overview and future research directions. Hum Movement, 2019, 20(3): 16-22.
28. Rutkowski S, Kiper P, Cacciante L, et al. Use of virtual reality-based training in different fields of rehabilitation: a systematic review and meta-analysis. J Rehabil Med, 2020, 52(11): jrm00121.
29. Matsangidou M, Ang CS, Mauger AR, et al. Is your virtual self as sensational as your real? Virtual reality: the effect of body consciousness on the experience of exercise sensations. Psychol Sport Exerc, 2019, 41: 218-224.
30. Palazzo C, Klinger E, Dorner V, et al. Barriers to home-based exercise program adherence with chronic low back pain: patient expectations regarding new technologies. Ann Phys Rehabil Med, 2016, 59(2): 107-113.
31. Condon C, Lam WT, Mosley C, et al. A systematic review and meta-analysis of the effectiveness of virtual reality as an exercise intervention for individuals with a respiratory condition. Adv Simul (Lond), 2020, 5(1): 33.
32. Colombo V, Aliverti A, Sacco M. Virtual reality for COPD rehabilitation: a technological perspective. Pulmonology, 2022, 28(2): 119-133.
33. Fekete M, Fazekas-Pongor V, Balazs P, et al. Role of new digital technologies and telemedicine in pulmonary rehabilitation: smart devices in the treatment of chronic respiratory diseases. Wien Klin Wochenschr, 2021, 133(21/22): 1201-1207.
34. Garvey C, Singer JP, Bruun AM, et al. Moving pulmonary rehabilitation into the home: a clinical review. J Cardiopulm Rehabil Prev, 2018, 38(1): 8-16.
35. Hansen H, Bieler T, Beyer N, et al. Supervised pulmonary tele-rehabilitation versus pulmonary rehabilitation in severe COPD: a randomised multicentre trial. Thorax, 2020, 75(5): 413-421.
36. Ambrosino N, Fracchia C. The role of tele-medicine in patients with respiratory diseases. Expert Rev Respir Med, 2017, 11(11): 893-900.
37. Wang C, Xu J, Yang L, et al. Prevalence and risk factors of chronic obstructive pulmonary disease in China (the China Pulmonary Health study): a national cross-sectional study. Lancet, 2018, 391(10131): 1706-1717.

West China Medical Journal

Application status of telerehabilitation for chronic obstructive pulmonary disease under the epidemic of coronavirus disease 2019

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