Evaluating Virtual and Inpatient Pulmonary Rehabilitation Programs for Patients with COPD
Chronic obstructive pulmonary disease (COPD) is an increasingly frequent disorder that is likely to become the third leading cause of morbidity worldwide. It significantly degrades the quality of life of patients affected and poses a significant financial burden to the healthcare systems providing t...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-10-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/12/11/1764 |
| _version_ | 1797467666555863040 |
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| author | Paula Irina Barata Alexandru Florian Crisan Adelina Maritescu Rodica Anamaria Negrean Ovidiu Rosca Felix Bratosin Cosmin Citu Cristian Oancea |
| author_facet | Paula Irina Barata Alexandru Florian Crisan Adelina Maritescu Rodica Anamaria Negrean Ovidiu Rosca Felix Bratosin Cosmin Citu Cristian Oancea |
| author_sort | Paula Irina Barata |
| collection | DOAJ |
| description | Chronic obstructive pulmonary disease (COPD) is an increasingly frequent disorder that is likely to become the third leading cause of morbidity worldwide. It significantly degrades the quality of life of patients affected and poses a significant financial burden to the healthcare systems providing treatment and rehabilitation. Consequently, our study’s purpose was to compare conventional inpatient pulmonary rehabilitation (PR) with virtual (online) PR using a mobile phone application. During a three-month period, two groups of patients followed the research protocol by participating in a pulmonary rehabilitation program administered and supervised by a physical therapist five times per week. A number of respiratory variables were examined before and after the test. At the end of the study period, a total of 72 patients completed the rehabilitation in the inpatient group, respectively 58 in the online group. It was observed that post-test comparison between patients undergoing the traditional and online rehabilitation methods did not show any significant differences. However, the calculated mean differences between pre-test and post-test results were significantly higher in favor of the virtual method. The most significant variations were encountered in maximal inspiratory pressure (MIP) (6.6% vs. 8.5%, <i>p</i>-value < 0.001), 6-min walking test (6MWT) (6.7% vs. 9.4%, <i>p</i>-value < 0.001), and COPD assessment test (CAT) values (4.8 vs. 6.2, <i>p</i>-value < 0.001), respectively. However, the maximal expiratory pressure (MEP) variation was significantly higher in patients undergoing the traditional rehabilitation method, from an average of 4.1% to 3.2% (<i>p</i>-value < 0.001). In this preliminary study, the online pulmonary rehabilitation program proved non-inferiority to the traditional method, with significantly better results in several measurements. Additional studies using larger cohorts of patients and longer exposure to the online rehabilitation program are required to validate these findings. |
| first_indexed | 2024-03-09T18:56:55Z |
| format | Article |
| id | doaj.art-ad69d10a02ec468bbb4f6122e53025ac |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-09T18:56:55Z |
| publishDate | 2022-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-ad69d10a02ec468bbb4f6122e53025ac2023-11-24T05:24:46ZengMDPI AGJournal of Personalized Medicine2075-44262022-10-011211176410.3390/jpm12111764Evaluating Virtual and Inpatient Pulmonary Rehabilitation Programs for Patients with COPDPaula Irina Barata0Alexandru Florian Crisan1Adelina Maritescu2Rodica Anamaria Negrean3Ovidiu Rosca4Felix Bratosin5Cosmin Citu6Cristian Oancea7Center for Research and Innovation in Precision Medicine of Respiratory Diseases, “Victor Babes” University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, RomaniaCenter for Research and Innovation in Precision Medicine of Respiratory Diseases, “Victor Babes” University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, RomaniaCenter for Research and Innovation in Precision Medicine of Respiratory Diseases, “Victor Babes” University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, RomaniaFaculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, RomaniaDepartment XIII, Discipline of Infectious Diseases, “Victor Babes” University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, RomaniaMethodological and Infectious Diseases Research Center, Department of Infectious Diseases, “Victor Babes” University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, RomaniaDepartment of Obstetrics and Gynecology, “Victor Babes” University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, RomaniaCenter for Research and Innovation in Precision Medicine of Respiratory Diseases, “Victor Babes” University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, RomaniaChronic obstructive pulmonary disease (COPD) is an increasingly frequent disorder that is likely to become the third leading cause of morbidity worldwide. It significantly degrades the quality of life of patients affected and poses a significant financial burden to the healthcare systems providing treatment and rehabilitation. Consequently, our study’s purpose was to compare conventional inpatient pulmonary rehabilitation (PR) with virtual (online) PR using a mobile phone application. During a three-month period, two groups of patients followed the research protocol by participating in a pulmonary rehabilitation program administered and supervised by a physical therapist five times per week. A number of respiratory variables were examined before and after the test. At the end of the study period, a total of 72 patients completed the rehabilitation in the inpatient group, respectively 58 in the online group. It was observed that post-test comparison between patients undergoing the traditional and online rehabilitation methods did not show any significant differences. However, the calculated mean differences between pre-test and post-test results were significantly higher in favor of the virtual method. The most significant variations were encountered in maximal inspiratory pressure (MIP) (6.6% vs. 8.5%, <i>p</i>-value < 0.001), 6-min walking test (6MWT) (6.7% vs. 9.4%, <i>p</i>-value < 0.001), and COPD assessment test (CAT) values (4.8 vs. 6.2, <i>p</i>-value < 0.001), respectively. However, the maximal expiratory pressure (MEP) variation was significantly higher in patients undergoing the traditional rehabilitation method, from an average of 4.1% to 3.2% (<i>p</i>-value < 0.001). In this preliminary study, the online pulmonary rehabilitation program proved non-inferiority to the traditional method, with significantly better results in several measurements. Additional studies using larger cohorts of patients and longer exposure to the online rehabilitation program are required to validate these findings.https://www.mdpi.com/2075-4426/12/11/1764COPDpulmonary rehabilitationdigitalization of healthcarerespiratory disease |
| spellingShingle | Paula Irina Barata Alexandru Florian Crisan Adelina Maritescu Rodica Anamaria Negrean Ovidiu Rosca Felix Bratosin Cosmin Citu Cristian Oancea Evaluating Virtual and Inpatient Pulmonary Rehabilitation Programs for Patients with COPD Journal of Personalized Medicine COPD pulmonary rehabilitation digitalization of healthcare respiratory disease |
| title | Evaluating Virtual and Inpatient Pulmonary Rehabilitation Programs for Patients with COPD |
| title_full | Evaluating Virtual and Inpatient Pulmonary Rehabilitation Programs for Patients with COPD |
| title_fullStr | Evaluating Virtual and Inpatient Pulmonary Rehabilitation Programs for Patients with COPD |
| title_full_unstemmed | Evaluating Virtual and Inpatient Pulmonary Rehabilitation Programs for Patients with COPD |
| title_short | Evaluating Virtual and Inpatient Pulmonary Rehabilitation Programs for Patients with COPD |
| title_sort | evaluating virtual and inpatient pulmonary rehabilitation programs for patients with copd |
| topic | COPD pulmonary rehabilitation digitalization of healthcare respiratory disease |
| url | https://www.mdpi.com/2075-4426/12/11/1764 |
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