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Pulmoner Rehabilitasyon Uygulamalarında Telerehabilitasyon Yaklaşımları

Yıl 2025, Cilt: 15 Sayı: 3, 484 - 489, 24.09.2025
https://doi.org/10.33631/sabd.1588906

Öz

Kronik respiratuar hastalıklar (KRH), dünya genelinde önemli bir halk sağlığı sorunu olup, bireyler ve topluluklar için önemli sosyal ve ekonomik zorluklar ortaya çıkarmaktadır. Teknolojinin ilerlemesiyle, KRH'lar için modern rehabilitasyon yaklaşımları telerehabilitasyon uygulamalarını da içermeye başlamıştır. Pulmoner rehabilitasyonda telerehabilitasyon yaklaşımları, önemli bir hastalık yüküne sahip ve uzun süreli rehabilitasyon gerektiren KRH'larda tedavi devamlılığını sağlamak ve katılımı artırmak açısından kritik öneme sahiptir. Respiratuar hastalıklar için pulmoner rehabilitasyonda telerehabilitasyon uygulamalarını inceleyen çalışmalar bulunsa da, bu çalışmaların çoğu tek hastalığa odaklanmaktadır. Farklı kronik solunum yolu hastalıklarında çeşitli telerehabilitasyon yöntemlerini ele alan araştırmalar sınırlıdır. Bu makale, kronik respiratuar hastalıklar için telerehabilitasyona yönelik en güncel yaklaşımları özetlemeyi amaçlamaktadır.

Kaynakça

  • Xie M, Liu X, Cao X, Guo M, Li X. Trends in prevalence and incidence of chronic respiratory diseases from 1990 to 2017. Respir Res. 2020;21(1):49.
  • Viegi G, Maio S, Fasola S, Baldacci S. Global burden of chronic respiratory diseases. J Aerosol Med Pulm Drug Deliv. 2020;33(4):171-7.
  • Jiménez-Reguera B, Maroto López E, Fitch S, Juarros L, Sánchez Cortés M, Rodríguez Hermosa JL, et al. Development and preliminary evaluation of the effects of an mHealth web-based platform (HappyAir) on adherence to a maintenance program after pulmonary rehabilitation in patients with chronic obstructive pulmonary disease: randomized controlled trial. JMIR Mhealth Uhealth. 2020;8(7):e18465.
  • Holland AE, Cox NS, Houchen-Wolloff L, Rochester CL, Garvey C, ZuWallack R, et al. Defining modern pulmonary rehabilitation: an official American Thoracic Society workshop report. Ann Am Thorac Soc. 2021;18(5):e12-e29.
  • Hansen H, Bieler T, Beyer N, Kallemose T, Wilcke JT, Østergaard LM, et al. Supervised pulmonary tele-rehabilitation versus pulmonary rehabilitation in severe COPD: a randomized multicentre trial. Thorax. 2020;75(5):413-21.
  • Chan C, Yamabayashi C, Syed N, Kirkham A, Camp PG. Exercise telemonitoring and telerehabilitation compared with traditional cardiac and pulmonary rehabilitation: a systematic review and meta-analysis. Physiother Can. 2016;68(3):242-51.
  • Buabbas AJ, Albahrouh SE, Alrowayeh HN, Alshawaf H. Telerehabilitation during the COVID-19 pandemic: patients and physical therapists’ experiences. Med Princ Pract. 2022;31(2):56-64.
  • Peretti A, Amenta F, Tayebati SK, Nittari G, Mahdi SS. Telerehabilitation: review of the state-of-the-art and areas of application. JMIR Rehabil Assist Technol. 2017;4(2):e7.
  • Seron P, Oliveros MJ, Gutierrez-Arias R, Fuentes-Aspe R, Torres-Castro RC, Merino-Osorio C, et al. Effectiveness of telerehabilitation in physical therapy: a rapid overview. Phys Ther. 2021;101(6):pzab053.
  • Cason J. A pilot telerehabilitation program: delivering early intervention services to rural families. Int J Telerehabil. 2009;1(1):29-37.
  • Shenoy MP, Shenoy PD. Identifying the challenges and cost-effectiveness of telerehabilitation: a narrative review. J Clin Diagn Res. 2018;12(12):1-4.
  • Liu T, Zhang Y, Chen Q. Educational interventions in telehealth: a systematic review. Health Educ Res. 2021;36(2):158-70.
  • Bowhay B, Latour JM, Tomlinson OW. A systematic review to explore how exercise-based physiotherapy via telemedicine can promote health-related benefits for people with cystic fibrosis. PLOS Digit Health. 2023;2(2):e0000201.
  • Wicks M, Dennett AM, Peiris CL. Physiotherapist-led, exercise-based telerehabilitation for older adults improves patient and health service outcomes: a systematic review and meta-analysis. Age Ageing. 2023;52(11):1-13.
  • Rochester CL, Alison JA, Carlin B, Jenkins AR, Cox NS, Bauldoff G, et al. Pulmonary rehabilitation for adults with chronic respiratory disease: an official American Thoracic Society clinical practice guideline. Am J Respir Crit Care Med. 2023;208(4):e7-e26.
  • Burkow TM, Vognild LK, Johnsen E, Risberg MJ, Bratvold A, Breivik E, et al. Comprehensive pulmonary rehabilitation in home-based online groups: a mixed-method pilot study in COPD. BMC Res Notes. 2015;8:1-11.
  • Lewis A, Knight E, Bland M, Middleton J, Mitchell E, McCrum K, et al. Feasibility of an online platform delivery of pulmonary rehabilitation for individuals with chronic respiratory disease. BMJ Open Respir Res. 2021;8(1):e000880.
  • Bourne S, DeVos R, North M, Chauhan A, Green B, Brown T, et al. Online versus face-to-face pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: randomized controlled trial. BMJ Open. 2017;7(7):e014580
  • Ryu S. Book review: mHealth: new horizons for health through mobile technologies: based on the findings of the second global survey on eHealth. Healthc Inform Res. 2012;18(3):231-3.
  • Fallah M, Niakan Kalhori SR. Systematic review of data mining applications in patient-centered mobile-based information systems. Healthc Inform Res. 2017;23(4):262-70.
  • Kiani S, Abasi S, Yazdani A. Evaluation of m-Health rehabilitation for respiratory disorders: a systematic review. Health Sci Rep. 2022;5(3):e575
  • Boer L, Bischoff E, van der Heijden M, Lucas P, Akkermans R, Vercoulen J, et al. A smart mobile health tool versus a paper action plan to support self-management of chronic obstructive pulmonary disease exacerbations: randomized controlled trial. JMIR Mhealth Uhealth. 2019;7(10):e14408
  • Ji W, Kwon H, Lee S, Kim S, Hong JS, Park YR, et al. Mobile health management platform-based pulmonary rehabilitation for patients with non-small cell lung cancer: prospective clinical trial. JMIR Mhealth Uhealth. 2019;7(6):e12645
  • Kwon H, Lee S, Jung EJ, Kim S, Lee JK, Kim DK, et al. An mHealth management platform for patients with chronic obstructive pulmonary disease (efil breath): randomized controlled trial. JMIR Mhealth Uhealth. 2018;6(8):e10502.
  • Dias D, Silva Cunha JP. Wearable health devices—vital sign monitoring, systems and technologies. Sensors. 2018;18(8):2414.
  • Ferreira JJ, Fernandes CI, Rammal HG, Veiga PM. Wearable technology and consumer interaction: a systematic review and research agenda. Comput Human Behav. 2021;118:106710.
  • Abbasi S, Jung BK. White paper-overview and insight: performance of digital health systems during the COVID-19 pandemic. IEEE. 2023:1–97. Available from: https://ieeexplore.ieee.org/document/10026272.
  • Rutkowski S, Buekers J, Rutkowska A, Cieślik B, Szczegielniak J. Monitoring physical activity with a wearable sensor in patients with COPD during an in-hospital pulmonary rehabilitation program: a pilot study. Sensors. 2021;21(8):2742.
  • Chen Z, Wang Y, Qiu P, Tan L, Hu Y. Pulmonary rehabilitation exercise based on wearable device pedometer improved lung cancer patients with impaired pulmonary function. Altern Ther Health Med. 2024;30(1):78-82.
  • Shah AJ, Althobiani MA, Saigal A, Ogbonnaya CE, Hurst JR, Mandal S. Wearable technology interventions in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis. NPJ Digit Med. 2023;6(1):222.
  • Chuang TY, Chen CH, Chang HA, Wang RY. Virtual reality serves as a support technology in cardiopulmonary exercise testing. Presence (Camb Mass). 2003;12(3):326-31.
  • Condon C, Lam WT, Mosley C, Gough S. 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;5:1-17.
  • Tu L, Hao T, Bi C, Xing G. BreathCoach: a smart in-home breathing training system with bio-feedback via VR game. Smart Health. 2020;16:468-71.
  • Pittara M, Matsangidou M, Pattichis CS. Virtual reality for pulmonary rehabilitation: comprehensive review. JMIR Rehabil Assist Technol. 2023;10:e47114
  • Blum J, Rockstroh C, Göritz A. Development and pilot test of a virtual reality respiratory biofeedback approach. Appl Psychophysiol Biofeedback. 2020;45(3):153-63.
  • Betka S, Kannape OA, Fasola J, Lance F, Cardin S, Schmit A, et al. Virtual reality intervention alleviates dyspnoea in patients recovering from COVID-19 pneumonia. ERJ Open Res. 2023;9(6):00570-2022
  • Hefner J, O'Connor K, Binder D. Virtual reality in mechanical ventilation weaning after spinal cord injury. Iproc. 2017;3(1):e2.

Telerehabilitation Approaches in Pulmonary Rehabilitation Practices

Yıl 2025, Cilt: 15 Sayı: 3, 484 - 489, 24.09.2025
https://doi.org/10.33631/sabd.1588906

Öz

Chronic respiratory diseases (CRDs) are a major public health concern globally, presenting significant social and economic challenges for individuals and communities. With the advancement of technology, modern rehabilitation approaches for CRDs have begun to include telerehabilitation applications. Telerehabilitation approaches in pulmonary rehabilitation are crucial for maintaining treatment continuity and enhancing participation in CRDs, which are characterized by a significant disease burden and a requirement for long-term rehabilitation. While there are studies examining the application of telerehabilitation in pulmonary rehabilitation for respiratory diseases, the majority of these studies focus on a single disease. Research addressing different telerehabilitation methods across various chronic respiratory conditions is limited. This article aims to summarize the most current approaches to telerehabilitation for chronic respiratory diseases.

Kaynakça

  • Xie M, Liu X, Cao X, Guo M, Li X. Trends in prevalence and incidence of chronic respiratory diseases from 1990 to 2017. Respir Res. 2020;21(1):49.
  • Viegi G, Maio S, Fasola S, Baldacci S. Global burden of chronic respiratory diseases. J Aerosol Med Pulm Drug Deliv. 2020;33(4):171-7.
  • Jiménez-Reguera B, Maroto López E, Fitch S, Juarros L, Sánchez Cortés M, Rodríguez Hermosa JL, et al. Development and preliminary evaluation of the effects of an mHealth web-based platform (HappyAir) on adherence to a maintenance program after pulmonary rehabilitation in patients with chronic obstructive pulmonary disease: randomized controlled trial. JMIR Mhealth Uhealth. 2020;8(7):e18465.
  • Holland AE, Cox NS, Houchen-Wolloff L, Rochester CL, Garvey C, ZuWallack R, et al. Defining modern pulmonary rehabilitation: an official American Thoracic Society workshop report. Ann Am Thorac Soc. 2021;18(5):e12-e29.
  • Hansen H, Bieler T, Beyer N, Kallemose T, Wilcke JT, Østergaard LM, et al. Supervised pulmonary tele-rehabilitation versus pulmonary rehabilitation in severe COPD: a randomized multicentre trial. Thorax. 2020;75(5):413-21.
  • Chan C, Yamabayashi C, Syed N, Kirkham A, Camp PG. Exercise telemonitoring and telerehabilitation compared with traditional cardiac and pulmonary rehabilitation: a systematic review and meta-analysis. Physiother Can. 2016;68(3):242-51.
  • Buabbas AJ, Albahrouh SE, Alrowayeh HN, Alshawaf H. Telerehabilitation during the COVID-19 pandemic: patients and physical therapists’ experiences. Med Princ Pract. 2022;31(2):56-64.
  • Peretti A, Amenta F, Tayebati SK, Nittari G, Mahdi SS. Telerehabilitation: review of the state-of-the-art and areas of application. JMIR Rehabil Assist Technol. 2017;4(2):e7.
  • Seron P, Oliveros MJ, Gutierrez-Arias R, Fuentes-Aspe R, Torres-Castro RC, Merino-Osorio C, et al. Effectiveness of telerehabilitation in physical therapy: a rapid overview. Phys Ther. 2021;101(6):pzab053.
  • Cason J. A pilot telerehabilitation program: delivering early intervention services to rural families. Int J Telerehabil. 2009;1(1):29-37.
  • Shenoy MP, Shenoy PD. Identifying the challenges and cost-effectiveness of telerehabilitation: a narrative review. J Clin Diagn Res. 2018;12(12):1-4.
  • Liu T, Zhang Y, Chen Q. Educational interventions in telehealth: a systematic review. Health Educ Res. 2021;36(2):158-70.
  • Bowhay B, Latour JM, Tomlinson OW. A systematic review to explore how exercise-based physiotherapy via telemedicine can promote health-related benefits for people with cystic fibrosis. PLOS Digit Health. 2023;2(2):e0000201.
  • Wicks M, Dennett AM, Peiris CL. Physiotherapist-led, exercise-based telerehabilitation for older adults improves patient and health service outcomes: a systematic review and meta-analysis. Age Ageing. 2023;52(11):1-13.
  • Rochester CL, Alison JA, Carlin B, Jenkins AR, Cox NS, Bauldoff G, et al. Pulmonary rehabilitation for adults with chronic respiratory disease: an official American Thoracic Society clinical practice guideline. Am J Respir Crit Care Med. 2023;208(4):e7-e26.
  • Burkow TM, Vognild LK, Johnsen E, Risberg MJ, Bratvold A, Breivik E, et al. Comprehensive pulmonary rehabilitation in home-based online groups: a mixed-method pilot study in COPD. BMC Res Notes. 2015;8:1-11.
  • Lewis A, Knight E, Bland M, Middleton J, Mitchell E, McCrum K, et al. Feasibility of an online platform delivery of pulmonary rehabilitation for individuals with chronic respiratory disease. BMJ Open Respir Res. 2021;8(1):e000880.
  • Bourne S, DeVos R, North M, Chauhan A, Green B, Brown T, et al. Online versus face-to-face pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: randomized controlled trial. BMJ Open. 2017;7(7):e014580
  • Ryu S. Book review: mHealth: new horizons for health through mobile technologies: based on the findings of the second global survey on eHealth. Healthc Inform Res. 2012;18(3):231-3.
  • Fallah M, Niakan Kalhori SR. Systematic review of data mining applications in patient-centered mobile-based information systems. Healthc Inform Res. 2017;23(4):262-70.
  • Kiani S, Abasi S, Yazdani A. Evaluation of m-Health rehabilitation for respiratory disorders: a systematic review. Health Sci Rep. 2022;5(3):e575
  • Boer L, Bischoff E, van der Heijden M, Lucas P, Akkermans R, Vercoulen J, et al. A smart mobile health tool versus a paper action plan to support self-management of chronic obstructive pulmonary disease exacerbations: randomized controlled trial. JMIR Mhealth Uhealth. 2019;7(10):e14408
  • Ji W, Kwon H, Lee S, Kim S, Hong JS, Park YR, et al. Mobile health management platform-based pulmonary rehabilitation for patients with non-small cell lung cancer: prospective clinical trial. JMIR Mhealth Uhealth. 2019;7(6):e12645
  • Kwon H, Lee S, Jung EJ, Kim S, Lee JK, Kim DK, et al. An mHealth management platform for patients with chronic obstructive pulmonary disease (efil breath): randomized controlled trial. JMIR Mhealth Uhealth. 2018;6(8):e10502.
  • Dias D, Silva Cunha JP. Wearable health devices—vital sign monitoring, systems and technologies. Sensors. 2018;18(8):2414.
  • Ferreira JJ, Fernandes CI, Rammal HG, Veiga PM. Wearable technology and consumer interaction: a systematic review and research agenda. Comput Human Behav. 2021;118:106710.
  • Abbasi S, Jung BK. White paper-overview and insight: performance of digital health systems during the COVID-19 pandemic. IEEE. 2023:1–97. Available from: https://ieeexplore.ieee.org/document/10026272.
  • Rutkowski S, Buekers J, Rutkowska A, Cieślik B, Szczegielniak J. Monitoring physical activity with a wearable sensor in patients with COPD during an in-hospital pulmonary rehabilitation program: a pilot study. Sensors. 2021;21(8):2742.
  • Chen Z, Wang Y, Qiu P, Tan L, Hu Y. Pulmonary rehabilitation exercise based on wearable device pedometer improved lung cancer patients with impaired pulmonary function. Altern Ther Health Med. 2024;30(1):78-82.
  • Shah AJ, Althobiani MA, Saigal A, Ogbonnaya CE, Hurst JR, Mandal S. Wearable technology interventions in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis. NPJ Digit Med. 2023;6(1):222.
  • Chuang TY, Chen CH, Chang HA, Wang RY. Virtual reality serves as a support technology in cardiopulmonary exercise testing. Presence (Camb Mass). 2003;12(3):326-31.
  • Condon C, Lam WT, Mosley C, Gough S. 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;5:1-17.
  • Tu L, Hao T, Bi C, Xing G. BreathCoach: a smart in-home breathing training system with bio-feedback via VR game. Smart Health. 2020;16:468-71.
  • Pittara M, Matsangidou M, Pattichis CS. Virtual reality for pulmonary rehabilitation: comprehensive review. JMIR Rehabil Assist Technol. 2023;10:e47114
  • Blum J, Rockstroh C, Göritz A. Development and pilot test of a virtual reality respiratory biofeedback approach. Appl Psychophysiol Biofeedback. 2020;45(3):153-63.
  • Betka S, Kannape OA, Fasola J, Lance F, Cardin S, Schmit A, et al. Virtual reality intervention alleviates dyspnoea in patients recovering from COVID-19 pneumonia. ERJ Open Res. 2023;9(6):00570-2022
  • Hefner J, O'Connor K, Binder D. Virtual reality in mechanical ventilation weaning after spinal cord injury. Iproc. 2017;3(1):e2.
Toplam 37 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Hizmetleri ve Sistemleri (Diğer)
Bölüm Derlemeler
Yazarlar

Hatice Sena Çınarlı 0000-0003-0671-1762

Betül Akyol 0000-0002-3836-1317

Yayımlanma Tarihi 24 Eylül 2025
Gönderilme Tarihi 20 Kasım 2024
Kabul Tarihi 12 Haziran 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 15 Sayı: 3

Kaynak Göster

Vancouver Çınarlı HS, Akyol B. Telerehabilitation Approaches in Pulmonary Rehabilitation Practices. SABD. 2025;15(3):484-9.