In-home Telerehabilitation for Older Persons with Chronic Obstructive Pulmonary Disease: A Pilot Study

Authors

  • Michel Tousignant Research Centre on Aging, Sherbrooke Geriatric University Institute, Faculty of Medicine and Health Sciences, Université de Sherbrooke
  • Nicole Marquis School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke
  • Catherine Pagé Research Centre on Aging, Sherbrooke Geriatric University Institute, Faculty of Medicine and Health Sciences, Université de Sherbrooke
  • Ninette Imukuze School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke
  • Annie Métivier School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke
  • Valérie St-Onge School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke
  • Annie Tremblay School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke

DOI:

https://doi.org/10.5195/ijt.2012.6083

Abstract

The purpose of this pilot study was to investigate the efficacy of in-home telerehabilitation for people with Chronic Obstructive Pulmonary Disease (COPD). Three community-living elders with COPD were recruited in a rehabilitation outpatient group and by direct referrals from pneumologists with outpatients who have COPD. A pre/post-test design without a control group was used for this pilot study. Telerehabilitation sessions (15 sessions) were conducted by two trained physio­therapists from a service center to the patient’s home. Locomotor function (walking performance) and quality of life were measured in person prior to and at the end of the treatment by an independent assessor. Clinical outcomes improved for all subjects except for locomotor function in the first participant. In-home telerehabilitation for people with COPD is a realistic alternative to dispense rehabilitation services for patients requiring physical therapy follow-up.

 

  

References

Aarnio, P., Lamminen, H., Lepistö, J., & Alho, A. (1999). A prospective study of teleconferencing for orthopaedic consultations. Journal of Telemedicine and Telecare, 5(1), 62-66.

Ball, C., & McLaren, P. (1997). The tele-assessment of cognitive state: a review. Journal of Telemedicine and Telecare, 3(3), 126-131.

Boissy, P., Tousignant, M., & Corriveau, H. (2005). Téléréadaptation à domicile pour le suivi des personnes ayant subi une arthroplastie du genou: Étude pilote. Disability and Rehabilitation: Assistive technology, 1, 209-216

Borg, G. (1982). Psychological bases of perceived exertion. Archives of Internal Medicine, 14(5), 377-381.

Bourbeau, J., Bryanton, V., Lapointe, L., Shaw, M.-P., Mac Farlane, A., Abog-Morrant, K., et al. (2005). Chronic Obstructive Pulmonary Disease (COPD) - A national report card. The Lung Association and Canadian Thoracic Society. p. 1-38.

Bourbeau, J., Julien, M., Maltais, F., Rouleau, M., Beaupré, A., Bégin, R., et al. (2003). Reduction of hospital utilization in patients with chronic obstructive pulmonary disease: a disease-specific self-management intervention. Archives of Internal Medicine, 163, 585-591.

Bourbeau, J., Maltais, F., Rouleau, M., & Guímont, C. (2004). French-Canadian version of the Chronic Respiratory and St George’s Respiratory questionnaires: an assessment of their psychometric properties in patients with chronic obstructive pulmonary disease. Canadian Respiratory Journal: Journal of the Canadian Thoracic Society, 11(7), 480-486.

Bourbeau, J., Nault, D., Sedeno, B., Lebel M., Drouin, I., Joubert, A. et al. (2009). Living well with COPD. A plan of action for life. Retrieved from http://livingwellwithcopd.com

Brooks, D., Sottana, R., Bell, B., Hanna, M., Laframboise, L., Selvanayagarajah, S., et al. (2007). Characterization of pulmonary rehabilitation programs in Canada in 2005. Canadian Respiratory Journal: Journal of the Canadian Thoracic Society, 14(2), 87-92.

Celli, B. R., Cote, C. G., Marin, J. M., Casanova, C., Montes de Oca, M., Mendez, R. A., et al. (2004). The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructive pulmonary disease. The New England Journal of Medicine, 350, 1005-1012.

Duffy, J. R., Werven, G. W., & Aronson, A. E. (1997). Telemedicine and the diagnosis of speech and language disorders. Mayo Clinic Proceedings. Mayo Clinic, 72, 1116-1122.

Ferguson, G. T., & Cherniack, R. M. (1993). Management of chronic obstructive pulmonary disease. The New England Journal of Medicine, 328, 1017-1022.

Gosker, H., Wouters, E., van der Vusse, G., & Schols, A. (2000). Skeletal muscle dysfunction in chronic obstructive pulmonary disease and chronic heart failure: underlying mechanisms and therapy perspectives. American Society for Clinical Nutrition, 71, 1033-1047.

Halstead, L. S., Dang, T., Elrod, M., Convit, R. J., Rosen, M. J., & Woods, S. (2003). Teleassessment compared with live assessment of pressure ulcers in a wound clinic: a pilot study. Advances in Skin & Wound Care, 16(2), 91-96.

Hamel, M., Fontaine, R., & Boissy, P. (2008). In-home telerehabilitation for geriatric patients. IEEE Engineering in Medicine and Biology Magazine, 27(4), 29-37.

Hill, A. J., Theodoros, D. G., Russell, T. G., Cahill, L. M., Ward, E. C., & Clark, K. M. (2006). An Internet-based telerehabilitation system for the assessment of motor speech disorders: a pilot study. American Journal of Speech-Language Pathology, 15(1), 45-56.

Lacasse, Y., Brosseau, L., Milne, S., Martin, S., Wong, E., Guyatt, G. H., et al. (2002). Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, 3, CD003793.

Lacasse, Y., Martin, S., Lasserson, T. J., & Goldstein, R. S. (2007). Meta-analysis of respiratory rehabilitation in chronic obstructive pulmonary disease. A Cochrane systematic review. Europa Medicophysica, 43(4), 475-485.

Lacasse, Y., Wong, E., Guyatt, G. H., King, D., Cook, D. J., & Goldstein, R. S. (1996). Meta-analysis of respiratory rehabilitation in chronic obstructive pulmonary disease. Lancet, 348, 1115-1119.

Lemaire, E. D., Boudrias, Y., & Greene, G. (2001). Low-bandwidth, Internet-based videoconferencing for physical rehabilitation consultations. J ournal of Telemedicine and Telecare, 7(2), 82-89.

Maltais, F., Bourbeau, J., Shapiro, S., Lacasse, Y., Perrault, H., Baltzan, M., et al. (2008). Effects of home-based pulmonary rehabilitation in patients with chronic obstructive pulmonary disease: a randomized trial. Annals of Internal Medicine, 149(12), 869-878.

O’Donnell, D., Hernandez, P., Aaron, S., Bourbeau, J., Marciniuk, D., Hodder, R., et al. (2003). Canadian Thoracic Society COPD guidelines: summary of highlights for family doctors. Canadian Respiratory Journal: Journal of the Canadian Thoracic Society, 10(6), 316-319.

Ohinmaa, A., Vuolio, S., Haukipuro, K., & Winblad, I. (2002). A cost-minimization analysis of orthopaedic consultations using videoconferencing in comparison with conventional consulting. Journal of Telemedicine and Telecare, 8(5), 283-289.

Pauwels, R., Buist, A., Calverley, P., Jenkins, C., Hurd, S., & GOLD Scientific Committee. (2001). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global initiative for Chronic Obstructive Lung Disease (GOLD) workshop summary. American Journal of Respiratory and Critical Care Medicine, 163(5), 1256-1276.

Pepin, V., Saey, D., Laviolette, L., & Maltais, F. (2007). Exercise capacity in chronic obstructive pulmonary disease: mechanisms of limitation. COPD, 4(3), 195-204.

Puhan, M. A., Scharplatz, M., Troosters, T., & Steurer, J. (2005). Respiratory rehabilitation after acute exacerbation of COPD may reduce risk for readmission and mortality -- a systematic review. Respiratory Research, 6(1), 54.

Rasekaba, T., Lee, A. L., Naughton, M. T., Williams, T. J., & Holland, A. E. (2009). The six-minute walk test: a useful metric for the cardiopulmonary patient. Internal Medicine Journal, 39(8), 495-501.

Rejbi, I. B., Trabelsi, Y., Chouchene, A., Ben Turkia, W., Ben Saad, H., Zbidi, A., et al. (2010). Changes in six-minute walking distance during pulmonary rehabilitation in patients with COPD and in healthy subjects. International Journal of Chronic Obstructructive Pulmonary Disease, 5, 209-215.

Ricker, J. H., Rosenthal, M., Garay, E., DeLuca, J., Germain, A., Abraham-Fuchs, K., et al. (2002). Telerehabilitation needs: a survey of persons with acquired brain injury. The Journal of Head Trauma Rehabilitation, 17(3), 242-250.

Ries, A. L., Kaplan, R. M., Limberg, T. M., & Prewitt, L. M. (1995). Effects of pulmonary rehabilitation on physiologic and psychosocial outcomes in patients with chronic obstructive pulmonary disease. Annals of Internal Medicine, 122(11), 823-832.

Rintala, D. H., Krouskop, T. A., Wright, J. V., Garber, S. L., Frnka, J., Henson, H. K., et al. (2004). Telerehabilitation for veterans with a lower-limb amputation or ulcer: Technical acceptability of data. Journal of Rehabilitation Research Development, 41(3B), 481-490.

Savard, L., Borstad, A., Tkachuck, J., Lauderdale, D., & Conroy, B. (2003). Telerehabilitation consultations for clients with neurologic diagnoses: cases from rural Minnesota and American Samoa. NeuroRehabilitation, 18(2), 93-102.

Spruit, M. A., Gosselink, R., Troosters, T., Kasran, A., Gayan-Ramirez, G., Bogaerts, P., et al. (2003). Muscle force during an acute exacerbation in hospitalised patients with COPD and its relationship with CXCL8 and IGF-I. Thorax, 58(9), 752-756.

Theodoros, D., Russell, T. G., Hill, A., Cahill, L., & Clark, K. (2003). Assessment of motor speech disorders online: a pilot study. Journal of Telemedicine and Telecare, 9 Suppl 2, S66-68.

Tousignant, M., Boissy, P., Corriveau, H., & Moffet, H. (2006). In home telerehabilitation for older adults after discharge from an acute hospital or rehabilitation unit: A proof-of-concept study and costs estimation. Disability and Rehabilitation. Assistive Technology, 1(4), 209-216.

Tousignant, M., Moffet, H., Boissy, P., Corriveau, H., Cabana, F., & Marquis, F. (2011). A randomized controlled trial of home telerehabilitation for post-knee arthroplasty. Journal of Telemedicine and Telecare, 17(4), 195-198.

Vesmarovich, S., Walker, T., Hauber, R. P., Temkin, A., & Burns, R. (1999). Use of telerehabilitation to manage pressure ulcers in persons with spinal cord injuries. Advances in Wound Care: the Journal for Prevention and Healing, 12(5), 264-269.

Downloads

Published

2012-04-13

How to Cite

Tousignant, M., Marquis, N., Pagé, C., Imukuze, N., Métivier, A., St-Onge, V., & Tremblay, A. (2012). In-home Telerehabilitation for Older Persons with Chronic Obstructive Pulmonary Disease: A Pilot Study. International Journal of Telerehabilitation, 4(1), 15–24. https://doi.org/10.5195/ijt.2012.6083

Issue

Vol.4, No.1, Spring 2012

Section

Research

License

Authors who publish with this journal agree to the following terms:

  1. The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
  2. Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
  3. The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
    1. Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
    with the understanding that the above condition can be waived with permission from the Author and that where the Work or any of its elements is in the public domain under applicable law, that status is in no way affected by the license.
  4. The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
  5. Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
  6. Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
  7. The Author represents and warrants that:
    1. the Work is the Author’s original work;
    2. the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
    3. the Work is not pending review or under consideration by another publisher;
    4. the Work has not previously been published;
    5. the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
    6. the Work contains no libel, invasion of privacy, or other unlawful matter.
  8. The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.

Revised 7/16/2018. Revision Description: Removed outdated link. 

Most read articles by the same author(s)