Telerehabilitation as a strategy to promote the health of patients with Chronic Obstructive Pulmonary Disease: a narrative review

Telerreabilitação como estratégia para promoção da sáude de pacientes com Doença Pulmonar Obstrutiva Crônica: revisão narrativa

Keywords: Chronic Obstructive Pulmonary Disease, Health Promotion, Telerehabilitation

Abstract

The prevalence of Chronic Obstructive Pulmonary Disease (COPD) is expected to increase in the coming decades. Many patients fail to undergo Pulmonary Rehabilitation (PR) due to multiple factors. This study aims to present a narrative review that offers a synthesis of the importance of telerehabilitation as a strategy to improve the health and well-being of patients with chronic obstructive pulmonary disease. To this end, studies that address this subject were selected, using mainly the MEDLINE, PubMed, Science Direct, SciELO databases. After the searches were carried out, the articles were screened considering the title and abstract and the studies that best described the subject covered were selected. The importance of multidisciplinary and innovative approaches to face the growing challenge of COPD is highlighted, with an emphasis on health promotion, prevention, diagnosis, management and telerehabilitation as key tools to improve quality of life and accessibility to treatment for patients with this condition.

Author Biographies

Karine Franciele Toldo de Toledo, Cesumar University
Graduated in Physiotherapy from UniCesumar (2010) and specialization in Cardiorespiratory Physiotherapy from Instituto do Coração - HCFMUSP (2011). She has worked as an internship supervisor at UniCesumar since March/2022 in the Hospital Physiotherapy and Cardiorespiratory Physiotherapy outpatient sectors. Master in Health Promotion from Cesumar University - Unicesumar.
Sônia Maria Marques Gomes Bertolini, State University of Maringá
He has a doctorate (1997) and master's degree (1993) in Morphofunctional Sciences from the University of São Paulo USP and a degree in Physiotherapy from the Faculty of Physical Education of Lins (1983). She is an associate professor at the State University of Maringá (UEM). She was a professor (2011-2024) and coordinated (2014-2024) the Stricto Sensu Postgraduate Program (master's and doctorate) in Health Promotion at UNICESUMAR. She is an evaluator at Sinaes-Basis of the Ministry of Education, leader of the Physical Activity and Aging research group. She was Editor-in-Chief of Revista Saúde e Pesquisa. She has experience in the area of ​​Human Morphology and Public Health, with an emphasis on health promotion, working mainly on the following topics: health promotion, physical activity and aging.
Gelson Marcos Rodrigues Junior, Maringá Municipal Hospital
Graduated in Physiotherapy from the State University of the Center-West - UNICENTRO (2005), lato sensu specialization in Intensive Therapy from the State University of Western Paraná - UNIOESTE (2006), master's and doctorate in Rehabilitation Sciences - associated program UEL/Unopar. Currently, she is a physiotherapist at the Municipality of Maringá-PR. She has experience in teaching technical, higher and postgraduate education, as well as clinical experience in Public Health, General Physiotherapy and Intensive Care, with an emphasis on Physiotherapy in the Intensive Care Unit.

References

Yun R, Bai Y, Lu Y, Wu X, Lee S Da. How Breathing Exercises Influence on Respiratory Muscles and Quality of Life among Patients with COPD? A Systematic Review and Meta-Analysis. Can Respir J [Internet]. 2021;2021:1904231. Available from: <https://doi.org/10.1155/2021/1904231>.

GOLD. Global Initiative for Chronic Obstructive Lung. A Guid Heal Care Prof. 2024;1(3):1–193.

Agustí A, Melén E, DeMeo DL, Breyer-Kohansal R, Faner R. Pathogenesis of chronic obstructive pulmonary disease: understanding the contributions of gene-environment interactions across the lifespan. Lancet Respir Med [Internet]. 2022 May 1;10(5):512–24. Available from: <https://doi.org/10.1016/S2213-2600(21)00555-5>.

Cho MH, Hobbs BD, Silverman EK. Genetics of chronic obstructive pulmonary disease: understanding the pathobiology and heterogeneity of a complex disorder. Lancet Respir Med [Internet]. 2022 May 1;10(5):485–96. Available from: <https://doi.org/10.1016/S2213-2600(21)00510-5>.

Ntritsos G, Franek J, Belbasis L, Christou MA, Markozannes G, Altman P, et al. Gender-specific estimates of COPD prevalence: A systematic review and meta-analysis. Int J COPD. 2018;13:1507–14. Available from: <https://doi.org/10.2147/COPD.S146390>.

Varmaghani M, Dehghani M, Heidari E, Sharifi F, Moghaddam SS, Farzadfar F. Global prevalence of chronic obstructive pulmonary disease: Systematic review and meta-analysis. East Mediterr Heal J. 2019;25(1):47–57. Available from:<http://dx.doi.org/10.26719/emhj.18.014>.

Soriano JB et al. Prevalence and attributable health burden of chronic respiratory diseases, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet Respir Med. 2020;8(6):585–96. Available from: <https://doi.org/10.1016/S2213-2600(20)30105-3>.

Ammous O, Feki W, Lotfi T, Khamis AM, Gosselink R, Rebai A, et al. Inspiratory muscle training, with or without concomitant pulmonary rehabilitation, for chronic obstructive pulmonary disease (COPD). Cochrane Database Syst Rev. 2023;2023(1). Available from: <https://doi.org/10.1002/14651858.CD013778.pub2>.

Garvey C, Bayles MP, Hamm LF, Hill K, Holland A, Limberg TM, et al. Pulmonary Rehabilitation Exercise Prescription in Chronic Obstructive Pulmonary Disease: Review of Selected Guidelines: An official statement from the American association of cardiovascular and pulmonary rehabilitation. J Cardiopulm Rehabil Prev. 2016;36(2):75–83. Available from: <https://doi.org/ 10.1097/HCR.0000000000000171>.

Cox NS, Dal Corso S, Hansen H, McDonald CF, Hill CJ, Zanaboni P, et al. Telerehabilitation for chronic respiratory disease. Cochrane Database Syst Rev. 2021;2021(1). Available from: <https://doi.org/10.3390/ijms24076275>

Soares RVB, Cadorin TH, Cardoso J, Schivinski CIS. Telefisioterapia durante a COVID-19: Dificuldades e barreiras de familiares e indivíduos com fibrose cística. Saúde e Pesquisa. 2023;16(4):1–10. Available from: <https://doi.org/10.17765/2176-9206.2023v16n4.e11769>.

Baethge C, Goldbeck-Wood S, Mertens S. SANRA una escala para la evaluación de la calidad de los artículos de revisión narrativa. [SANRA—a scale for the quality assessment of narrative review articles]. Res Integr Peer Rev [Internet]. 2019;4(1):2–8. Available from: <https://doi.org/10.1186/s41073-019-0064-8>.

Meghji J, Mortimer K, Agusti A, Allwood BW, Asher I, Bateman ED, et al. Improving lung health in low-income and middle-income countries: from challenges to solutions. Lancet [Internet]. 2021;397(10277):928–40. Available from: <http://dx.doi.org/10.1016/S0140-6736(21)00458-X>.

United Nations. Transforming our World: The 2030 Agenda for Sustainable Development. Resolut Adopt by Gen Assem United Nations. 2015;1–35.

Gonçalves-macedo L, Lacerda EM, Lundgren FLC, Markman-Filho B, Luna CF. Tendências da morbidade e mortalidade da DPOC no Brasil , de 2000 a 2016. J Bras Pneumol [Internet]. 2019;45(6):1–8. Available from: <https://doi.org/10.1590/1806-3713/e20180402>.

Cruz MM, Pereira M. Epidemiology of chronic obstructive pulmonary disease in Brazil: A systematic review and meta-analysis. Cienc e Saude Coletiva. 2020;25(11):4547–57. Available from: <https://dx.doi.org/10.1590/1413-812320202511.00222019>.

Agustí A et al. Treatable traits in the NOVELTY study. Respirology. 2022;27(11):929–40. Available from: <https://doi.org/10.1111/resp.14325>.

Vogiatzis I, Rochester CL, Spruit MA, Troosters T, Clini EM. Increasing implementation and delivery of pulmonary rehabilitation: Key messages from the new ATS/ERS policy statement. Eur Respir J [Internet]. 2016;47(5):1336–41. Available from: <http://dx.doi.org/10.1183/13993003.02151-2015>.

Wootton SL, Hill K, Alison JA, Ng LWC, Jenkins S, Eastwood PR, et al. Effects of Ongoing Feedback During a 12-Month Maintenance Walking Program on Daily Physical Activity in People with COPD. Lung [Internet]. 2019;197(3):315–9. Available from: <https://doi.org/10.1007/s00408-019-00216-5>.

Sahin H, Naz I, Varol Y, Aksel N, Tuksavul F, Ozsoz A. Is a pulmonary rehabilitation program effective in COPD patients with chronic hypercapnic failure? Expert Rev Respir Med. 2016;10(5):593–8. Available from: <http://dx.doi.org/10.1586/17476348.2016.1164041>.

McCarthy B, Casey D, Devane D, Murphy K, Murphy E LY. Pulmonary Rehabilitation for Chronic Obstructive Pulmonary Disease. Cochrane Database Syst Rev Pulm. 2015;(2):1–188. Available from:<http://dx.doi.org/10.6314/JIMT.202112_32(6).01>.

Güell MR, Cejudo P, Ortega F, Puy MC, Rodríguez-Trigo G, Pijoan J, et al. Benefits of long-term pulmonary rehabilitation maintenance program in patients with severe chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2017;195(5):622–9. Available from: <https://doi.org/ 10.1164/rccm.201603-0602OC>.

Houchen-Wolloff L, Steiner MC. Pulmonary rehabilitation at a time of social distancing: Prime time for tele-rehabilitation? Thorax. 2020;75(6):446–7. Available from: <http://dx.doi.org/10.1136/thoraxjnl-2020-214788>.

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 randomised multicentre trial. Thorax. 2020;75(5):413–21. Available from: <https://doi.org/ 10.1136/thoraxjnl-2019-214246>.

Şahın H, Naz İ, Karadeniz G, Süneçlı O, Polat G, Ediboğlu O. Effects of a home-based pulmonary rehabilitation program with and without telecoaching on health-related outcomes in COVID-19 survivors: a randomized controlled clinical study. J Bras Pneumol. 2023;49(1):1–10. Available from: <http://dx.doi.org/10.36416/1806-3756/e20220107>.

Holland AE, Hill CJ, Jones AY, McDonald CF. Breathing exercises for chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2012;(1). Available from: <https://doi.org/10.1002/14651858.cd008250.pub2>

Ubolnuar N, Tantisuwat A, Thaveeratitham P, Lertmaharit S, Kruapanich C, Mathiyakom W. Effects of breathing exercises in patients with chronic obstructive pulmonary disease: Systematic review and meta-analysis. Ann Rehabil Med. 2019;43(4):509–23. Available from:<https://doi.org/10.5535/arm.2019.43.4.509>.

Li Y, Ji Z, Wang Y, Li X, Xie Y. Breathing Exercises in the Treatment of COPD: An Overview of Systematic Reviews. Int J COPD. 2022;17(December):3075–85. Available from: <http://dx.doi.org/10.2147/COPD.S385855>.

Mendes LPS, Moraes KS, Hoffman M, Vieira DSR, Ribeiro-Samora GA, Lage SM, et al. Effects of diaphragmatic breathing with and without pursed-lips breathing in subjects with COPD. Respir Care. 2019;64(2):136–44. Available from: <http://dx.doi.org/10.4187/respcare.06319>.

Lu Y, Li P, Li N, Wang Z, Li J, Liu X, et al. Effects of Home-Based Breathing Exercises in Subjects With COPD. Respir Care [Internet]. 2020;65(3):377–87. Available from: <http://dx.doi.org/10.4187/respcare.07121>.

Liu X, Li P, Xiao L, Lu Y, Li N, Wang Z, et al. Effects of home-based prescribed pulmonary exercise by patients with chronic obstructive pulmonary disease: study protocol for a randomized controlled trial. [Internet]. Vol. 20, Trials. England; 2019. p. 41. Available from: <http://dx.doi.org/10.1186/s13063-018-3149-7>.

Published
2024-06-30
Section
Artigos de Revisão