Submission Deadline
25 Apr 2024 (Vol 47 , Iss 04 )

Upcoming Publication
30 Apr 2024 (Vol 47 , Iss 04 )

Journal ID : TMJ-14-03-2021-10521
Download [This article belongs to Volume - 44, Issue - 02]
Total View : 414

Title : THE ROLE OF TELE-MEDICINE FOR HOME-BASED PULMONARY REHABILITATION OF COPD PATIENTS: EXPERIENCE DURING COVID-19 PANDEMICS

Abstract :

Patients with chronic obstructive pulmonary disease and pulmonary rehabilitation programs require continue program for increase exercise tolerance. Quadriceps muscle dysfunction occurs in 30% COPD patients, regardless the severity of COPD. Pulmonary rehabilitation may reduce symptoms, increase exercise capacity, and improve the quality of life of COPD patients. During COVID-19 pandemics, home based management with tele-medicine approach are needed to prevent the transmission of the disease. This study aimed to analyze the effect of quadriceps strengthening and pursed lips breathing (PLB) as home based pulmonary rehabilitation on metabolic equivalent tasks (METs), exercise capacity, and geriatric depression scale modification (GDSM) in stable COPD patients using tele-medicine program. Of thirty four patients randomized pretest and posttest study was conducted in COPD patients at dr. Moewardi Hospital from July to September 2020 by using consecutive sampling technique. The study subjects (quadriceps exercise n = 17, PLB n = 17). The evaluation of METs and exercise capacity used Cahalin formula divided by 3.5 and 6MWT, respectively. Geriatric Depression Scale Modification was assessed at baseline and after completing the 6-week study. The first group had higher scores of METs (4.93±1.163 vs 3.94±0.431), longer distance of the 6MWT (507.94±53.358 vs 350.29±90.389 m), and lower score of GDSM (3.53±0.514 vs 4.29±0.920) compared to those of the second group (p<0.05). This study recommend the Quadriceps strengthening and PLB as pulmonary rehabilitation during pandemics of COVID -19 for stable COPD patients monitoring using tele-medicine.

Full article
//