A case of chronic obstructive pulmonary disease with improved exercise capacity, health related quality of life and physical activity after pulmonary telerehabilitation

DOI
  • 陶山 和晃
    医療法人保善会田上病院リハビリテーション科 長崎大学大学院医歯薬学総合研究科医療科学専攻理学療法学分野
  • 縄田 康朗
    医療法人保善会田上病院呼吸器内科
  • 新貝 和也
    長崎大学大学院医歯薬学総合研究科医療科学専攻理学療法学分野
  • 犬塚 秀太
    社会医療法人春回会井上病院リハビリテーション科
  • 橋本 修平
    社会医療法人春回会井上病院リハビリテーション科
  • 菊地 結貴
    社会医療法人春回会井上病院リハビリテーション科
  • 吉嶺 裕之
    社会医療法人春回会井上病院呼吸器内科
  • 神津 玲
    長崎大学大学院医歯薬学総合研究科医療科学専攻理学療法学分野

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Other Title
  • 遠隔的呼吸リハビリテーションにより運動耐容能、健康関連生活の質および身体活動性が改善したCOPD患者の1例

Abstract

<p>Although pulmonary telerehabilitation (PTR) is a potential alternative to conventional pulmonary rehabilitation, there have been no practices and reports in Japan. In this case report, we describe the clinical course of a chronic obstructive pulmonary disease (COPD) patient who received our PTR system. A male in his 70s with COPD was lent a tablet installed with the telemedicine system and received the PTR program, which included respiratory conditioning, resistance training, endurance training using a cycle ergometer, and promotion of physical activity twice a week for eight weeks. In the results, reduced dyspnea during stair climbing was observed, and significant improvements in exercise capacity and health-related quality of life over the minimum clinically important differences were obtained. The PTR enabled a remote and direct exercise program in his home, which may have contributed to the behavioral change. PTR can be an effective means of addressing the limitations in access and opportunities for providing pulmonary rehabilitation, which have been a major issue.</p>

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