Pulmonary Rehabilitation in a Post-COVID-19 World: Telerehabilitation as a New Standard in Patients with COPD
Open accessAbstract
Pulmonary rehabilitation (PR) is effective in reducing symptoms and improving health status, and exercise tolerance of patients with chronic obstructive pulmonary disease (COPD). The coronavirus disease 19 (COVID-19) pandemic has greatly impacted PR programs and their delivery to patients. Owing to fears of viral transmission and resultant outbreaks of COVID-19, institution-based PR programs have been forced to significantly reduce enrolment or in some cases completely shut down during the pandemic. As a majority of COPD patients are elderly and have multiple co-morbidities including cardiovascular disease and diabetes, they are notably susceptible to severe complications of COVID-19. As such, patients have been advised to stay at home and avoid social contact to the maximum extent possible. This has increased patients' vulnerability to physical deconditioning, depression, and social isolation. To address this major gap in care, some traditional hospital or clinic-centered PR programs have converted some or all of their learning contents to home-based telerehabilitation during the pandemic. There are, however, some significant barriers to this approach that have impeded its implementation in the community. These include variable access and use of technology (by patients), a lack of standardization of methods and tools for evaluation of the program, and inadequate training and resources for health professionals in optimally delivering telerehabilitation to patients. There is a pressing need for high-quality studies on these modalities of PR to enable the successful implementation of PR at home and via teleconferencing technologies. Here, we highlight the importance of telerehabilitation of patients with COPD in the post-COVID world and discuss various strategies for clinical implementation.
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Opportunities were considered and offered to overcome some problems through telemedicine and new measurements.
“Therefore, opportunities were considered and offered to overcome some of these problems through telemedicine [23] and new measurements [24–29].”
From Life Experiences in Neuromuscular Tracheotomized Patients in Times of Covid-19 (2023) · cites this paper as [28]
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Usability of Remote Assessment of Exercise Capacity for Pulmonary Telerehabilitation Program
Finkelstein, J., Jeong, I. C., Doerstling, M., et al. (2020) · Studies in health technology and informatics · doi:10.3233/shti200697 · Cited by 16 · see citing works
Bourbeau, J., Gagnon, S., & Ross, B. A. (2020) · Clinics in Chest Medicine · doi:10.1016/j.ccm.2020.06.003 · Cited by 3 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- [62]Cox NS, McDonald CF, Hill CJ, et al. Telerehabilitation for chronic respiratory disease. Cochrane Database Syst Rev. 2018; 2018(6): CD013040. PMC8095032 33511633
Cited by
Sorted by citations
Life Experiences in Neuromuscular Tracheotomized Patients in Times of Covid-19
Volpato, E., Pierucci, P., De Candia, M. L., Casparrini, M., Volpi, V., Pagnini, F., Carpagnano, G. E., & Banfi, P. (2023) · Journal of Neuromuscular Diseases · doi:10.3233/jnd-221597 · Cited by 2 · see citing works
- Authors
- Tsutsui, M., Gerayeli, F., & Sin, D. D.
- Affiliations
- University of British Columbia (CA)
- Corresponding author
- Sin, Don D
- Venue
- International Journal of Chronic Obstructive Pulmonary Disease
- Publisher
- Informa UK Limited
- Published
- 2021-02
- Volume
- Volume 16
- Pages
- 379-391
- ISSN
- 1176-9106 (ISSN-L)
- 1178-2005
- PMC
- PMC7903963
- OpenAlex
- W3129910941
- Cited by
- 147
- References
- 90
- Citations by year
- 2026: 6 · 2025: 17 · 2024: 31 · 2023: 44 · 2022: 36 · 2021: 13
- FWCI
- 5.02
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of COPD (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- cIRcle (University of British Columbia) (submittedVersion, cc-by-nc)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Open Collections
- Funders
- St. Paul's Foundation
- Mitacs
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Neurology › Long-Term Effects of COVID-19
- Keywords
- pulmonary rehabilitation, telerehabilitation, chronic obstructive pulmonary disease, COVID-19 pandemic, home-based rehabilitation, telemedicine, deconditioning, social isolation, implementation barriers, health professions education, exercise tolerance
- MeSH terms
- Telerehabilitation, COVID-19, SARS-CoV-2, Communicable Disease Control, Humans, Pulmonary Disease, Chronic Obstructive, Quality Improvement
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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