Telerehabilitation for Adults Aged 18 to 65 With Elevated Pulmonary Artery Pressure Comparing Exercise-Based Teletherapy to Breathing and Posture Exercises Assessing Effects on Exercise Capacity, Symptoms, and Quality of Life

What this Trial Is About

Researchers are investigating the effectiveness of synchronous telerehabilitation for patients with elevated pulmonary artery pressure of 50 mmHg or higher, identified by echocardiography. The study aims to determine if this real-time, supervised telerehabilitation can improve exercise capacity, functional status, dyspnea, fatigue, psychological health, and quality of life compared to breathing and posture exercises. This trial addresses the limited evidence on telerehabilitation for this patient group and explores a possible accessible alternative to center-based rehabilitation. Participants will be randomly assigned to one of two groups for an 8-week program. One group will receive supervised synchronous telerehabilitation via videoconferencing, including aerobic, endurance, and strengthening exercises performed three times weekly for 30 minutes per session. The control group will perform breathing, posture, and breathing control exercises alongside routine care and receive weekly motivational support. After eight weeks, control group participants may opt to join the telerehabilitation program. Throughout the study, participants will undergo assessments before and after the intervention to measure exercise capacity, dyspnea severity, fatigue, physical activity, anxiety, depression, pulmonary function, quality of life, and independence in daily activities. During exercise sessions, vital signs and symptoms will be monitored closely. The total participation lasts 8 weeks with detailed evaluations to assess the impact of the telerehabilitation approach.

Telerehabilitation in Patients With Elevated Pulmonary Artery Pressure