Relative Effect of Home-based Telerehabilitation Compared to Center-based Pulmonary Rehabilitation for Patients With Chronic Obstructive Pulmonary Disease A Multicenter Randomized Controlled Non-inferiority Study

What this Trial Is About

Chronic obstructive pulmonary disease COPD is a serious lung condition that reduces exercise tolerance and quality of life. Pulmonary rehabilitation helps improve breathing, exercise capacity, and overall well-being, but many patients face barriers such as travel difficulties and limited rehab center availability. This research compares a home-based telerehabilitation program to traditional center-based pulmonary rehabilitation to assess their effects on exercise endurance in adults with COPD. The study randomly assigns participants aged 45 to 80 with stable COPD to either a home-based or center-based rehabilitation group. Both groups complete 24 sessions over eight weeks, including endurance training on a cycle ergometer, muscle strengthening, balance exercises, and therapeutic education tailored to individual needs. The home-based group uses equipment like a cycle ergometer, pulse oximeter, activity tracker, and a tablet app for guidance and remote monitoring, while the center-based group attends sessions at rehabilitation centers. Both groups have initial and final in-person assessments. Participants will undergo assessments before and after the program, including exercise endurance tests on a cycle ergometer. Researchers will monitor adherence, physical activity, quality of life, cognitive function, and health events over one year. Regular support and education aim to ensure safety and effectiveness. The total involvement includes rehabilitation sessions, assessments, and follow-up evaluations, with safety measures in place to minimize exercise-related risks.

Telerehabilitation Versus Centre-based Pulmonary Rehabilitaztion for Patients With Chronic Obstructive Pulmonary Disease