Pulmonary Rehabilitation in a Post-COVID-19 World : Telerehabilitation as a New Standard in Patients with COPD
department or school: Medicine, Faculty of
department or school: Other UBC
department or school: Medicine, Department of
data provider: DSpace
identifier citation: Tsutsui, M., Gerayeli, F., & Sin, D. D. (2021). Pulmonary rehabilitation in a post-COVID-19 world: Telerehabilitation as a new standard in patients with COPD. International Journal of Chronic Obstructive Pulmonary Disease, 16, 379-391.
contributor: University of British Columbia. Centre for Heart Lung Innovation
contributor: St. Paul's Hospital (Vancouver, B.C.)
creator: Tsutsui, Mai
creator: Gerayeli, Firoozeh
creator: Sin, Don D.
issued: 2021-06-29T16:24:30Z
issued: 2021
description: 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 homebased 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.
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/78837
note: R E V I E WPulmonary Rehabilitation in a Post-COVID-19 World: Telerehabilitation as a New Standard in Patients with COPDThis article was published in the following Dove Press journal: International Journal of Chronic Obstructive Pulmonary DiseaseMai Tsutsui1 Firoozeh Gerayeli 1 Don D Sin 1,21Centre for Heart Lung Innovation, St. Paul’s Hospital, University of British Columbia, Vancouver, BC, Canada; 2Division of Respiratory Medicine, University of British Columbia, Vancouver, BC, Canada Abstract: 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, depres-sion, 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 …
has type: Article
is shown at: 10.14288/1.0398728
language: eng
peer review status: Reviewed
provider: Vancouver : University of British Columbia Library
publisher: Dove Medical Press
publisher DOI: 10.2147/COPD.S263031
rights: Attribution-NonCommercial 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc/4.0/
scholar level: Faculty
scholar level: Researcher
subject: Pulmonary rehabilitation
subject: COVID-19
subject: Telerehabilitation
subject: COPD
type: Text
identifier URI: http://hdl.handle.net/2429/78837