Related Experiment Video
Updated: Oct 14, 2025
07:10
Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
9.9K
Home-Based Exercise Program for Patients With Combined Advanced Chronic Cardiac and Pulmonary Diseases: Exploratory
Cyrille Herkert1, Lidwien Graat-Verboom2, Judith Gilsing-Fernhout3
1Department of Cardiology, Máxima Medical Center, Eindhoven, Netherlands.
JMIR Formative Research
|November 9, 2021
Summary
This study shows home-based cardiopulmonary telerehabilitation is feasible for advanced disease patients, with high completion and satisfaction. However, adherence decreased over time, highlighting the need for better technology integration and behavioral support.
Area of Science:
- Cardiology
- Pulmonology
- Rehabilitation Medicine
Background:
- Chronic cardiac and pulmonary diseases frequently coexist, necessitating combined rehabilitation programs.
- Older patients with advanced disease stages require specialized home-based exercise interventions.
- Current rehabilitation programs need to address the complexities of combined cardiopulmonary conditions.
Purpose of the Study:
- To evaluate the completion and adherence rates of an 8-week home-based exercise program for advanced cardiopulmonary disease patients.
- To assess patient satisfaction, adverse events, and program efficacy.
- To measure changes in functional capacity, dyspnea, and health-related quality of life.
Main Methods:
- A goal-oriented, home-based exercise program was implemented.
- Participants used wrist-worn activity trackers linked to a digital platform with instructional videos.
- Weekly video coaching was provided by physiotherapists and occupational therapists.
Main Results:
- 90% of participants completed the 8-week program, with high initial satisfaction.
- Median adherence was 75% but declined significantly over the program duration (P=.03).
- Functional capacity improved (P=.01), though 44% experienced technical difficulties.
Conclusions:
- Home-based cardiopulmonary telerehabilitation is feasible for severe combined cardiopulmonary disease patients.
- High completion and satisfaction rates were observed.
- Decreased adherence and technical issues underscore the need for integrated behavior change techniques and appropriate technology.
Related Concept Videos
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.6K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.6K
01:29Cardiomyopathy VI: Nursing Management
75
Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
75
01:22Chronic Obstructive Pulmonary Disease
1.5K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
1.5K
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.7K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.7K
01:20Chronic Obstructive Pulmonary Disease-I: Introduction
3.1K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
3.1K
01:22Heart Failure VI: Adjunct Therapies
53
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
53