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Individual and Group-Based Telerehabilitation Exercise in People With Cystic Fibrosis: A Randomized Controlled Study
Cigdem Emirza Cilbir1, Ayse Ayzit Kilinc Sakalli, Owen William Tomlinson
1Department of Physiotherapy and Rehabilitation, Institute of Graduate Studies, Istanbul University-Cerrahpasa, Istanbul, Turkey (Dr Emirza Cilbir); Children's Health and Exercise Research Centre, Public Health and Sport Sciences, University of Exeter, Exeter, United Kingdom (Dr Emirza Cilbir, Dr Tomlinson, Prof Williams); Department of Peadiatric Lung Diseases, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey (Dr Kilinc Sakalli); Royal Devon University Hospital NHS Foundation Trust, Exeter, United Kingdom (Dr Tomlinson, Prof Williams); Department of Clinical and Biomedical Science, University of Exeter, Exeter, United Kingdom (Dr Tomlinson); Department of Physiotherapy and Rehabilitation, Faculty of Health Science, Istanbul University-Cerrahpasa, Istanbul, Turkey (Prof Kuran Aslan).
Objective:
The aim of the study is to compare the effects of telerehabilitation-based individual and group exercise, with routine treatment on exercise capacity,muscle strength,lung function,lower extremity explosive strength,balance,quality of life,and change in clinical status in people with cystic fibrosis (CF).
Method:
Eligible participants aged 8 to 18 years will be randomly allocated into 3 groups;a telerehabilitation-based indiviual or group exercise,and a control group. Exercise capacity,muscle and handgrip strength,spirometry measurements,lower extremity explosive strength,balance, quality of life will be assessed. Adherence rate to exercise programs will be calculated. Change in clinical status for all groups, motivation and enjoyment in the intervention groups will be assessed.
Discussion:
Telerehabilitation-based exercise programs can minimize barriers to undertaking exercise in CF. If the current research demonstrates similar effects between group and individual telerehabilitation sessions,and better results compared with routine treatment,physical therapists can integrate group tele-exercises into CF centres. This approach may not only save time, but also enhances participant adherence to exercise programs, producing many overall benefits.
