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Unsupervised Machine Learning in the Evaluation of Telerehabilitation Interventions for Reading Fluency
Chiara Pecini1, Andrea Frascari2, Viola Margheri1
1Department of Education, Intercultures, Literature and Psychology (FORLILPSI), University of Florence, Florence, Italy.
International Journal of Telerehabilitation
|July 2, 2026
Summary
A telerehabilitation exercise program did not significantly improve physical function, activity, or blood pressure in lung transplant recipients compared to enhanced usual care. Null findings are important for future telerehabilitation trial designs.
Area of Science:
- Cardiology
- Pulmonary Medicine
- Rehabilitation Medicine
Background:
- Lung transplantation is a life-saving procedure, but recipients require extensive rehabilitation.
- Telerehabilitation offers a promising avenue for post-transplant care, potentially improving patient outcomes and accessibility.
Purpose of the Study:
- To evaluate the efficacy of the Lung Transplant GO (LTGO) telerehabilitation behavioral exercise program.
- To compare improvements in physical function, physical activity, and blood pressure control between LTGO and enhanced usual care (EUC) in lung transplant recipients (LTRs).
Main Methods:
- The Lung Transplant GO (LTGO) randomized controlled trial involved 88 LTRs randomized 1:1 to LTGO or EUC.
- Outcomes including physical function, physical activity, and blood pressure control were assessed at baseline, 3 months, and 6 months.
Main Results:
- No statistically significant differences were observed in the change scores for physical function, physical activity, or blood pressure control between the LTGO and EUC groups at 3 and 6 months.
- While the primary hypothesis was not met, the study provides valuable null findings.
Conclusions:
- The LTGO telerehabilitation program did not demonstrate statistically significant superiority over enhanced usual care for the studied outcomes.
- These null findings are crucial for informing the design and methodology of future telerehabilitation trials in lung transplant recipients.

