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      Eficacia de la tele-rehabilitación en pacientes con enfermedad pulmonar obstructiva crónica: una revisión sistemática Translated title: Efficacy of tele-rehabilitation in patients with chronic obstructive pulmonary disease: a systematic review

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          Resumen

          La pandemia de la COVID-19 ha requerido el uso de nuevas tecnologías para realizar las sesiones de rehabilitación en la EPOC de manera telemática. El objetivo de esta revisión sistemática fue analizar la evidencia disponible sobre la eficacia de la telerehabilitación en pacientes con EPOC. Se consultaron las bases de datos PubMed, WOS, PEDro y Cochrane. La revisión incluyó nueve ensayos clínicos, el 55,5% con buena calidad metodológica.

          Los métodos de telerehabilitación más utilizados fueron las aplicaciones o software para realizar video-llamadas a tiempo real, visualizar los ejercicios y registrar los progresos conseguidos.

          La telerehabilitación fue tan eficaz como la rehabilitación pulmonar ambulatoria, obteniendo mayores beneficios en capacidad funcional, autoeficacia, salud mental, exacerbaciones y visitas a urgencias, siendo una opción rentable y con alta satisfacción del paciente. El pequeño número de estudios y la variedad de métodos de telerehabilitación limitan el valor de la evidencia obtenida.

          Abstract

          The COVID-19 pandemic has required the use of new technologies to carry out rehabilitation sessions for COP D remotely. The aim of this systematic review was to analyse the available evidence on the efficacy of telerehabilitation in COPD patients. PubMed, WOS, PEDro and Cochrane databases were consulted. The systematic review included nine clinical trials, 55.5% of which display good methodological quality.

          The most commonly used rehabilitation methods were applications or software for real-time video-calls, visualisation of exercises and recording progress.

          TR was as effective as outpatient pulmonary rehabilitation, with greater benefits in functional capacity, self-efficacy, mental health, exacerbations and emergency care visits, offering a cost-effective option with high patient satisfaction. The small number of studies and the variety of rehabilitation methods examined limit the value of the evidence obtained.

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          An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation.

          Martijn Spruit, Sally J Singh, Chris Garvey … (2013)
          Pulmonary rehabilitation is recognized as a core component of the management of individuals with chronic respiratory disease. Since the 2006 American Thoracic Society (ATS)/European Respiratory Society (ERS) Statement on Pulmonary Rehabilitation, there has been considerable growth in our knowledge of its efficacy and scope. The purpose of this Statement is to update the 2006 document, including a new definition of pulmonary rehabilitation and highlighting key concepts and major advances in the field. A multidisciplinary committee of experts representing the ATS Pulmonary Rehabilitation Assembly and the ERS Scientific Group 01.02, "Rehabilitation and Chronic Care," determined the overall scope of this update through group consensus. Focused literature reviews in key topic areas were conducted by committee members with relevant clinical and scientific expertise. The final content of this Statement was agreed on by all members. An updated definition of pulmonary rehabilitation is proposed. New data are presented on the science and application of pulmonary rehabilitation, including its effectiveness in acutely ill individuals with chronic obstructive pulmonary disease, and in individuals with other chronic respiratory diseases. The important role of pulmonary rehabilitation in chronic disease management is highlighted. In addition, the role of health behavior change in optimizing and maintaining benefits is discussed. The considerable growth in the science and application of pulmonary rehabilitation since 2006 adds further support for its efficacy in a wide range of individuals with chronic respiratory disease.
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            Pulmonary rehabilitation for chronic obstructive pulmonary disease.

            Bernard McCarthy, Dympna Casey, Declan Devane … (2015)
            Widespread application of pulmonary rehabilitation (also known as respiratory rehabilitation) in chronic obstructive pulmonary disease (COPD) should be preceded by demonstrable improvements in function (health-related quality of life, functional and maximal exercise capacity) attributable to the programmes. This review updates the review reported in 2006.
            Article 0 comments Cited 666 times – based on 0 reviews     Review now
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              American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation.

              Linda Nici, Claudio Donner, Emiel Wouters … (2006)
              Article 0 comments Cited 396 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): An Sist Sanit Navar
                Journal ID (iso-abbrev): An Sist Sanit Navar
                Journal ID (publisher-id): assn
                Title: Anales del Sistema Sanitario de Navarra
                Publisher: Gobierno de Navarra. Departamento de Salud
                ISSN (Print): 1137-6627
                ISSN (Electronic): 2340-3527
                Publication date (Electronic, pub): 30 June 2022
                Publication date (Electronic, collection): May-Aug 2022
                Volume: 45
                Issue: 2
                Electronic Location Identifier: e0999
                Affiliations
                [1 ] originalDepartamento de Enfermería y Fisioterapia, Facultad de Enfermería y Fisioterapia. Universidad de Cádiz. España. normalizedUniversidad de Cádiz orgdiv2Departamento de Enfermería y Fisioterapia orgdiv1Facultad de Enfermería y Fisioterapia orgnameUniversidad de Cádiz Spain
                [2 ] originalUnidad de Gestión Clínica de Rehabilitación. Distrito Sanitario Bahía de Cádiz-La Janda. Servicio Andaluz de Salud. España orgdiv2Unidad de Gestión Clínica de Rehabilitación orgdiv1Distrito Sanitario Bahía de Cádiz-La Janda orgnameServicio Andaluz de Salud España
                [3 ] originalInstituto de Investigación e Innovación Biomédica de Cádiz (INIBICA). España. orgnameInstituto de Investigación e Innovación Biomédica de Cádiz España
                [4 ] originalDepartamento de Fisioterapia, Facultad de Ciencias de la Salud, Universidad de Málaga. España. normalizedUniversidad de Málaga orgdiv2Departamento de Fisioterapia orgdiv1Facultad de Ciencias de la Salud orgnameUniversidad de Málaga Spain
                Author notes
                [Correspondencia ] María Jesús Vinolo-Gil. Universidad de Cádiz, Facultad de Enfermería y Fisioterapia, C/ Ana de Viya, 52, 11009, Cádiz, España. Email: mariajesus.vinolo@ 123456uca.es

                Conflictos de intereses: Los autores declaran no tener conflictos de intereses.

                Article
                DOI: 10.23938/ASSN.0999
                PMC ID: 10123456
                PubMed ID: 35786702
                SO-VID: 76e3cd48-c7e4-43c9-a3d9-ab8f91d8b028
                License:

                Este es un artículo publicado en acceso abierto bajo una licencia Creative Commons

                History
                Date received : 07 October 2021
                Date revision received : 22 December 2021
                Date accepted : 17 March 2022
                Page count
                Figures: 1, Tables: 3, Equations: 0, References: 49, Pages: 0
                Categories
                Subject: Revisiones

                Keywords: telemedicina,fisioterapia,epoc,enfermedad pulmonar obstructiva crónica,telerehabilitation,telemedicine,physiotherapy,copd,chronic obstructive pulmonary disease
                Data availability:
                Keywords: telemedicina, fisioterapia, epoc, enfermedad pulmonar obstructiva crónica, telerehabilitation, telemedicine, physiotherapy, copd, chronic obstructive pulmonary disease

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