scholarly journals Delivering an In-Home Exercise Program via Telerehabilitation: A Pilot Study of Lung Transplant Go (LTGO)

2016 ◽  
Vol 8 (2) ◽  
pp. 15-26 ◽  
Author(s):  
JiYeon Choi ◽  
Andrea L. Hergenroeder ◽  
Lora Burke ◽  
Annette DeVito Dabbs ◽  
Matthew Morrell ◽  
...  

We evaluated the feasibility, safety, system usability, and intervention acceptability of Lung Transplant Go (LTGO), an 8-week in-home exercise intervention for lung transplant recipients using a telerehabilitation platform, and described changes in physical function and physical activity from baseline to post-intervention. The intervention was delivered to lung transplant recipients in their home via the Versatile and Integrated System for TeleRehabilitation (VISYTER). The intervention focused on aerobic and strengthening exercises tailored to baseline physical function. Participants improved walk distance (6-minute walk distance), balance (Berg Balance Scale), lower body strength (30-second chair stand test) and steps walked (SenseWear Armband®). No adverse events were reported. Participants rated the program highly positively in regard to the technology and intervention. The telerehabilitation exercise program was feasible, safe, and acceptable. Our findings provide preliminary support for the LTGO intervention to improve physical function and promote physical activity in lung transplant recipients. 

Author(s):  
Emily Hume ◽  
Hazel Muse ◽  
Kirstie Wallace ◽  
Mick Wilkinson ◽  
Karen Heslop Marshall ◽  
...  

Author(s):  
Elisabeth Edvardsen ◽  
Mariann Ulvestad ◽  
May Brit Lund ◽  
Johny Kongerud ◽  
Inger Lise Alteren ◽  
...  

Heart & Lung ◽  
2016 ◽  
Vol 45 (6) ◽  
pp. 544-549 ◽  
Author(s):  
Hilary F. Armstrong ◽  
David J. Lederer ◽  
Matthew Bacchetta ◽  
Matthew N. Bartels

2015 ◽  
Vol 95 (4) ◽  
pp. 517-525 ◽  
Author(s):  
Lisa Wickerson ◽  
Sunita Mathur ◽  
Lianne G. Singer ◽  
Dina Brooks

Background Little is known of the early changes in physical activity after lung transplantation. Objectives The purposes of this study were: (1) to describe physical activity levels in patients up to 6 months following lung transplantation and (2) to explore predictors of the change in physical activity in that population. Design This was a prospective cohort study. Methods Physical activity (daily steps and time spent in moderate-intensity activity) was measured using an accelerometer before and after transplantation (at hospital discharge, 3 months, and 6 months). Additional functional measurements included submaximal exercise capacity (measured with the 6-Minute Walk Test), quadriceps muscle torque, and health-related quality of life (measured with the Medical Outcomes Study 36-Item Short-Form Health Survey 36 [SF-36] and the St George's Respiratory Questionnaire). Results Thirty-six lung transplant recipients (18 men, 18 women; mean age=49 years, SD=14) completed posttransplant measurements. Before transplant, daily steps were less than a third of the general population. By 3 months posttransplant, the largest improvement in physical activity had occurred, and level of daily steps reached 55% of the general population. The change in daily steps (pretransplant to 3 months posttransplant) was inversely correlated with pretransplant 6-minute walk distance (r=−.48, P=.007), daily steps (r=−.36, P=.05), and SF-36 physical functioning (SF-36 PF) score (r=−.59, P=.0005). The SF-36 PF was a significant predictor of the change in physical activity, accounting for 35% of the variation in change in daily steps. Limitations Only individuals who were ambulatory prior to transplant and discharged from the hospital in less than 3 months were included in the study. Conclusions Physical activity levels improve following lung transplantation, particularly in individuals with low self-reported physical functioning. However, the majority of lung transplant recipients remain sedentary between 3 to 6 months following transplant. The role of exercise training, education, and counseling in further improving physical activity levels in lung transplant recipients should be further explored.


Author(s):  
Sofie Breuls ◽  
Heleen Demeyer ◽  
Astrid Blondeel ◽  
Geert M. Verleden ◽  
Wim Janssens ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document