Exercise Prescription Via Telerehabilitation for Older Adults With Cardiopulmonary Disease in Antioquia, Colombia

Launched by FUNDACION UNIVERSITARIA MARIA CANO · Nov 6, 2024

Keywords

ClinConnect Summary

This study is testing whether a telerehabilitation program—exercise guided by a physical therapist online via Microsoft Teams—can improve quality of life and physical fitness for older adults with cardiopulmonary diseases, compared with usual at-home physical therapy. It will take place in Envigado, Antioquia, Colombia, with about 50 adults aged 60 to 100 years. Participants will be assigned to one of two groups: 25 in the online, multicomponent exercise program (aerobic, strength, flexibility, and neuromotor work) and 25 in traditional at-home physical therapy. The study is not randomized.

If you participate, you’ll join a 3-month program and complete assessments at about 1 month and 3 months. The main thing they’re measuring is quality of life using the WHOQOL-BREF questionnaire. They’ll also test physical function with the Short Physical Performance Battery and the Senior Fitness Test. Eligible people include those with COPD, asthma, heart failure, or metabolic syndrome, aged 60–100, who are in a stable condition for at least 3 months and can communicate. Exclusion criteria include conditions like dementia, recent surgery, or uncontrolled heart or blood pressure problems. The trial is currently enrolling by invitation, and results aren’t available yet.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Voluntarily agree to participate in the study.
• • Inclusion will be considered for individuals with specific chronic medical conditions, including Chronic Obstructive Pulmonary Disease (COPD), which will be diagnosed according to the guidelines established in the widely used Global Initiative for Chronic Obstructive Lung Disease (GOLD) guide in clinical and research contexts. Similarly, asthma will be included, identified according to the criteria outlined in the Global Initiative for Asthma (GINA) guide. Heart failure will also be included, categorized based on the New York Heart Association (NYHA) functional classification previously validated in Colombian populations. Additionally, metabolic syndrome will be included, with confirmation based on criteria defined by the World Health Organization (WHO).
• • The patient's diagnosis must be confirmed through medical history.
• • These specific criteria will guide the selection of participants who meet the established requirements for this study.
• • Must be able to communicate verbally or in writing.
• • Must be in a stable phase of their illness, supported by medical history.
• • A minimum of 3 months of illness for the condition to be considered chronic.
• • Patients with Type II Diabetes Mellitus must have a glucose level lower than 200 mg/dL during the tele-rehabilitation session.
• Exclusion Criteria:
• • Dementia.
• • Epilepsy or a history of seizures.
• • Patient who has recently undergone surgery.
• • Delirium.
• • Acute myocardial infarction or recent unstable angina.
• • Uncontrolled atrial or ventricular arrhythmias.
• • Dissecting aortic aneurysm.
• • Severe aortic stenosis.
• • Acute endocarditis/pericarditis.
• • Uncontrolled hypertension.
• • Acute thromboembolic disease.
• • Severe acute heart failure.
• • Severe acute respiratory failure.
• • Uncontrolled orthostatic hypotension.
• • Diabetes mellitus with acute decompensation or uncontrolled hypoglycemia.
• • Recent fracture (within the last month, strength training).
• • Any other circumstance deemed by the evaluator or the subject that prevents physical activity.