2022 Fiscal Year Final Research Report
Feasibility of pulmonary tele-rehabilitation for COPD patients at home.
| Project/Area Number |
19K19909
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| Research Category |
Grant-in-Aid for Early-Career Scientists
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| Allocation Type | Multi-year Fund |
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| Review Section |
Basic Section 59010:Rehabilitation science-related
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| Research Institution | Nagasaki University |
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Principal Investigator |
Suyama Kazuaki 長崎大学, 医歯薬学総合研究科(保健学科), 客員研究員 (50836236)
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| Project Period (FY) |
2019-04-01 – 2023-03-31
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| Keywords | 慢性閉塞性肺疾患 / 遠隔医療 / 遠隔リハビリテーション / 呼吸リハビリテーション / 理学療法 / 運動療法 / 運動耐容能 / 身体活動 |
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| Outline of Final Research Achievements |
We developed a pulmonary telerehabilitation (PTR) system for patients with chronic obstructive pulmonary disease (COPD). After a pilot validation, we observed no adverse events, a PTR program completion rate of 96%, and a patient satisfaction rate of 100%. Furthermore, we designed an eight-week PTR protocol. Four out of five outpatients with stable COPD (73±5 years; Global Initiative for Chronic Obstructive Lung Disease stage I-II: 50%) completed the protocol. Exercise tolerance (Incremental Shuttle Walk Distance) increased by an average of 65 ± 45 m after eight weeks, and total scores for anxiety and depression (Hospital Anxiety and Depression Scale) and health-related quality of life (COPD Assessment Test) decreased by an average of 3 ± 4 and 4 ± 4 points, respectively. In addition, the step counts using triaxial accelerometer increased by an average of 1,383 ± 1,687 steps.
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| Free Research Field |
リハビリテーション科学
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| Academic Significance and Societal Importance of the Research Achievements |
本研究成果は，情報通信技術を活用した遠隔的呼吸リハビリテーション（PTR）が，慢性閉塞性肺疾患（COPD）患者における呼吸リハビリテーションへのアクセス制限を解消する有効な手段であり，その実施可能性を有することを示し得たものである．労作時呼吸困難を主訴とする当該患者において，自宅に居ながら呼吸リハビリテーションを受けることを可能とした本システムの社会的意義は大きい．さらに，これらの介入効果は先行研究で示されている従来の外来呼吸リハビリテーションと明らかな差がないことが示唆でき，今後の研究発展に繋がる重要な知見となり得る．
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