BACKGROUND: Telerehabilitation is a practical option for individuals with multiple sclerosis (MS) to engage in sustained physical activity without -visiting a rehabilitation facility. The aim of this systematic review was to evaluate the feasibility, effectiveness, safety, and adherence of exercise-based telerehabilitation as compared with usual care for MS patients. METHODS: A comprehensive literature search adhering to PRISMA guidelines was conducted, focusing on studies published in English since 2000. The systematic review protocol was registered in PROSPERO. The selection process involved strict criteria, including studies focusing on people with MS, telerehabilitation centred on regular exercise, a control group receiving usual care, valid exercise testing, and adherence to randomized controlled trial principles. Methodological quality was assessed using the TESTEX tool, ensuring rigour in study design and reporting. RESULTS: Among the 281 records screened, 10 studies met the criteria. Telerehabilitation interventions varied in format and outcomes were assessed using diverse exercise tests and questionnaires. Despite variations, the studies collectively demonstrated promising feasibility and safety, with minimal withdrawals and minor adverse events. Effectiveness varied, with 5 out of 10 studies showing significant improvements in the intervention group. Adherence rates ranged from 38% to 100%. CONCLUSION: In most of the assessed aspects, telerehabilitation is comparable to regular centre-based rehabilitation.

• MeSH
• adherence pacienta MeSH
• cvičení * MeSH
• lidé MeSH
• roztroušená skleróza * rehabilitace   MeSH
• telerehabilitace * MeSH
• terapie cvičením * metody   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• systematický přehled MeSH

Background:Research in telerehabilitation (TR) in neurology tends to focus on patients with low to moderate disability. For neurology patients with severe mobility limitations, TR can help to enable rehabilitation for people whose mobility limitations make it difficult for them to access rehabilitation facilities. The aim of this study is to evaluate the interest of people with neurological disability caused by multiple sclerosis (MS) in TR services.Methods:This electronic survey targeted individuals with MS, specifically those with a higher level of disability.Results:A total of 355 patients with MS (155 with severe disabilities) participated in this study. There was no difference in interest in rehabilitation between people with mild-to-moderate and severe disabilities (p = 0.1258, confidence interval [CI] = 95%). However, we found a higher interest in upper limb exercises (p = 0.0006, CI = 95%) and balance training (p = 0.0000, CI = 95%) among people with higher disability.Conclusion:The results of this study may help to improve the planning and targeting of TR interventions, where a different focus of intervention is appropriate for patients with different levels of disability. This may enable TR to be maximally tailored to patient capabilities and current greatest limitations. For example, for people with severe disabilities, it is appropriate to focus on training the upper limb function to maintain self-sufficiency and implement interventions to prevent falls.

• MeSH
• lidé MeSH
• omezení pohyblivosti MeSH
• roztroušená skleróza * rehabilitace   MeSH
• telerehabilitace * metody   MeSH
• terapie cvičením metody   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika MeSH

PURPOSE: Exercise-based cancer rehabilitation via digital technologies can provide a promising alternative to centre-based exercise training, but data for cancer patients and survivors are limited. We conducted a meta-analysis examining the effect of telehealth exercise-based cancer rehabilitation in cancer survivors on cardiorespiratory fitness, physical activity, muscle strength, health-related quality of life, and self-reported symptoms. METHODS: PubMed, Web of Science, and reference lists of articles related to the aim were searched up to March 2023. Randomized controlled clinical trials were included comparing the effect of telehealth exercise-based cancer rehabilitation with guideline-based usual care in adult cancer survivors. The primary result was cardiorespiratory fitness expressed by peak oxygen consumption. RESULTS: A total of 1510 participants were identified, and ten randomized controlled trials (n = 855) were included in the meta-analysis. The study sample was 85% female, and the mean age was 52.7 years. Meta-analysis indicated that telehealth exercise-based cancer rehabilitation significantly improved cardiorespiratory fitness (SMD = 0.34, 95% CI 0.20, 0.49, I2 = 42%, p < 0.001) and physical activity (SMD = 0.34, 95% CI, 0.17, 0.51, I2 = 71%, p < 0.001). It was uncertain whether telehealth exercise-based cancer rehabilitation, compared with guideline-based usual care, improved the quality of life (SMD = 0.23, 95%CI, -0.07, 0.52, I2 = 67%, p = 0.14) body mass index (MD = 0.46, 95% CI, -1.19, 2.12, I2 = 60%, p = 0.58) and muscle strength (SMD = 0.07, 95% CI, -0.14, 0.28, I2 = 37%, p = 0.51). CONCLUSION: This meta-analysis showed that telehealth exercise cancer rehabilitation could significantly increase cardiorespiratory fitness and physical activity levels and decrease fatigue. It is uncertain whether these interventions improve quality of life and muscle strength. High-quality and robust studies are needed to investigate specific home-based exercise regimens in different cancer subgroups to increase the certainty of the evidence.

• MeSH
• cvičení MeSH
• kardiorespirační zdatnost * MeSH
• kvalita života * MeSH
• lidé středního věku MeSH
• lidé MeSH
• nádory * rehabilitace   MeSH
• přežívající onkologičtí pacienti MeSH
• randomizované kontrolované studie jako téma MeSH
• svalová síla * MeSH
• telemedicína MeSH
• telerehabilitace MeSH
• terapie cvičením * metody   MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• metaanalýza MeSH
• systematický přehled MeSH

Úvod: Ucelený terapeutický program Constraint-induced movement therapy (CIMT) se zaměřuje na trénink funkce paretické horní končetiny a přenos a využití získaných dovedností v běžném životě. Cíl: Pomocí dotazníkového šetření zmapovat aktuální zkušenosti terapeutů a pacientů s terapeutickým souborem metod CIMT a monitoringem domácí aktivity. Metody: Formou on-line dotazníků byly zjišťovány využívané komponenty CIMT v praxi, formy monitoringu, bariéry pro poskytování CIMT a také motivace i subjektivně vnímané limitace využití technologií pro monitoraci aktivit v rehabilitaci. Výsledky: Do průzkumu se zapojilo celkem 95 ergoterapeutů a fyzioterapeutů a 91 pacientů. Čeští terapeuti uváděli jako nejčastější vnímané bariéry omezující poskytování CIMT nízký počet vhodných pacientů, nedostatek znalostí o metodě, zvýšenou administrativní i časovou náročnost nebo se obávají vysoké náročnosti metody pro pacienty. Samotné pacienty pak limituje v zapojení se do programu jeho nízká dostupnost nebo je odrazuje vysoká náročnost cvičení. Pacienti v rámci monitoringu vyplňují cvičební deník v papírové podobě (36 %) nebo méně často na počítači (6,7 %), nejčastěji ale provedená cvičení nezaznamenávají a výsledky nesledují (40,4 %). Celkem 55 % respondentů z řad pacientů je motivováno sdílet své výsledky cvičení elektronickou formou s terapeutem. Závěr: Pacienti se spastickou parézou horní končetiny po poškození mozku jsou dle výsledků průzkumu motivováni k distanční terapii a sdílení výsledků domácího cvičení na dálku. Aplikace inovativních postupů v rámci CIMT a monitoringu aktivit zvyšuje dostupnost terapeutických postupů s potenciálním snížením nákladů v klinické praxi.

Background: The comprehensive therapeutic program, Constraint-induced movement therapy (CIMT), focuses on functional training of the paretic upper limb and the transfer of acquired skills in daily life. Aim: The purpose of the survey was to map the current experience of therapists and patients with the therapeutic toolkit and home activity monitoring. Methods: The components of CIMT currently used, monitoring forms, barriers to provision, and motivations and subjectively perceived limitations for the use of technology in rehabilitation for activity monitoring were explored with the use of on-line surveys. Results: A total of 95 occupational therapists and physiotherapists and 91 patients participated in the survey. Czech therapists reported the most common perceived barriers that limit CIMT provision were as follows: low number of suitable patients, lack of knowledge of the method, increased administrative and time demands, or concerns about the high demands of the method for patients. The patients themselves are then limited in participating in the program due to its low accessibility or fear of the high difficulty of the exercise. As part of monitoring, patients complete a paper exercise diary (36%) or less frequently one on a computer (6.7%), but most often they do not track the results (40.4%). A total of 55% of patient respondents are motivated to share their results electronically with their therapist. Conclusions: According to the survey results, patients with spastic paresis of the upper limb after brain injury are motivated to participate in remote therapy and share results of home exercise remotely. The application of innovative approaches in CIMT and activity monitoring increases the availability of therapeutic interventions with potential cost reduction in clinical practice.

• Klíčová slova
• constraint-induced movement therapy,
• MeSH
• cévní mozková příhoda MeSH
• dospělí MeSH
• ergoterapie MeSH
• fyzioterapie (techniky) * MeSH
• horní končetina * fyziologie   MeSH
• lidé středního věku MeSH
• lidé MeSH
• paréza * rehabilitace   MeSH
• průzkumy a dotazníky statistika a číselné údaje   MeSH
• telerehabilitace MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Geografické názvy
• Česká republika MeSH

OBJECTIVE: Chronic obstructive pulmonary disease (COPD) is one of the leading causes of death worldwide. Telehealth rehabilitation may offer new opportunities in patient therapy. This systematic review aimed to evaluate the effects of internet-mediated telerehabilitation and compare them with the outcomes of conventional pulmonary rehabilitation in COPD patients. METHODS: Electronic databases PubMed, Prospero, Scopus, and Cochrane were searched for randomized controlled trials from January 2005 to December 2021. Two investigators reviewed studies for relevance and extracted study population, methods, and results data. RESULTS: Ten studies were eligible for systematic review from the initial selection (n = 1492). There was considerable heterogeneity in telerehabilitation approaches. Functional exercise capacity and quality of life were assessed in all studies. None of the results were inferior to conventional care. High adherence and high levels of safety were observed. CONCLUSION: Telerehabilitation in COPD patients is a safe therapy approach that increases and maintains functional exercise capacity and quality of life, making it an equivalent option to conventional outpatient rehabilitation. However, there is currently a lack of a unified approach to the composition of therapy and the use of technology, which needs to be addressed in the future.

• MeSH
• chronická obstrukční plicní nemoc * MeSH
• cvičení MeSH
• kvalita života MeSH
• lidé MeSH
• telerehabilitace * metody   MeSH
• tolerance zátěže MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• přehledy MeSH
• systematický přehled MeSH

Článek se zabývá porovnáním intenzivní rehabilitace s telerehabilitací prováděnou v domácím prostředí pomocí běžných počítačových komunikačních technologií. Pro zhodnocení efektu telerehabilitace byl natočen instruktážní film, podle kterého pacienti po operaci artroplastiky kyčelního kloubu cvičili samostatně ve svém sociálním prostředí. Celkem 92 pacientů, kteří podstoupili operaci artroplastiky kyčelního kloubu, bylo rozděleno na dvě skupiny. Skupina 1 (kontrolní) byla složená z klientů, kteří nastoupili na lůžkové oddělení zdravotnického zařízení k intenzivní čtrnáctidenní rehabilitaci. Skupina 2 (telerehabilitační) využila rehabilitaci v domácím prostředí a cvičila samostatně s možným dohledem fyzioterapeuta přes komunikační technologie. Sledování probíhalo 6 týdnů, kdy vstupní vyšetření bylo provedeno v prvním týdnu po operaci, kontrolní ve 3 týdnech a výstupní po 6 týdnech od operace totální endoprotézy kyčelního kloubu. U obou skupin byly porovnány hodnoty rozsahu pohybu (ROM) v kyčelním kloubu a obvodové míry operované končetiny. Funkční vyšetření bylo doplněno chůzí a zhodnoceno dle 10 Meter Walk Test (10 MWT). Výsledky studie poukazují na plnohodnotný terapeutický vliv telerehabilitace u pacientů po artroplastice kyčelního kloubu.

The article focuses on comparing intensive rehabilitation with telerehabilitation carried out in the home environment using common computer communication technologies. To assess the effect of telerehabilitation, an instructional video was recorded, according to which patients after hip joint arthroplasty performed exercises independently in their social environment. A total of 92 patients who underwent hip joint arthroplasty surgery were divided into two groups. Group C (control) consisted of clients who were admitted to the inpatient department of a medical facility for intensive 14-day rehabilitation. Group T (telerehabilitation) performed rehabilitation in their home environment and exercised independently with the possible supervision of a physiotherapist via communication technologies. The monitoring took place for 6 weeks, with the initial examination carried out in the first week after the surgery, a follow-up examination in the third week, and a final (exit) examination after 6 weeks of the total hip joint arthroplasty surgery. The range of motion (ROM) in the hip joint and the circumferential of the operated limb were compared for both groups. The functional examination was supplemented by walking and evaluated using the 10-Meter Walk Test (10MWT). The results of the study indicate a comprehensive therapeutic effect of telerehabilitation in patients after hip joint arthroplasty.

• MeSH
• antropometrie metody   MeSH
• fyzioterapie (techniky) MeSH
• kloubní artrometrie metody   MeSH
• lidé MeSH
• náhrada kyčelního kloubu * rehabilitace   MeSH
• rehabilitace metody   MeSH
• telerehabilitace * metody   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• práce podpořená grantem MeSH
• srovnávací studie MeSH

BACKGROUND: Exercise-based interventions prevent or delay symptoms and complications of type 2 diabetes (T2D) and are highly recommended for T2D patients; though with very low participation rates. Τelerehabilitation (TR) could act as an alternative to overcome the barriers preventing the promotion of T2D patients' well-being. AIM: Determine the effects of a six-week TR program on glycemic control, functional capacity, muscle strength, PA, quality of life and body composition in patients with T2D. DESIGN: A multicenter randomized, single-blind, parallel-group clinical study. SETTING: Clinical trial. POPULATION: Patients with T2D. METHODS: Thirty T2D patients (75% male, 60.1±10.9 years) were randomly allocated to an intervention group (IG) and a control group (CG) with no exercise intervention. IG enrolled in a supervised, individualized exercise program (combination of aerobic and resistance exercises), 3 times/week for 6 weeks at home via a TR platform. Glycated hemoglobin (HbA1c), six-minute walk test (6MWT), muscle strength (Hand Grip Strength Test [HGS], 30-Second Chair Stand test [30CST] physical activity [IPAQ-SF]), quality of life (SF-36) and anthropometric variables were assessed. RESULTS: Two-way repeated-ANOVA showed a statistically significant interaction between group, time and test differences (6MWT, muscle strength) (V=0.33, F [2.17]=4.14, P=0.03, partial η2=0.22). Paired samples t-test showed a statistically significant improvement in HbA1c (Z=-2.7), 6MWT (Μean ∆=-36.9±27.2 m, t=-4.5), muscle strength (Μean ∆=-1.5±1.4 kg, t=-2.22). Similarly, SF-36 (mental health [Μean ∆=-13.3±21.3%], general health [Μean ∆=-11.4±16.90%]) were statistically improved only in IG. CONCLUSIONS: The findings of this study indicate that a 6-week supervised home-based TR exercise program induced significant benefits in patients with T2D, thus enabling telehealth implementation in rehabilitation practice as an alternative approach. CLINICAL REHABILITATION IMPACT: Home-based exercise via the TR platform is a feasible and effective alternative approach that can help patients with T2D eliminate barriers and increase overall rehabilitation utilization.

• MeSH
• diabetes mellitus 2. typu * MeSH
• glykovaný hemoglobin MeSH
• jednoduchá slepá metoda MeSH
• kvalita života MeSH
• lidé středního věku MeSH
• lidé MeSH
• senioři MeSH
• síla ruky MeSH
• telerehabilitace * MeSH
• terapie cvičením MeSH
• videokonferování MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• multicentrická studie MeSH
• randomizované kontrolované studie MeSH

• MeSH
• kardiovaskulární rehabilitace * metody   MeSH
• lidé MeSH
• telerehabilitace * metody   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• přehledy MeSH

BACKGROUND: Rehabilitation may be an effective additional treatment method in patients with obstructive sleep apnea (OSA). Physical exercise, weight reduction, pulmonary rehabilitation, and myofunctional therapy (MT) represent beneficial components of rehabilitation recommended as a possible adjunct to standard OSA treatment. METHODS AND RESULTS: A 54-year-old man with morbid obesity, long-lasting snoring, breathing pauses, frequent waking, as well as persistent drowsiness and fatigue during the day underwent polysomnography (PSG) to investigate suspected OSA. Severe OSA was confirmed by PSG and a 12-week comprehensive, home-based telerehabilitation program (tele-RHB program) along with continuous positive airway pressure (CPAP) therapy was implemented. The tele-RHB program included regular teleconsultations, aerobic-endurance training, MT, inspiratory and expiratory muscle training, as well as recommendations on proper nutrition, a healthy lifestyle, and behavioral changes. Following the treatment, the patient's quality of life (QoL), exercise capacity, lung function, and OSA severity significantly improved. The patient achieved an overall 19.9 kg reduction in weight, of which 16.2 kg was body fat, and his apnea-hypopnea index decreased by 42.6 episodes/hour. CONCLUSION: Our case report suggests that the comprehensive home-based tele-RHB program adjunct to CPAP therapy may be a novel approach for improving OSA severity, a patient's QoL, exercise capacity, lung function and body composition. It is important to note that such a program should be optional, however it may be needed to achieve the highest possible overall improvement in a patient's life. Further clinical investigations are needed to determine the therapeutic efficacy and clinical potential of this tele-RHB program.

• MeSH
• kvalita života MeSH
• lidé středního věku MeSH
• lidé MeSH
• morbidní obezita * komplikace   MeSH
• obstrukční spánková apnoe * komplikace   terapie   MeSH
• telerehabilitace * MeSH
• trvalý přetlak v dýchacích cestách MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• Publikační typ
• kazuistiky MeSH

Plicní rehabilitace (PR) je efektivní a bezpečnou součástí léčby pacientů po transplantaci plic. S rozšířenou dostupností moderních informačních technologií se nabízí provedení PR formou telerehabilitace, při které je jako kontaktní médium mezi fyzioterapeutem a pacientem využíván tablet, chytrý mobilní telefon nebo osobní počítač. Pacienti po transplantaci plic mohou z telerehabilitace výrazně profitovat vzhledem k možnosti absolvovat terapii v domácím prostředí, bez nutnosti cestovat a s nižším rizikem možné respirační infekce. Cílem této kazuistiky je představit pozitivní vliv plicní telerehabilitace na funkční stav pacienta po transplantaci plic, který byl zaměřen zejména na odporový trénink a trénink nádechových svalů. Součástí kazuistiky je i popis možných výhod i nevýhod tohoto typu terapie.

Pulmonary rehabilitation (PR) is an effective and safe part of the treatment of patients after lung transplantation. The widespread availability of modern information technologies offers the implementation of PR in the form of telerehabilitation, in which a tablet, smartphone, or personal computer is used as a contact medium between the physiotherapist and the patient. Lung transplant patients can benefit significantly from telerehabilitation due to the possibility of receiving therapy at home, without the need to travel, and with a lower risk of possible respiratory infection. The case report aims to present the positive effect of pulmonary telerehabilitation on the functional status of a patient after lung transplantation, which was focused on resistance training and inspiratory muscle training. Part of the case report is also a description of the possible advantages and disadvantages of this type of therapy.

• MeSH
• chronická obstrukční plicní nemoc chirurgie   MeSH
• dechová cvičení metody   statistika a číselné údaje   MeSH
• lidé středního věku MeSH
• lidé MeSH
• odporový trénink metody   statistika a číselné údaje   MeSH
• telerehabilitace * metody   MeSH
• transplantace plic * rehabilitace   MeSH
• výsledky a postupy - zhodnocení (zdravotní péče) MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• Publikační typ
• kazuistiky MeSH
• práce podpořená grantem MeSH