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Master Thesis

La télé réadaptation respiratoire améliore t-elle, la tolérance à l’effort et à la qualité de et la qualité de et la qualité de vie chez un patient atteint de BPCO, de la même façon que la réadaptation respiratoire conventionnelle ? Une revue de littérature

Abstract : Introduction: this review focuses on COPD patients and compares respiratory telerehabilitation versus conventional respiratory rehabilitation. According to the HAS "COPD is a chronic respiratory disease defined by permanent and progressive airway obstruction". Objectives: we sought to find out whether telerehabilitation improves exercise tolerance and quality of life in COPD patients in the same way as conventional respiratory rehabilitation. Search methodology: studies were searched through 3 electronic databases (Pubmed, Pedro, Cochrane) of which 4 studies were included in the review of literature. All studies were randomized controlled trials in order to have better quality studies to answer a therapeutic question. Population: COPD patients over 18 years old, male and female, with a BMI between 23.5 and 29.9 kg/m2 (normal and overweight), former and current smokers. All stages of COPD (mild to severe) and all stages of dyspnea (mMRC) are represented across participants. Intervention: 6–12-week respiratory telerehabilitation program (warm-up, exercise training, strengthening, respiratory rehabilitation, therapeutic education). Comparator: conventional respiratory rehabilitation (hospital). Outcomes: this review looked at two endpoints which were exercise tolerance (6-minutes-walk test) and quality of life (CRDQ, SGRQ, CAT, EQ-5V-VAS, CCQ). The Pedro scale was used to assess the risk of bias of the included studies. The GRADE system and the HAS classification were used to assess the quality of evidence. The AMSTAR-2 scale was used to assess the quality of the review. Results and analysis: we performed a quantitative analysis for exercise tolerance and a qualitative analysis for quality of life. Regarding the assessment of exercise tolerance through the 6-minute walk test, the improvement of the walk test was in favor of the hospital groups. Concerning the evaluation of quality of life, the results of the CRDQ are in favor of the hospital groups while the results of the other questionnaires are in favor of the home groups, the opinions are divided according to the questionnaires. Discussion: we can conclude that there is not really one rehabilitation better than the other. In all cases, both rehabilitations improved the walking distance and the quality of life after the rehabilitation program. The aim of this review was not to necessarily show which rehabilitation was better than the other, but rather to find that both types of rehabilitation improved exercise tolerance and quality of life to a similar extent.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03355949
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Submitted on : Monday, September 27, 2021 - 4:03:11 PM
Last modification on : Tuesday, October 19, 2021 - 10:35:24 PM

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Julie Danielian. La télé réadaptation respiratoire améliore t-elle, la tolérance à l’effort et à la qualité de et la qualité de et la qualité de vie chez un patient atteint de BPCO, de la même façon que la réadaptation respiratoire conventionnelle ? Une revue de littérature. Médecine humaine et pathologie. 2021. ⟨dumas-03355949⟩

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