Pulmonary Rehabilitation Through Tele Rehabilitation for COPD in Pakistan

Feasibility of Pulmonary Rehabilitation Through Tele Rehabilitation Versus Traditional Center Based Pulmonary Rehabilitation for COPD in Pakistan

To determine the feasibility of Tele-rehabilitation vs traditional center-based pulmonary rehabilitation for people with chronic obstructive pulmonary disease

Inclusion Criteria:

• have a primary diagnosis of a chronic obstructive pulmonary disease
• aged ≥40 years
• be able to read and speak Urdu
• Vitally stable
• both gender

Exclusion Criteria:

• Inability to use technology, inadequate home setting, and patient's refusal.
• pulmonary hypertension or lung cancer attended pulmonary rehabilitation within the previous 18 months and had no hospitalizations for a respiratory cause since rehabilitation completion
• oxygen desaturation resulting in cessation of cardiopulmonary exercise testing (e.g. SpO2 < 80% during exercise on cycle ergometer)
• to ensure safety of unsupervised training
• unstable or brittle asthma with a hospital admission or emergency department presentation within the preceding 3 months, to ensure safety of unsupervised training
• co-morbidities which preclude exercise training, such as neurological or musculoskeletal impairment
• unable to follow verbal instructions, suffer from cognitive impairment, or have language difficulties