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Zeitschrift für Rheumatologie

Erschienen in:

25.04.2023 | Originalien

Effects of a telerehabilitation-based exercise program in patients with systemic sclerosis

verfasst von: Fulden Sari, Deran Oskay, Abdurrahman Tufan

Erschienen in: Zeitschrift für Rheumatologie | Sonderheft 1/2024

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Abstract

Background

This study aimed to evaluate the effect of telerehabilitation-based exercise programs in systemic sclerosis (SSc) patients.

Methods

Forty-six SSc patients were randomly separated into two groups as telerehabilitation and control. Videos comprising clinical Pilates-based exercises were designed and uploaded to YouTube™ for the telerehabilitation group by physiotherapists. A video interview was conducted with the SSc patients once a week and an exercise program was performed twice daily for 8 weeks in the telerehabilitation group. The same exercise programs were printed on paper brochures and patients were instructed on their application in the form of a home exercise program to be continued for 8 weeks in the control group. Pain, fatigue, quality of life, sleep, physical activity, anxiety, and depression were assessed in all patients at the beginning and end of the study.

Results

The clinical and demographic characteristics were similar in both groups (p > 0.05). Fatigue, pain, anxiety, and depression decreased in both groups, while quality of life and sleep quality increased after the exercise program (p < 0.05). However, the improvements in the telerehabilitation group were statistically more significant than in the control group for all studied parameters (p < 0.05).

Conclusion

The results of our study demonstrate the superior efficacy of telerehabilitation-based treatment programs over home exercise programs, hence, we suggest widespread use of this innovative treatment program in SSc patients.

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Hinchcliff M, Varga J (2008) Systemic sclerosis/scleroderma: a treatable multisystem disease. Am Fam Physician 78(8):961–968PubMed

Oliveira N, dos Santos Sabbag L, de Sá Pinto A, Borges C, Lima F (2009) Aerobic exercise is safe and effective in systemic sclerosis. Int J Sports Med 30(10):728–732PubMedCrossRef

de Oliveira NC, Portes LA, Pettersson H, Alexanderson H, Boström C (2017) Aerobic and resistance exercise in systemic sclerosis: state of the art. Musculoskelet Care 15(4):316–323CrossRef

Bongi SM, Del Rosso A, Galluccio F, Tai G, Sigismondi F, Passalacqua M, Miniati I (2009) Efficacy of a tailored rehabilitation program for systemic sclerosis. Clin Exp Rheumatol 27(3):44–50

Maddali-Bongi S, Del Rosso A (2016) Systemic sclerosis: rehabilitation as a tool to cope with disability. Clin Exp Rheumatol 100(5):162–169

Winters JM (2002) Telerehabilitation research: emerging opportunities. Annu Rev Biomed Eng 4(1):287–320PubMedCrossRef

Carey JR, Durfee WK, Bhatt E et al (2007) Comparison of finger tracking versus simple movement training via telerehabilitation to alter hand function and cortical reorganization after stroke. Neurorehabil Neural Repair 21(3):216–232PubMedCrossRef

Kowal-Bielecka O, Landewé R, Avouac J et al (2009) EULAR recommendations for the treatment of systemic sclerosis: a report from the EULAR scleroderma trials and research group (EUSTAR). Ann Rheum Dis 68:620–628PubMedCrossRef

Steen VD, Medsger TA Jr (1997) The value of the health assessment questionnaire and special patient-generated scales to demonstrate change in systemic sclerosis patients over time. Arthritis Rheum 40(11):1984–1991PubMedCrossRef

10.

Farrar JT, Young JP Jr, LaMoreaux L et al (2001) Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain 94(2):149–158PubMedCrossRef

11.

Yildirim Y, Ergin GA (2013) Validity and reliability study of the Turkish multidimensional assessment of fatigue (MAF) scale in chronic musculoskeletal physical therapy patients. J Back Musculoskelet Rehabil 26(3):307–316PubMedCrossRef

12.

Saglam M, Arikan H, Savci S et al (2010) International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills 111(1):278–284PubMedCrossRef

13.

Aydemir Ö, Guvenir T, Kuey L et al (1997) Validity and reliability of Turkish version of hospital anxiety and depression scale. Turk Psikiyatri Derg 8:280–287

14.

Hunt SM, McKenna S, McEwen J et al (1980) A quantitative approach to perceived health status: a validation study. J Epidemiol Community Health 34(4):281–286PubMedPubMedCentralCrossRef

15.

Ağargün M, Kara H, Anlar O (1996) Pittsburgh uyku kalitesi indeksinin geçerliği ve güvenirliği. Turk Psikiyatri Derg 7(2):107–115

16.

de Medeiros SA, de Almeida Silva HJ, do Nascimento RM et al (2020) Mat Pilates is as effective as aquatic aerobic exercise in treating women with fibromyalgia: a clinical, randomized and blind trial. Adv Rheumatol 60(1):21PubMedCrossRef

17.

Yentür SB, Ataş N, Öztürk MA et al (2021) Comparison of the effectiveness of pilates exercises, aerobic exercises, and pilates with aerobic exercises in patients with rheumatoid arthritis. Ir J Med Sci 190(3):1027–1034PubMedCrossRef

18.

Çağlayan BÇ, Keskin A, Kabul EG et al (2021) Effects of clinical Pilates exercises in individuals with fibromyalgia: a randomized controlled trial. Eur J Rheumatol 8(3):150–155PubMedCrossRef

19.

Moser DK, Clements PJ, Brecht ML et al (1993) Predictors of psychosocial adjustment in systemic sclerosis. Arthritis Rheum 36(10):1398–1405PubMedCrossRef

20.

Larsson A, Palstam A, Löfgren M et al (2015) Resistance exercise improves muscle strength, health status and pain intensity in fibromyalgia—a randomized controlled trial. Arthritis Res Ther 17(1):1–15CrossRef

21.

Löfgren M, Opava CH, Demmelmaier I et al (2018) Long-term, health-enhancing physical activity is associated with reduction of pain but not pain sensitivity or improved exercise-induced hypoalgesia in persons with rheumatoid arthritis. Arthritis Res Ther 20(1):1–9CrossRef

22.

Klemm P, Preusler P, Hudowenz O et al (2021) Multimodal rheumatologic complex treatment in patients with spondyloarthritis—a prospective study. Eur J Intern Med 93:42–49PubMedCrossRef

23.

Klemm P, Preusler P, Hudowenz O et al (2021) Effects of multimodal rheumatologic complex treatment in patients with rheumatoid arthritis: a monocentric prospective study. Clin Exp Rheumatol 40(7):1343–1351PubMed

24.

Klemm P, Hudowenz O, Asendorf T et al (2020) Evaluation of a special concept of physical therapy in spondyloarthritis: German multimodal rheumatologic complex treatment for spondyloarthritis. Clin Rheumatol 39(5):1513–1520PubMedCrossRef

25.

Hinman RS, Campbell PK, Lawford BJ et al (2020) Does telephone-delivered exercise advice and support by physiotherapists improve pain and/or function in people with knee osteoarthritis? Telecare randomised controlled trial. Br J Sports Med 54(13):790–797PubMedCrossRef

26.

Hernando-Garijo I, Ceballos-Laita L, Mingo-Gómez MT et al (2021) Immediate effects of a telerehabilitation program based on aerobic exercise in women with fibromyalgia. Int J Environ Res Public Health 18(4):2075PubMedPubMedCentralCrossRef

27.

Perandini LA, de Sá-Pinto AL, Roschel H et al (2012) Exercise as a therapeutic tool to counteract inflammation and clinical symptoms in autoimmune rheumatic diseases. Autoimmun Rev 12(2):218–224PubMedCrossRef

28.

Repping-Wuts H, Fransen J, van Achterberg T et al (2007) Persistent severe fatigue in patients with rheumatoid arthritis. J Clin Nurs 16(11c):377–383PubMedCrossRef

29.

Thombs BD, Bassel M, McGuire L et al (2008) A systematic comparison of fatigue levels in systemic sclerosis with general population, cancer and rheumatic disease samples. Rheumatology 47(10):1559–1563PubMedPubMedCentralCrossRef

30.

Cetin SY, Calik BB, Ayan A (2020) Investigation of the effectiveness of tai chi exercise program in patients with scleroderma: a randomized controlled study. Complement Ther Clin Pract 40:101181PubMedCrossRef

31.

Yakut H, Özalevli S, Aktan R et al (2021) Effects of supervised exercise program and home exercise program in patients with systemic sclerosis: a randomized controlled trial. Int J Rheum Dis 24(9):1200–1212PubMedCrossRef

32.

Charvet LE, Dobbs B, Shaw MT et al (2018) Remotely supervised transcranial direct current stimulation for the treatment of fatigue in multiple sclerosis: results from a randomized, sham-controlled trial. Mult Scler 24(13):1760–1769PubMedCrossRef

33.

Yun YH, Lee KS, Kim Y‑W et al (2012) Web-based tailored education program for disease-free cancer survivors with cancer-related fatigue: a randomized controlled trial. J Clin Oncol 30(12):1296–1303PubMedCrossRef

34.

Warburton DE, Charlesworth S, Ivey A et al (2010) A systematic review of the evidence for Canada’s physical activity guidelines for adults. Int J Behav Nutr Phys Act 7(1):1–220CrossRef

35.

Azar M, Rice DB, Kwakkenbos L et al (2018) Exercise habits and factors associated with exercise in systemic sclerosis: a scleroderma patient-centered intervention network (SPIN) cohort study. Disabil Rehabil 40(17):1997–2003PubMedCrossRef

36.

Liem S, Meessen J, Wolterbeek R et al (2018) Physical activity in patients with systemic sclerosis. Rheumatol Int 38(3):443–453PubMedCrossRef

37.

King AC, Oman RF, Brassington GS et al (1997) Moderate-intensity exercise and self-rated quality of sleep in older adults: a randomized controlled trial. JAMA 277(1):32–37PubMedCrossRef

38.

Buman MP, Hekler EB, Bliwise DL et al (2011) Moderators and mediators of exercise-induced objective sleep improvements in midlife and older adults with sleep complaints. Health Psychol 30(5):579–587PubMedPubMedCentralCrossRef

39.

Bell KR, Fann JR, Brockway JA et al (2017) Telephone problem solving for service members with mild traumatic brain injury: a randomized, clinical trial. J Neurotrauma 34(2):313–321PubMedPubMedCentralCrossRef

40.

Nakase-Richardson R, Vuletic S, Bell K et al (2016) Telephone problem-solving treatment improves sleep quality in service members with combat-related mild traumatic brain injury: results from a randomized clinical trial. J Head Trauma Rehabil 31(2):147–157CrossRef

41.

Benrud-Larson LM, Haythornthwaite JA, Heinberg LJ et al (2002) The impact of pain and symptoms of depression in scleroderma. Pain 95(3):267–275PubMedCrossRef

42.

Matsuura E, Ohta A, Kanegae F et al (2003) Frequency and analysis of factors closely associated with the development of depressive symptoms in patients with scleroderma. J Rheumatol 30(8):1782–1787PubMed

43.

Levis B, Kwakkenbos L, Hudson M et al (2017) The association of sociodemographic and objectively-assessed disease variables with fatigue in systemic sclerosis: an analysis of 785 Canadian scleroderma research group registry patients. Clin Rheumatol 36(2):373–379PubMedCrossRef

44.

Alexanderson H, Bergegård J, Björnådal L et al (2014) Intensive aerobic and muscle endurance exercise in patients with systemic sclerosis: a pilot study. BMC Res Notes 7(1):1–8CrossRef

45.

Velayati F, Ayatollahi H, Hemmat MA (2020) Systematic review of the effectiveness of telerehabilitation interventions for therapeutic purposes in the elderly. Methods Inf Med 59(2):104–109PubMed

46.

Galiano-Castillo N, Cantarero-Villanueva I, Fernández-Lao C et al (2016) Telehealth system: a randomized controlled trial evaluating the impact of an internet-based exercise intervention on quality of life, pain, muscle strength, and fatigue in breast cancer survivors. Cancer 122(20):3166–3174PubMedCrossRef

Titel: Effects of a telerehabilitation-based exercise program in patients with systemic sclerosis
verfasst von: Fulden Sari
Deran Oskay
Abdurrahman Tufan
Publikationsdatum: 25.04.2023
Verlag: Springer Medizin
Erschienen in: Zeitschrift für Rheumatologie / Ausgabe Sonderheft 1/2024
Print ISSN: 0340-1855
Elektronische ISSN: 1435-1250
DOI: https://doi.org/10.1007/s00393-023-01346-1

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Abstract

Background

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