TELEMEDICINE 2027 Open access

An integrated gym-home model for the management of dyspnea: experience from the Esercizio Vita Health Gym

M. Felisatti,1,2 P. Fumarola,1,2 S. Triacca2, L. Pomidori1,2 | 1Department of Neuroscience and Rehabilitation, University of Ferrara; 2Esercizio Vita Medical Fitness, Ferrara, Italy

Authors

Published
28 January 2026
Section
TELEMEDICINE 2027

Abstract

Dyspnea related to chronic obstructive pulmonary disease (COPD), pulmonary fibrosis, and physical deconditioning represents a major determinant of functional limitation and reduced quality of life. At the Esercizio Vita Medical Fitness Health Gym in Ferrara, a structured exercise-based management model integrated with digital support has been implemented. The program includes an initial consultation focused on medical history and individualized outcome definition, followed by a standardized functional motor assessment to quantify exercise tolerance. Two intervention pathways are available: 1) twice-weekly supervised training combined with online respiratory and strengthening sessions; 2) an intensive in-person phase consisting of eight sessions aimed at technical mastery, followed by home-based training delivered through a dedicated mobile application. Follow-up assessments at 3, 6, and 8 months allow monitoring of clinical and functional outcomes. This integrated model shows potential to improve adherence, safety, and functional capacity in patients with chronic dyspnea.

References

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