TELEMEDICINE 2027 Open access

Respiratory and muscle tele-exercise in subjects with chronic dyspnea: preliminary results of a pilot study

L. Pomidori,1,2 P. Fumarola,1,2 S. Triacca,2 M. Felisatti1,2 | 1Department of Neuroscience and Rehabilitation, University of Ferrara; 2Esercizio Vita Medical Fitness, Ferrara, Italy 

Authors

Published
28 January 2026
Section
TELEMEDICINE 2027

Abstract

Dyspnea associated with chronic obstructive pulmonary disease (COPD), pulmonary fibrosis, and physical deconditioning limits adherence to long-term exercise programs. An observational pilot study was conducted to evaluate the feasibility and adherence of a respiratory and muscle maintenance tele-exercise service. Twelve subjects with chronic dyspnea were enrolled following an anamnestic interview and a preliminary functional motor assessment, including the Timed Up and Go test, Sit-to-Stand test, 6-Minute Walking test, 10-Meter Walk test, Short Physical Performance Battery, and Berg Balance Scale, as well as age, body weight, and multimorbidity assessment. The program, supervised by a kinesiologist, was delivered via telematic modality. On average, 170.3 sessions were scheduled, and 145.7 were completed, with an adherence rate of 85.6% and 24 cancelled sessions. Despite high clinical heterogeneity, participants reported excellent perception and satisfaction with the service. Tele-exercise appears to be safe, feasible, and sustainable in selected subjects with chronic dyspnea.

References

  1. 1. O'Donnell DE, James MD, Milne KM, Neder JA. The pathophysiology of dyspnea and exercise intolerance in chronic obstructive pulmonary disease. Clin Chest Med 2019;40:343-66.
  2. 2. Global Initiative for Chronic Obstructive Lung Disease. Global Strategy for Prevention, Diagnosis, and Management of COPD – 2026 Report.
  3. 3. Cox NS, Dal Corso S, Hansen H, et al. Telerehabilitation for chronic respiratory disease. Cochrane Database Syst Rev 2021;1:CD013040.
  4. 4. Ha DM, Comer A, Dollar B, et al. Telemedicine-based inspiratory muscle training and walking promotion with lung cancer survivors following curative intent therapy: a pilot randomized trial. Support Care Cancer 2023;31:546.
  5. 5. Bonnevie T, Smondack P, Elkins M, et al. Advanced telehealth technology improves home-based exercise therapy for people with stable chronic obstructive pulmonary disease: a systematic review. J Physiother 2021;67:27-40.

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