Telerehabilitation in Patients With Fibrosing Interstitial Lung Diseases

NCT ID: NCT05166057

Last Updated: 2025-06-22

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 63 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-01-22
• Study Completion Date: 2025-05-30

Brief Summary

The aim of the study is to determine the effectiveness of different exercise programs applied to 3 groups randomly formed in patients with fibrosing interstitial lung disease (FILD).

Secondary purpose: To determine the feasibility and effectiveness of telerehabilitation in FILD cases.

Detailed Description

The cases meeting the inclusion criteria will be randomized and divided into three groups, the groups will be named as Telerehabilitation Exercise Group (TGr), Video Group (VGr) and Standard pulmonary rehabilitation group (SGr).TGr will be given online exercises, synchronized 2 days a week, and a home program for 1 day, accompanied by a physiotherapist, via videoconference on the group smartphone.After 1 session of online simultaneous exercise training in the company of a physiotherapist via a smart phone videoconference to the VGr group, an exercise video including the exercises will be sent to participants and the patients will be asked to do exercises 3 days a week. The participants will be asked to keep an exercise diary and the status of the diaries will be followed by phone call once a week.The SGr group will be applied the pulmonary rehabilitation program with supervision in the hospital 2 days a week, and participants will be asked to do exercises at home for 1 day. The exercise period will be 8 weeks for both groups.Details of the exercises to be applied to the cases are as follows: The exercise program includes aerobic, resistance exercises and breathing exercises.

Conditions

Fibrosing Interstitial Lung Disease; Telerehabilitation

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Telerehabilitation Group (TG)

TGr will be given online exercises, synchronized 2 days a week, and a home program for 1 day, accompanied by a physiotherapist, via videoconference on the group smartphone.

Group Type: EXPERIMENTAL

Synchronized online telerehabilitation exercise program

Intervention Type: OTHER

Breathing exercises, inspiratory muscle training, peripheral muscle strengthening training and gait training will be applied to the patient by videoconference.

Video Group (VGr)

After 1 session of online simultaneous exercise training in the company of a physiotherapist via a smart phone videoconference to the VGr group, an exercise video including the exercises will be sent and the participants will be asked to do exercises 3 days a week. The cases will be asked to keep an exercise diary and the status of the diaries will be followed by calling once a week.

Group Type: EXPERIMENTAL

Videobased telerehabilitation exercise program

Intervention Type: OTHER

A video containing breathing exercises, inspiratory muscle training, peripheral muscle strengthening training and gait training will be given to the patient and will be asked to exercise regularly.

Standard pulmonary rehabilitation group (SGr)

The SGr group will be applied the pulmonary rehabilitation program with supervision in the hospital 2 days a week, and participants will be asked to do exercises at home for 1 day. The exercise period will be 8 weeks for both groups.

Group Type: EXPERIMENTAL

Hospital based outpatient exercise program

Intervention Type: OTHER

Breathing exercises, inspiratory muscle training, peripheral muscle strengthening training and gait training will be applied to the patient in the hospital..

Interventions

Synchronized online telerehabilitation exercise program

Breathing exercises, inspiratory muscle training, peripheral muscle strengthening training and gait training will be applied to the patient by videoconference.

Intervention Type: OTHER

Videobased telerehabilitation exercise program

A video containing breathing exercises, inspiratory muscle training, peripheral muscle strengthening training and gait training will be given to the patient and will be asked to exercise regularly.

Intervention Type: OTHER

Hospital based outpatient exercise program

Breathing exercises, inspiratory muscle training, peripheral muscle strengthening training and gait training will be applied to the patient in the hospital..

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Being between the ages of 18-75
• Have a diagnosis of fibrosing interstitial lung disease diagnosed according to the clinical diagnostic criteria of the American Thoracic and European Respiratory Societies (ATS-ERS).
• Presence of dyspnea on exertion Stable clinical state at the time of admission without infection or exacerbation in the previous 4 weeks
• Ability to use a smart phone

Exclusion Criteria

• Patients with severe comorbid diseases, unstable coronary artery disease, collagen vascular diseases and needing high flow oxygen therapy (˃ 3-4 L \min).
• history of effort-related syncope or any comorbidity (such as severe orthopedic or neurological deficits or unstable heart disease) that precludes exercise training.
• Participating in a pulmonary rehabilitation program within the past 12 months.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 75 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Saglik Bilimleri Universitesi

OTHER

Sponsor Role: lead

Responsible Party

ESRA PEHLIVAN

Principal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Esra Pehlivan

Istanbul, Üsküdar, Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

Pehlivan E, Cetinkaya E, Karaahmetoglu FS, Ozcan ZB, Baydili KN, Demirkol B, Cinarka H, Eren R, Atac A. The impact of different pulmonary rehabilitation approaches on fibrotic interstitial lung disease: a comparative randomized trial. Expert Rev Respir Med. 2025 Sep;19(9):1027-1035. doi: 10.1080/17476348.2025.2513512. Epub 2025 May 29.

Reference Type: DERIVED

PMID: 40440705 (View on PubMed)

Other Identifiers

FLD_Tele

Identifier Type: -

Identifier Source: org_study_id