Efficacy of a novel exercise protocol in improving outcomes for patients with chronic respiratory disease

Chronic respiratory diseases (CRDs) like COPD and asthma affect millions globally, causing significant disability and premature death.

1 Pulmonary rehabilitation (PR) improves quality of life but access is limited. 2 Telerehabilitation offers a promising alternative. This study aims to assess the feasibility and effectiveness of a home-based PR program in Delhi NCR.

Aims:

• Determine CRD prevalence in Delhi NCR.
• Develop a home-based exercise protocol for PR.

Objectives:

• Identify CRD prevalence and distribution in Delhi NCR.
• Evaluate internet connectivity and technology usability among CRD patients.
• Review existing home-based physiotherapy programs.
• Customize exercise protocols for home use.
• Assess integration of home-based program into healthcare systems.
• Measure patient adherence, satisfaction, and clinical improvements.

Inclusion Criteria:

• Age

30 years

• Diagnosed CRD
• On optimal medical treatment (excluding regular corticosteroids)
• Exacerbation history in last 1 year
• Informed consent
• English literacy
• Own and able to use a smartphone/tablet/computer

Exclusion Criteria:

• Conditions impairing exercise tolerance (orthopedic, neurological)
• Cognitive impairment/difficulty managing devices
• Domiciliary oxygen use
• Recent upper limb/thoracic surgery (<6 months)

Methods: (Details not provided in excerpt)

Outcome Measures:

• Pulmonary Function Tests (TLC, FVC)
• Chronic Respiratory Questionnaire (CRQ)
• Patient Satisfaction Questionnaire (PSQ-18)
• 6-Minute Walk Test (6MWT)
• MRC Dyspnea Scale