Effectiveness of a Supervised Multicomponent Exercise-Based Telerehabilitation Intervention on Physical Performance in Older Patients with Multiple Chronic Conditions in Colombia

Fundacion Universitaria Maria Cano41 enrolled

Overview

Currently, the older adult population faces an increase in the prevalence of cardiopulmonary diseases, which negatively impact their quality of life by limiting their ability to perform daily activities and affecting their physical and emotional well-being. In particular, cardiovascular and respiratory diseases are among the leading causes of morbidity and mortality among older adults in Colombia. Despite advances in pharmacological treatment and medical care, physical rehabilitation remains an essential component in the management of these diseases, with physical exercise serving as one of its fundamental pillars. However, access to physical rehabilitation programs for the older adult population, particularly in rural or hard-to-reach areas, continues to pose a significant challenge. Telemedicine and Information and Communication Technologies (ICT) have emerged as viable solutions to overcome this barrier, enabling the remote prescription and monitoring of physical exercises, facilitating the inclusion of more patients in rehabilitation programs, and improving their quality of life. Therefore, this study aims to evaluate the effectiveness of a multicomponent ICT-mediated intervention in terms of improving physical condition, reducing frailty, adherence, satisfaction, and quality of life in older adults with cardiopulmonary diseases.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Non Communicable Chronic Diseases

Eligibility

Sex: ALLMin age: 60 YearsMax age: 100 Years

Medical Language ↔ Plain English

Inclusion Criteria * Diagnosis of a non-communicable disease. * Ability to communicate verbally or in writing. * Stable disease status confirmed by clinical history. * Condition present for at least three months to qualify as chronic. * For patients with type II diabetes mellitus: glucose levels below 200 mg/dL during tele-rehabilitation sessions. Exclusion Criteria * Requirement for assistance with walking. * History of disease exacerbation within the past six months.

Outcomes

Primary Outcomes

Short Physical Performance Battery

This battery includes tests for usual walking speed over 4 meters, five-chair stands, and balance. Each task receives a score (0-4) based on the time required to perform five sit-to-stand repetitions, standing balance, and walking speed over 4 meters. The total score (0-12) is calculated by summing individual scores, with higher scores indicating better lower-body function.

Time frame: Baseline and at 1 month postest

Secondary Outcomes

Six-minute walk test

Conducted on a straight, level, hard surface, ideally 30 meters long, with a minimum acceptable length of 20 meters. The track was marked every 3 meters, with cones at the ends and bright tape at the start. Variables recorded included meters (m), which represent the total distance covered by the individual during the six-minute period.