Feasibility and effectiveness of a home monitored rehabilitation intervention using an exergaming approach – a randomized, controlled clinical study.

<bold>Introduction:</bold> Home-based rehabilitation programs (HBPR) have shown to be effective in patients with COPD, but often lack the potential for adaptation and supervision. We aim to investigate through a randomized clinical trial if a home monitored exergaming concept, with technology-driven guidance and physiotherapist supervision is more effective at improving exercise capacity compared to a traditional HBPR approach. <bold>Methods:</bold> Patients with COPD were randomized to a 12 week, three sessions per week, HBPR supported with use of an exergaming tool in combination with telemonitored supervision by a physiotherapist (intervention) or HBPR without the system (usual care). The primary outcome was between group changes in the 1-minute sit-to-stand test (1MSTS) from baseline to 12 weeks. <bold>Results:</bold> Ninety-two patients (58% women, mean age 74±8 years, FEV₁ 44±15% pred,) were randomized into intervention (n = 45) or usual care (n = 47) groups, with six and 11 dropouts in respective groups. 1MSTS improved significantly from baseline in the intervention group (17.6 ±5.9 to 20.4±7.3; p=001), but not in the usual care group (18.2±5.4 to 19.5±7.4; p=0.117), with no between group difference (p=0,222). Details in Table 1. Conclusions: The exergaming supported HBPR was effective and feasible in patients with COPD but did not yield significantly greater results compared to a traditional HBPR. <fig><object-id>erj;66/suppl_69/PA1774/F1</object-id><object-id>F1</object-id><object-id>F1</object-id><graphic></graphic></fig>