Table of Contents Author Guidelines Submit a Manuscript
International Journal of Telemedicine and Applications
Volume 2012, Article ID 798791, 7 pages
http://dx.doi.org/10.1155/2012/798791
Research Article

The Feasibility and Validity of a Remote Pulse Oximetry System for Pulmonary Rehabilitation: A Pilot Study

Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia 4072, Brisbane, QLD 4072, Australia

Received 24 May 2012; Revised 9 August 2012; Accepted 23 August 2012

Academic Editor: George Demiris

Copyright © 2012 Jonathan Tang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. T. J. Wilt, D. Niewoehner, R. MacDonald, and R. L. Kane, “Management of stable chronic obstructive pulmonary disease: a systematic review for a clinical practice guideline,” Annals of Internal Medicine, vol. 147, no. 9, pp. 639–653, 2007. View at Google Scholar · View at Scopus
  2. Global Initiative for Chronic Obstructive Lung Disease, Global Strategy For the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease, Updated 2008, Global Initiative for Chronic Obstructive Lung Disease (GOLD), 2008.
  3. J. Bousquet and N. Khaltaev, “Global surveillance, prevention and control of chronic respiratory diseases: a compreshensive approach,” in A World Where all People Breathe Freely, World Health Organization, Geneva, Switzerland, 2007. View at Google Scholar
  4. A. S. Buist, M. A. McBurnie, W. M. Vollmer et al., “International variation in the prevalence of COPD (The BOLD Study): a population-based prevalence study,” The Lancet, vol. 370, no. 9589, pp. 741–750, 2007. View at Publisher · View at Google Scholar · View at Scopus
  5. D. M. Mannino and S. Braman, “The epidemiology and economics of chronic obstructive pulmonary disease,” Proceedings of the American Thoracic Society, vol. 4, no. 7, pp. 502–506, 2007. View at Publisher · View at Google Scholar · View at Scopus
  6. Access Economics, Economics Impact of COPD and Cost Effective Solutions, Australian Lung Foundation, Canberra, Australia, 2008.
  7. C. D. Mathers, E. T. Vos, C. E. Stevenson, and S. J. Begg, “The burden of disease and injury in Australia,” Bulletin of the World Health Organization, vol. 79, no. 11, pp. 1076–1084, 2001. View at Google Scholar · View at Scopus
  8. J. M. FitzGerald, J. M. Haddon, C. Bradley-Kennedy et al., “Resource use study in COPD (RUSIC): a prospective study to quantify the effects of COPD exacerbations on health care resource use among COPD patients,” Canadian Respiratory Journal, vol. 14, no. 3, pp. 145–152, 2007. View at Google Scholar · View at Scopus
  9. S. A. Jansson, F. Andersson, S. Borg, A. Ericsson, E. Jönsson, and B. Lundbäck, “Costs of COPD in Sweden according to disease severity,” Chest, vol. 122, no. 6, pp. 1994–2002, 2002. View at Publisher · View at Google Scholar · View at Scopus
  10. M. D. Landry, E. Hamdan, S. Al Mazeedi, and D. Brooks, “The precarious balance between 'supply' and 'demand' for health care: the increasing global demand for rehabilitation service for individuais living with chronic obstructive pulmonary disease,” International Journal of Chronic Obstructive Pulmonary Disease, vol. 3, no. 3, pp. 393–396, 2008. View at Google Scholar · View at Scopus
  11. L. Nici, C. Donner, E. Wouters et al., “American thoracic society/European respiratory society statement on pulmonary rehabilitation,” American Journal of Respiratory and Critical Care Medicine, vol. 173, no. 12, pp. 1390–1413, 2006. View at Publisher · View at Google Scholar · View at Scopus
  12. Y. Lacasse, R. Goldstein, T. J. Lasserson, and S. Martin, “Pulmonary rehabilitation for chronic obstructive pulmonary disease,” Cochrane Database of Systematic Reviews, no. 4, Article ID CD003793, 2006. View at Google Scholar · View at Scopus
  13. A. M. Fernández, J. Pascual, C. Ferrando, A. Arnal, I. Vergara, and V. Sevila, “Home-based pulmonary rehabilitation in very severe COPD: is it safe and useful?” Journal of Cardiopulmonary Rehabilitation and Prevention, vol. 29, no. 5, pp. 325–331, 2009. View at Publisher · View at Google Scholar · View at Scopus
  14. L. Nici, J. Raskin, C. L. Rochester et al., “Pulmonary rehabilitation: what we know and what we need to know,” Journal of Cardiopulmonary Rehabilitation and Prevention, vol. 29, no. 3, pp. 141–151, 2009. View at Google Scholar
  15. G. F. Salman, M. C. Mosier, B. W. Beasley, and D. R. Calkins, “Rehabilitation for patients with chronic obstructive pulmonary disease: meta-analysis of randomized controlled trials,” Journal of General Internal Medicine, vol. 18, no. 3, pp. 213–221, 2003. View at Publisher · View at Google Scholar · View at Scopus
  16. M. A. Puhan, M. Scharplatz, T. Troosters, and J. Steurer, “Respiratory rehabilitation after acute exacerbation of COPD may reduce risk for readmission and mortality—a systematic review,” Respiratory Research, vol. 6, article 54, 2005. View at Publisher · View at Google Scholar · View at Scopus
  17. D. K. McKenzie, M. Abramson, A. J. Crockett et al., “The COPDX Plan: Australian and New Zealand Guidelines for the management of Chronic Obstructive Pulmonary Disease,” 2009, http://www.copdx.org.au/.
  18. J. Bourbeau and S. J. Bartlett, “Patient adherence in COPD,” Thorax, vol. 63, no. 9, pp. 831–838, 2008. View at Publisher · View at Google Scholar · View at Scopus
  19. M. J. Fischer, M. Scharloo, J. J. Abbink et al., “Participation and drop-out in pulmonary rehabilitation: a qualitative analysis of the patient's perspective,” Clinical Rehabilitation, vol. 21, no. 3, pp. 212–221, 2007. View at Publisher · View at Google Scholar · View at Scopus
  20. P. Young, M. Dewse, W. Fergusson, and J. Kolbe, “Respiratory rehabilitation in chronic obstructive pulmonary disease: predictors of nonadherence,” European Respiratory Journal, vol. 13, no. 4, pp. 855–859, 1999. View at Publisher · View at Google Scholar · View at Scopus
  21. J. A. Ward, G. Akers, D. G. Ward et al., “Feasibility and effectiveness of a pulmonary rehabilitation programme in a community hospital setting,” British Journal of General Practice, vol. 52, no. 480, pp. 539–542, 2002. View at Google Scholar · View at Scopus
  22. A. Keating, A. L. Lee, and A. E. Holland, “Lack of perceived benefit and inadequate transport influence uptake and completion of pulmonary rehabilitation in people with chronic obstructive pulmonary disease: a qualitative study,” Journal of Physiotherapy, vol. 57, no. 3, pp. 183–190, 2011. View at Google Scholar
  23. J. P. Finnerty, I. Keeping, I. Bullough, and J. Jones, “The effectiveness of outpatient pulmonary rehabilitation in chronic lung disease: a randomized controlled trial,” Chest, vol. 119, no. 6, pp. 1705–1710, 2001. View at Publisher · View at Google Scholar · View at Scopus
  24. C. Bulley, M. Donaghy, S. Howden, L. Salisbury, S. Whiteford, and E. Mackay, “A prospective qualitative exploration of views about attending pulmonary rehabilitation,” Physiotherapy Research International, vol. 14, no. 3, pp. 181–192, 2009. View at Publisher · View at Google Scholar · View at Scopus
  25. T. M. Rasekaba, E. Williams, and B. Hsu-Hage, “Can a chronic disease management pulmonary rehabilitation program for COPD reduce acute rural hospital utilization?” Chronic Respiratory Disease, vol. 6, no. 3, pp. 157–163, 2009. View at Publisher · View at Google Scholar · View at Scopus
  26. Australian Bureau of Statistics, Year Book Australia—Geographical Distribution of the Population, Cat. No. 1301. 0, Canberra, Australia, 2008.
  27. C. De Angelis, S. Bunker, and A. Schoo, “Exploring the barriers and enablers to attendance at rural cardiac rehabilitation programs,” Australian Journal of Rural Health, vol. 16, no. 3, pp. 137–142, 2008. View at Publisher · View at Google Scholar · View at Scopus
  28. B. Fauroux, P. Howard, and J. F. Muir, “Home treatment for chronic respiratory insufficiency: the situation in Europe in 1992,” European Respiratory Journal, vol. 7, no. 9, pp. 1721–1726, 1994. View at Google Scholar · View at Scopus
  29. M. J. Thomas, J. Simpson, R. Riley, and E. Grant, “The impact of home-based physiotherapy interventions on breathlessness during activities of daily living in severe COPD: a systematic review,” Physiotherapy, vol. 96, no. 2, pp. 108–119, 2010. View at Publisher · View at Google Scholar · View at Scopus
  30. M. Ghanem, E. A. ELaal, M. Mehany, and K. Tolba, “Home-based pulmonary rehabilitation program: effect on exercise tolerance and quality of life in chronic obstructive pulmonary disease patients,” Annals of Thoracic Medicine, vol. 5, no. 1, pp. 18–25, 2010. View at Publisher · View at Google Scholar · View at Scopus
  31. D. S. R. Vieira, F. Maltais, and J. Bourbeau, “Home-based pulmonary rehabilitation in chronic obstructive pulmonary disease patients,” Current Opinion in Pulmonary Medicine, vol. 16, no. 2, pp. 134–143, 2010. View at Publisher · View at Google Scholar · View at Scopus
  32. P. A. Ades, F. J. Pashkow, G. Fletcher, I. L. Pina, L. R. Zohman, and J. R. Nestor, “A controlled trial of cardiac rehabilitation in the home setting using electrocardiographic and voice transtelephonic monitoring,” American Heart Journal, vol. 139, no. 3, pp. 543–548, 2000. View at Google Scholar · View at Scopus
  33. E. Kouidi, A. Farmakiotis, N. Kouidis, and A. Deligiannis, “Transtelephonic electrocardiographic monitoring of an outpatient cardiac rehabilitation programme,” Clinical Rehabilitation, vol. 20, no. 12, pp. 1100–1104, 2006. View at Publisher · View at Google Scholar · View at Scopus
  34. D. K. Shaw, K. E. Sparks, and H. S. Jennings III, “Transtelephonic exercise monitoring: a review,” Journal of Cardiopulmonary Rehabilitation and Prevention, vol. 18, no. 4, pp. 263–270, 1998. View at Google Scholar
  35. M. J. Rosen, “Telerehabilitation,” NeuroRehabilitation, vol. 12, no. 1, pp. 11–26, 1999. View at Google Scholar · View at Scopus
  36. T. Raza, M. Joshi, R. M. Schapira, and Z. Agha, “Pulmonary telemedicine-A model to access the subspecialist services in underserved rural areas,” International Journal of Medical Informatics, vol. 78, no. 1, pp. 53–59, 2009. View at Publisher · View at Google Scholar · View at Scopus
  37. A. J. Hill, “Assessment of acquired neurogenic communication disorders in adults using a telerehabilitation application,” in School of Health and Rehabilitation Sciences, p. 306, University of Queensland, Brisbane, Australia, 2008. View at Google Scholar
  38. D. Theodoros and T. Russell, “Telerehabilitation: current perspectives,” Studies in Health Technology and Informatics, vol. 131, pp. 191–209, 2008. View at Google Scholar · View at Scopus
  39. K. K. Giuliano and T. L. Higgins, “New-generation pulse oximetry in the care of critically ill patients,” American Journal of Critical Care, vol. 14, no. 1, pp. 26–39, 2005. View at Google Scholar · View at Scopus
  40. G. F. Fletcher, A. J. Chiaramida, and M. R. LeMay, “Telephonically-monitored home exercise early after coronary artery bypass surgery,” Chest, vol. 86, no. 2, pp. 198–202, 1984. View at Google Scholar · View at Scopus
  41. D. K. Shaw, “Overview of telehealth and its application to cardiopulmonary physical therapy,” Cardiopulmonary Physical Therapy Journal, vol. 20, no. 2, pp. 13–18, 2009. View at Google Scholar
  42. J. Finkelstein, M. R. Cabrera, and G. Hripcsak, “Internet-based home asthma telemonitoring: can patients handle the technology?” Chest, vol. 117, no. 1, pp. 148–155, 2000. View at Google Scholar · View at Scopus
  43. J. Finkelstein, G. O'Connor, and R. H. Friedmann, “Development and implementation of the home asthma telemonitoring (HAT) system to facilitate asthma self-care,” Studies in Health Technology and Informatics, vol. 84, no. 1, pp. 810–814, 2001. View at Google Scholar · View at Scopus
  44. S. G. Marshall, D. K. Shaw, G. L. Honles, and K. E. Sparks, “Interdisciplinary approach to the rehabilitation of an 18-year-old patient with bronchopulmonary dysplasia, using telerehabilitation technology,” Respiratory Care, vol. 53, no. 3, pp. 346–350, 2008. View at Google Scholar · View at Scopus
  45. R. Cady, S. Finkelstein, B. Lindgren et al., “Exploring the translational impact of a home telemonitoring intervention using time-motion study,” Telemedicine Journal and E-Health, vol. 16, no. 5, pp. 576–584, 2010. View at Google Scholar · View at Scopus
  46. S. H. Hung, H. C. Tseng, W. H. Tsai, H. H. Lin, J. H. Cheng, and Y. M. Chang, “COPD—endurance training via mobile phone,” Annual Symposium Proceedings, p. 985, 2007. View at Google Scholar · View at Scopus
  47. T. Vontetsianos, P. Giovas, T. Katsaras et al., “Telemedicine-assisted home support for patients with advanced chronic obstructive pulmonary disease: preliminary results after nine-month follow-up,” Journal of Telemedicine and Telecare, vol. 11, no. 1, pp. 86–88, 2005. View at Publisher · View at Google Scholar · View at Scopus
  48. J. G. W. Burdon, E. F. Juniper, and K. J. Killian, “The perception of breathlessness in asthma,” American Review of Respiratory Disease, vol. 126, no. 5, pp. 825–828, 1982. View at Google Scholar · View at Scopus
  49. J. M. Bland and D. G. Altman, “Statistical methods for assessing agreement between two methods of clinical measurement,” The Lancet, vol. 1, no. 8476, pp. 307–310, 1986. View at Google Scholar · View at Scopus
  50. J. M. Bland and D. G. Altman, “Measuring agreement in method comparison studies,” Statistical Methods in Medical Research, vol. 8, no. 2, pp. 135–160, 1999. View at Publisher · View at Google Scholar · View at Scopus
  51. A. G. Copay, S. D. Glassman, B. R. Subach, S. Berven, T. C. Schuler, and L. Y. Carreon, “Minimum clinically important difference in lumbar spine surgery patients: a choice of methods using the Oswestry Disability Index, Medical Outcomes Study questionnaire Short Form 36, and Pain Scales,” Spine Journal, vol. 8, no. 6, pp. 968–974, 2008. View at Publisher · View at Google Scholar · View at Scopus
  52. I. M. Balfour-Lynn, S. A. Prasad, A. Laverty et al., “A step in the right direction: assessing exercise tolerance in cystic fibrosis,” Pediatric Pulmonology, vol. 25, no. 4, pp. 278–284, 1998. View at Google Scholar
  53. NONIN Medical, “Onyx II Model 9560 Bluetooth Fingertip Pulse Oximeter OEM Specification and Technical Information,” 2009, http://www.nonin.com/PulseOximetry/Fingertip/Onyx9560.
  54. M. Sabesan and T. Risch, “Adaptive parallelization of queries over dependent web service calls,” in Proceedings of the 25th IEEE International Conference on Data Engineering (ICDE '09), pp. 1725–1732, Shanghai, China, April 2009. View at Publisher · View at Google Scholar · View at Scopus
  55. T. Hoffmann and T. Russell, “Pre-admission orthopaedic occupational therapy home visits conducted using the internet,” Journal of Telemedicine and Telecare, vol. 14, no. 2, pp. 83–87, 2008. View at Publisher · View at Google Scholar · View at Scopus
  56. G. Constantinescu, D. Theodoros, T. Russell, E. Ward, S. Wilson, and R. Wootton, “Assessing disordered speech and voice in Parkinson's disease: a telerehabilitation application,” International Journal of Language and Communication Disorders, vol. 45, no. 6, pp. 630–644, 2010. View at Publisher · View at Google Scholar · View at Scopus
  57. T. Russell, P. Truter, R. Blumke, and B. Richardson, “The diagnostic accuracy of telerehabilitation for nonarticular lower-limb musculoskeletal disorders,” Telemedicine Journal and E-Health, vol. 16, no. 5, pp. 585–594, 2010. View at Google Scholar · View at Scopus
  58. R. Elford, H. White, R. Bowering et al., “A randomized, controlled trial of child psychiatric assessments conducted using videoconferencing,” Journal of Telemedicine and Telecare, vol. 6, no. 2, pp. 73–82, 2000. View at Google Scholar · View at Scopus
  59. E. D. Lemaire and Y. Jeffreys, “Low-bandwidth telemedicine for remote orthotic assessment,” Prosthetics and Orthotics International, vol. 22, no. 2, pp. 155–167, 1998. View at Google Scholar · View at Scopus
  60. L. Wakeford, P. P. Wittman, M. W. White, and M. R. Schmeler, “Telerehabilitation position paper,” American Journal of Occupational Therapy, vol. 59, no. 6, pp. 656–660, 2005. View at Google Scholar · View at Scopus
  61. R. T. Apteker, J. A. Fisher, V. S. Kisimov, and H. Neishlos, “Video acceptability and frame rate,” IEEE Multimedia, vol. 2, no. 3, pp. 32–40, 1995. View at Publisher · View at Google Scholar · View at Scopus
  62. F. S. Mair, P. Goldstein, C. May et al., “Patient and provider perspectives on home telecare: preliminary results from a randomized controlled trial,” Journal of Telemedicine and Telecare, vol. 11, supplement 1, pp. 95–97, 2005. View at Publisher · View at Google Scholar · View at Scopus