The impact of different pulmonary rehabilitation approaches on fibrotic interstitial lung disease: a comparative randomized trial

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dc.contributor.authorPehlivan, Esra
dc.contributor.authorÇetinkaya, Erdoğan
dc.contributor.authorKaraahmetoğlu, Fulya Senem
dc.contributor.authorÖzcan, Zeynep Betül
dc.contributor.authorBaydili, Kürşad Nuri
dc.contributor.authorDemirkol, Barış
dc.contributor.authorÇınarka, Halit
dc.contributor.authorEren, Ramazan
dc.contributor.authorAtaç, Amine
dc.date.accessioned2025-12-01T13:11:01Z
dc.date.available2025-12-01T13:11:01Z
dc.date.issued2025
dc.departmentFakülteler, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü
dc.description.abstractBackground: Fibrosing Interstitial Lung Diseases (F-ILDs) lead to reduced exercise capacity and quality of life. Pulmonary Rehabilitation (PR) exercise programs have shown potential in improving symptoms and functional capacity in these patients. This study aimed to compare the effectiveness of different PR exercise approaches in patients with F-ILDs. Research design and methods: This randomized, three-arm controlled trial included F-ILD patients divided into three groups: hospital-based supervised(HGr), synchronized-online(SOGr) with live video calls, and video-based (VGr) with recorded exercise videos. All groups underwent an 8-week program combining aerobic and resistance training. Clinical parameters assessed included 6-minute walking distance(6MWD), modified medical research council dyspnea score(mMRC), respiratory function tests, Saint George Respiratory Questionnaire (SGRQ), International Physical Activity Questionnaire Short Form(IPAQ-SF), fatigue severity scale (FSS), and muscle strength. Results: Of the 75 patients, 65 completed the study, with comparable demographic and baseline characteristics. Significant improvements in 6MWD, mMRC, maximal inspiratory pressure, IPAQ-SF, SGRQ, and peripheral muscle strength were seen in all groups. Post-hoc analysis showed HGr had greater improvements in forced vital capacity and FSS compared to SOGr. Conclusion: Hospital-based, synchronized-online, and video-based PR programs all improve clinical outcomes in patients with F-ILDs. However, supervised in-hospital PR yielded greater benefits in lung function and fatigue reduction compared to the online approaches Clinicaltrial registration: https://clinicaltrials.gov/study/NCT05166057.
dc.description.sponsorshipUniversity of Health Sciences Turkey Research Support fund ; 2022/076
dc.identifier.doi10.1080/17476348.2025.2513512
dc.identifier.endpage1035
dc.identifier.issn1747-6348
dc.identifier.issn1747-6356
dc.identifier.issue9
dc.identifier.pmid40440705
dc.identifier.scopus2-s2.0-105007156198
dc.identifier.scopusqualityQ1
dc.identifier.startpage1027
dc.identifier.urihttps://doi.org/10.1080/17476348.2025.2513512
dc.identifier.urihttps://hdl.handle.net/11501/2521
dc.identifier.volume19
dc.identifier.wosWOS:001499678600001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAtaç, Amine
dc.institutionauthorid0000-0001-8211-9096
dc.language.isoen
dc.publisherTaylor and Francis Ltd.
dc.relation.ispartofExpert Review of Respiratory Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectExercise
dc.subjectFibrotic Hypersensitivity Pneumonitis
dc.subjectIdiopathic Pulmonary Fibrosis
dc.subjectNonspecific Interstitial Pneumonia
dc.subjectPhysical Therapy
dc.titleThe impact of different pulmonary rehabilitation approaches on fibrotic interstitial lung disease: a comparative randomized trial
dc.typeArticle

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