Telerehabilitation in Patients With Elevated Pulmonary Artery Pressure
The Effectiveness of Telerehabilitation in Patients With Elevated Pulmonary Artery Pressure
Marmara University
12 participants
Apr 1, 2026
INTERVENTIONAL
Conditions
Summary
The goal of this clinical trial is to learn if synchronous telerehabilitation is effective in patients with elevated pulmonary artery pressure identified by echocardiography (systolic pulmonary artery pressure ≥50 mmHg). It will also evaluate the effects of telerehabilitation on exercise capacity, dyspnea, fatigue, functional status, and quality of life. The main questions it aims to answer are: Does synchronous telerehabilitation improve exercise and functional capacity in these patients? Does synchronous telerehabilitation improve dyspnea, fatigue, psychological status, and quality of life? Researchers will compare synchronous telerehabilitation with breathing and posture exercises to see if telerehabilitation provides greater clinical and functional benefit. Participants will: Be randomly assigned to one of 2 groups Follow an 8-week program, 3 times per week, for 30 minutes per session Perform aerobic, endurance, and strengthening exercises by synchronous telerehabilitation, or breathing and posture exercises in the control group Complete assessments before and after treatment
Eligibility
Inclusion Criteria7
- Adults aged 18 to 65 years
- Elevated pulmonary artery pressure identified by echocardiography, defined as systolic pulmonary artery pressure (sPAP) of 50 mmHg or higher
- Clinically stable and receiving medical treatment under cardiology follow-up World Health Organization functional class I or II
- New York Heart Association (NYHA) functional class I or II
- Living with a caregiver, family member, or another person who can provide assistance if needed
- Access to the internet and adequate visual, cognitive, and functional ability to participate in videoconference-based sessions
- Willing to participate and able to provide informed consent
Exclusion Criteria6
- Requirement for oxygen therapy
- Musculoskeletal problems limiting participation in exercise
- Ongoing treatment for psychiatric or psychological disorders
- Cognitive impairment based on Mini-Mental State Examination findings
- Severe chronic obstructive pulmonary disease (COPD)
- Other significant cardiac disease that may interfere with participation or assessment
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Interventions
A supervised synchronous telerehabilitation program delivered via videoconferencing, including aerobic, endurance, and strengthening exercises for 8 weeks, 3 times per week, 30 minutes per session. The program will be individualized based on participant tolerance and clinical findings, with monitoring of symptoms and physiologic responses during exercise.
A control intervention consisting of breathing exercises, positions to relieve breathing discomfort, breathing control techniques, energy conservation strategies, and posture exercises, performed for 8 weeks, together with routine care and weekly motivational follow-up.
Locations(1)
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NCT07535398