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Clinical Update in Pulmonary Rehabilitation

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Respiratory Medicine".

Deadline for manuscript submissions: 15 November 2025 | Viewed by 665

Special Issue Editor


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Guest Editor
Department of Physical Therapy, School of Rehabilitation, Hyogo Medical University, Kobe 650-8530, Japan
Interests: COPD; ILD; frailty; sarcopenia; respiratory sarcopenia; respiratory muscle training

Special Issue Information

Dear Colleagues,

There is clear evidence that pulmonary rehabilitation is effective, especially in COPD. In recent years, some studies have demonstrated the effectiveness of respiratory rehabilitation for ILD patients, but only for a short period.

However, since many COPD and ILD patients are elderly, a number of them suffer from so-called “sarcopenia.” Previous studies have shown that COPD and ILD patients with sarcopenia have poor prognoses, not only in terms of physical outcomes but also in terms of life expectancy.

Recently, a new concept called respiratory sarcopenia, which indicates decreased respiratory muscle strength and mass, has been reported and is gradually attracting attention.

In this Special Issue, we summarize the current state of sarcopenia in COPD and ILD patients and its impact on outcomes and also discuss the concept of respiratory sarcopenia, its concept, and how respiratory sarcopenia should be perceived in the future of respiratory rehabilitation for patients with chronic respiratory failure.

Prof. Dr. Akira Tamaki
Guest Editor

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Keywords

  • pulmonary rehabilitation
  • chronic obstructive pulmonary disease
  • interstitial lung disease
  • sarcopenia
  • respiratory sarcopenia
  • respiratory muscle training
  • nutritional intervention

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Published Papers (1 paper)

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Research

13 pages, 489 KiB  
Article
Agreement and Reliability Between Tele-Assessment and In-Person Assessment of the One-Minute Sit-to-Stand Test in Patients with Chronic Respiratory Diseases
by Santiago Larrateguy, Matías Otto-Yáñez, Juan Bogado, Luis Larrateguy, Marisol Barros-Poblete, Guillermo Mazzucco, Isabel Blanco, Elena Gimeno-Santos and Rodrigo Torres-Castro
J. Clin. Med. 2025, 14(14), 5049; https://doi.org/10.3390/jcm14145049 - 16 Jul 2025
Viewed by 453
Abstract
Background/Objectives: Telemedicine has emerged as a valuable tool for overcoming access barriers in healthcare, particularly in rehabilitation. However, the validity and reliability of remotely conducted physical capacity assessments remain unclear. This study evaluated the agreement and intra-rater reliability between in-person and tele-assessment administration [...] Read more.
Background/Objectives: Telemedicine has emerged as a valuable tool for overcoming access barriers in healthcare, particularly in rehabilitation. However, the validity and reliability of remotely conducted physical capacity assessments remain unclear. This study evaluated the agreement and intra-rater reliability between in-person and tele-assessment administration of the one-minute sit-to-stand test (1 min-STST) in individuals with chronic respiratory diseases (CRDs). Methods: In this cross-sectional study, forty adults (55% female; mean age 59.8 ± 15.9 years) diagnosed with CRDs—including chronic obstructive pulmonary disease (52.5%), asthma (20%), and pulmonary fibrosis (20%)—completed the 1 min-STST in two conditions: in person and via tele-assessment. The primary outcome was the number of repetitions completed in each condition. Intra-rater reliability was analyzed using the intraclass correlation coefficient (ICC), and agreement between methods was evaluated with Bland–Altman analysis. Results: The mean number of repetitions was 24.4 ± 8.0 in person and 24.3 ± 8.1 via tele-assessment, with no significant difference (p = 0.78). Excellent reliability was observed (ICC = 0.978, p < 0.001), and Bland–Altman analysis showed good agreement with a mean difference of 0.08 ± 1.7 repetitions and limits of agreement from −3.26 to 3.41. No adverse events were reported. Conclusions: Tele-assessment of the 1 min-STST shows excellent agreement and reliability compared to in-person assessment in individuals with CRDs. These findings support tele-assessment as a valid and practical alternative for evaluating functional capacity remotely. Further research is needed to confirm its implementation in home-based or less-controlled settings. Full article
(This article belongs to the Special Issue Clinical Update in Pulmonary Rehabilitation)
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