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Feasibility and Preliminary Effects of a Telerehabilitation Program for People Living With HIV

A Pilot Randomized Study

Piraux, Elise, PT*; Reychler, Gregory, PhD, PT; Forget, Patrice, PhD, MD; Yombi, Jean-Cyr, PhD, MD; Caty, Gilles, PhD, MD

Journal of the Association of Nurses in AIDS Care: March-April 2019 - Volume 30 - Issue 2 - p 176–185
doi: 10.1097/JNC.0000000000000005
Research Article
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We investigated feasibility and preliminary effects of telerehabilitation for people living with HIV (PLWH) and taking antiretroviral therapy. We randomized 25 PLWH to either an endurance and resistance training exercise (ERTE) group or a control group. Endurance and resistance training exercise sessions occurred in a public fitness center, with online guidance and weekly telephone advice. The primary outcome was feasibility (recruitment and retention rates and safety). Secondary outcomes were assessed at baseline and 6 weeks according to the three International Classification of Functioning, Disability, and Health domains. Nine patients completed the ERTE program. Recruitment and retention rates were 93% and 69%, respectively. No adverse events occurred. After 6 weeks, percentage change in D-dimer was lower in the ERTE group, but not significantly after the Bonferroni correction. Other parameters were not different between the groups. Therefore, telerehabilitation is feasible in PLWH taking antiretroviral therapy; however, the performance of the program is still questioned, and future research is warranted.

Elise Piraux, PT, is a Physiotherapist and a PhD Student, Institut de Recherche Expérimentale et Clinique, Neuro Musculo Skeletal Lab and Pôle de Pneumologie, ORL & Dermatologie, Université catholique de Louvain, Brussels, Belgium. Gregory Reychler, PhD, PT, is a Physiotherapist, Service de médecine physique et réadaptation, Service de Pneumologie, Cliniques universitaires Saint-Luc, Brussels, Belgium, and a researcher, Institut de Recherche Expérimentale et Clinique, Pôle de Pneumologie, ORL & Dermatologie, Université catholique de Louvain, Brussels, Belgium. Patrice Forget, PhD, MD, is an Anesthesist, Vrije Universiteit Brussel, Universitair Ziekenhuis Brussel (UZ Brussel), Department of Anesthesiology and Perioperative Medicine, Brussels, Belgium. Jean-Cyr Yombi, PhD, MD, is an Infectious Diseases Specialist, Service de Médecine interne et pathologies infectieuses, Centre de Référence SIDA, Cliniques universitaires Saint-Luc, Université catholique de Louvain, Brussels, Belgium. Gilles Caty, PhD, MD, is a Physician in physical medicine and rehabilitation, Service de médecine physique et réadaptation, Cliniques universitaires Saint-Luc, Brussels, Belgium and a researcher, Institut de Recherche Expérimentale et Clinique, Neuro Musculo Skeletal Lab, Université catholique de Louvain, Brussels, Belgium.

Corresponding author: Elise Piraux, e-mail: elise.piraux@uclouvain.be

Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

© 2019 Association of Nurses in AIDS Care
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