Abstract
[Purpose] Chronic obstructive pulmonary disease is a progressive and fatal respiratory disease that affects older adults. Pulmonary rehabilitation improves symptoms and quality of life but faces barriers such as limited access. Telerehabilitation, enabled by technology, offers remote, personalized care and may overcome these barriers. Although its effectiveness is well-documented, it remains unclear whether telerehabilitation is superior or inferior to face-to-face rehabilitation in chronic obstructive pulmonary disease treatment outcomes. This study aimed to systematically compare telerehabilitation and face-to-face rehabilitation in patients with chronic obstructive pulmonary disease. [Methods] We searched five databases for randomized controlled trials on telerehabilitation for chronic obstructive pulmonary disease from 2003 to 2024. Studies were screened by pre-defined criteria, and quality was assessed using the Physiotherapy Evidence Database scale. Data were analyzed using RevMan 5.4 software. [Results] Eighteen randomized controlled trials (3,108 patients) were included. Telerehabilitation was less effective in improving lung function (six minute walk test) but slightly better in reducing dyspnea and symptoms (modified Medical Research Council score and chronic obstructive pulmonary disease assessment test). It was less effective for quality of life but significantly better at alleviating depression and anxiety. [Conclusion] Both methods effectively alleviated chronic obstructive pulmonary disease. Telerehabilitation may better reduce breathing difficulties and negative emotions, offering an alternative to face-to-face rehabilitation.