{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T06:33:01Z","timestamp":1768545181185,"version":"3.49.0"},"reference-count":26,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2021,6,8]],"date-time":"2021-06-08T00:00:00Z","timestamp":1623110400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: The COVID-19 pandemic forced reorganization of the multidisciplinary healthcare system for Duchenne muscular dystrophy. Digital solutions seem to be optimal for providing rehabilitation at this time. The aim of this study was to investigate whether it is possible to conduct respiratory physical therapy with the use of telerehabilitation in Duchenne muscular dystrophy. Methods: The study was conducted during an online conference for families with DMD. During the physical therapy panel we showed the video with the instructions of respiratory exercises. All participants (n = 152) were asked to fill in the online survey evaluating the quality, acceptance, and understanding of the instructions. Results: The survey was filled in by 45 (29.6%) participants. The mean rating of satisfaction was 4.70\/5, and for intelligibility was 4.78\/5. Thirty-seven (82.2%) patients declared that they had performed the exercises, all caregivers declared that it was possible to perform the proposed exercises a few times a week or daily, and only two respondents replied to invitations to individual online sessions. Conclusions: Findings from the study show that respiratory telerehabilitation may be implemented for DMD patients; however, the interest in digital rehabilitation among caregivers of DMD boys in Poland is low. The reasons for this situation require further research.<\/jats:p>","DOI":"10.3390\/ijerph18126179","type":"journal-article","created":{"date-parts":[[2021,6,8]],"date-time":"2021-06-08T00:07:18Z","timestamp":1623110838000},"page":"6179","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Respiratory Telerehabilitation of Boys and Young Men with Duchenne Muscular Dystrophy in the COVID-19 Pandemic"],"prefix":"10.3390","volume":"18","author":[{"given":"Agnieszka","family":"Sobierajska-Rek","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine, Faculty of Health Sciences with Institute of Maritime and Tropical Medicine, Medical University of Gdansk, 80-219 Gdansk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u0141ukasz","family":"Ma\u0144ski","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Health Sciences with Institute of Maritime and Tropical Medicine, Medical University of Gdansk, 80-211 Gdansk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna","family":"Jab\u0142o\u0144ska-Brud\u0142o","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Faculty of Health Sciences with Institute of Maritime and Tropical Medicine, Medical University of Gdansk, 80-219 Gdansk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karolina","family":"\u015aledzi\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Internal and Pediatric Nursing, Faculty of Health Sciences with Institute of Maritime and Tropical Medicine, Medical University of Gdansk, 80-211 Gdansk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5288-0586","authenticated-orcid":false,"given":"Eliza","family":"Wasilewska","sequence":"additional","affiliation":[{"name":"Department of Pulmonology and Allergology, Faculty of Medicine, Medical University of Gdansk, 80-211 Gdansk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominika","family":"Szalewska","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Faculty of Health Sciences with Institute of Maritime and Tropical Medicine, Medical University of Gdansk, 80-219 Gdansk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,6,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1016\/S1474-4422(18)30024-3","article-title":"Diagnosis and management of Duchenne muscular dystrophy, part 1: Diagnosis, and neuromuscular, rehabilitation, endocrine, and gastrointestinal and nutritional management","volume":"17","author":"Birnkrant","year":"2018","journal-title":"Lancet Neurol."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Wasilewska, E., Ma\u0142gorzewicz, S., Sobierajska-rek, A., and Jab\u0142o, J. (2020). Transition from Childhood to Adulthood in Patients with Duchenne Muscular Dystrophy. Medicina, 56.","DOI":"10.3390\/medicina56090426"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1097\/01.phm.0000184156.98671.d0","article-title":"Corticosteroid treatment and functional improvement in Duchenne muscular dystrophy: Long-term effect","volume":"84","author":"Balaban","year":"2005","journal-title":"Am. J. Phys. Med. Rehabil."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"LoMauro, A., Romei, M., Gandossini, S., Pascuzzo, R., Vantini, S., DAngelo, M.G., and Aliverti, A. (2018). Evolution of respiratory function in Duchenne muscular dystrophy from childhood to adulthood. Eur. Respir. J., 51.","DOI":"10.1183\/13993003.01418-2017"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"905","DOI":"10.5664\/jcsm.5898","article-title":"Sleep-Disordered Breathing in Duchenne Muscular Dystrophy: An Assessment of the Literature","volume":"12","author":"Hoque","year":"2016","journal-title":"J. Clin. Sleep Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1002\/ppul.21204","article-title":"Ventilatory parameters and maximal respiratory pressure changes with age in Duchenne muscular dystrophy patients","volume":"45","author":"Gayraud","year":"2010","journal-title":"Pediatr. Pulmonol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/j.nmd.2006.01.010","article-title":"Long-term benefits of deflazacort treatment for boys with Duchenne muscular dystrophy in their second decade","volume":"16","author":"Biggar","year":"2006","journal-title":"Neuromuscul. Disord."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Wasilewska, E., Ma\u0142gorzewicz, S., Meyer-Szary, J., Sledzinska, K., Niedoszytko, M.B., Jassem, E., and Wierzba, J. (2021). Pulmonary dysfunction in children with Duchenne muscular dystrophy may appear earlier than we thought\u2013analysis using novel methodology based on z-scores. Arch. Med. Sci.","DOI":"10.5114\/aoms\/119782"},{"key":"ref_9","first-page":"344","article-title":"Establishing a telerehabilitation program for patients with Duchenne muscular dystrophy in the COVID-19 pandemic","volume":"133","author":"Wierzba","year":"2020","journal-title":"Wien. Klin. Wochenschr."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"S17","DOI":"10.1542\/peds.2018-0333D","article-title":"Rehabilitation Management of the Patient With Duchenne Muscular Dystrophy","volume":"142","author":"Case","year":"2018","journal-title":"Pediatrics"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1002\/mus.26902","article-title":"The care of patients with Duchenne, Becker, and other muscular dystrophies in the COVID-19 pandemic","volume":"62","author":"Veerapandiyan","year":"2020","journal-title":"Muscle Nerve"},{"key":"ref_12","unstructured":"(2021, January 15). Parent Project Foundation, Poland. Available online: https:\/\/parentproject.org.pl\/."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1001\/jama.1963.03700150043007","article-title":"Management of progressive muscular dystrophy in childhood","volume":"184","author":"Vignos","year":"1963","journal-title":"JAMA"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1002\/mus.880040304","article-title":"Clinical trial in Duchenne dystrophy. I. The design of the protocol","volume":"4","author":"Brooke","year":"1981","journal-title":"Muscle Nerve"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1373","DOI":"10.1164\/rccm.201510-1966ST","article-title":"An Official American Thoracic Society\/European Respiratory Society Policy Statement: Enhancing Implementation, Use, and Delivery of Pulmonary Rehabilitation","volume":"192","author":"Rochester","year":"2015","journal-title":"Am. J. Respir. Crit. Care Med."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1136\/thoraxjnl-2019-214246","article-title":"Supervised pulmonary tele-rehabilitation versus pulmonary rehabilitation in severe COPD: A randomised multicentre trial","volume":"75","author":"Hansen","year":"2020","journal-title":"Thorax"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"15","DOI":"10.5195\/ijt.2012.6083","article-title":"In-home Telerehabilitation for Older Persons with Chronic Obstructive Pulmonary Disease: A Pilot Study","volume":"4","author":"Tousignant","year":"2012","journal-title":"Int. J. Telerehabilit."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e014580","DOI":"10.1136\/bmjopen-2016-014580","article-title":"Online versus face-to-face pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: Randomised controlled trial","volume":"7","author":"Bourne","year":"2017","journal-title":"BMJ Open"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"3424","DOI":"10.1080\/09638288.2019.1595750","article-title":"Diversity of practices in telerehabilitation for children with disabilities and effective intervention characteristics: Results from a systematic review","volume":"42","author":"Camden","year":"2020","journal-title":"Disabil. Rehabil."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"43","DOI":"10.5195\/ijt.2020.6336","article-title":"Feasibility and Acceptability of Clinical Pediatric Telerehabilitation Services","volume":"12","author":"Tanner","year":"2020","journal-title":"Int. J. Telerehabilit."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1016\/S0960-8966(02)00005-6","article-title":"Dose-dependent effect of individualized respiratory muscule training in children with Duchenne muscular dystrophy","volume":"12","author":"Topin","year":"2002","journal-title":"Neuromuscul. Disord."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1590\/S1806-37132014000200005","article-title":"Effects of yoga breathing exercises on pulmonary function in patients with Duchenne muscular dystrophy: An exploratory analysis","volume":"40","author":"Rodrigues","year":"2014","journal-title":"J. Bras. Pneumol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1164\/rccm.201012-2031IM","article-title":"Glossopharyngeal breathing","volume":"184","author":"Maltais","year":"2011","journal-title":"Am. J. Respir. Crit. Care Med."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1590\/S1806-37132014000500009","article-title":"Air stacking: Effects on pulmonary function in patients with spinal muscular atrophy and in patients with congenital muscular dystrophy","volume":"40","author":"Marques","year":"2014","journal-title":"J. Bras. Pneumol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.rmed.2014.11.003","article-title":"Positive expiratory pressure-Common clinical applications and physiological effects","volume":"109","author":"Lannefors","year":"2015","journal-title":"Respir. Med."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1016\/S1474-4422(18)30025-5","article-title":"Diagnosis and management of Duchenne muscular dystrophy, part 2: Respiratory, cardiac, bone health, and orthopaedic management","volume":"17","author":"Birnkrant","year":"2018","journal-title":"Lancet Neurol."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/12\/6179\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:11:53Z","timestamp":1760163113000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/12\/6179"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,8]]},"references-count":26,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2021,6]]}},"alternative-id":["ijerph18126179"],"URL":"https:\/\/doi.org\/10.3390\/ijerph18126179","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,8]]}}}