Feasibility and effects of the telerehabilitation program during hematopoietic stem cell transplantation

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Abstract
This study aims to identify the feasibility and effects of the telerehabilitation program for patients with hematologic cancer who underwent hematopoietic stem cell transplantation (HSCT). In this single-arm prospective study, a telerehabilitation program was administered to patients who underwent HSCT. The program utilized a camera and video conferencing system, delivering 30-minute exercise sessions based on the Otago exercise. Baseline, immediate follow-up, and 3-month follow-up examinations were performed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire 30, Beck Depression Inventory-II, fatigue severity scale, body composition, and a 10-item satisfaction survey. Fifteen (9 males and 6 females) completed the program. The mean number of exercise participation was 8.67 ± 1.91, and no adverse events or safety issues were reported. The results showed no significant deterioration in global health status, physical, role, emotional, cognitive, or social functioning as well as depression and fatigue. Physical function was well maintained without significant deterioration. In the satisfaction survey, participants believed that it was physically and mentally beneficial. This study showed that the telerehabilitation program may be helpful for patients undergoing HSCT. Direct communication with a physical therapist helped patients maintain their physical and mental health during isolation.

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